ATI LPN
Patient Care Test Questions Questions
Question 1 of 5
The nurse is teaching parents about the appropriate diet for a 4 month-old infant with gastroenteritis and mild dehydration. In addition to oral rehydration fluids, the diet should include
Correct Answer: A
Rationale: Formula or breast milk is appropriate for a 4-month-old with gastroenteritis. It provides nutrition, unlike broth , cereal/juice , or gelatin , which risk diarrhea. A aligns with guidelines, making it best.
Question 2 of 5
A client who had a transurethral resection of the prostate yesterday has a three-way indwelling catheter system with continuous irrigation. Which assessment finding warrants immediate action by the nurse?
Correct Answer: B
Rationale: Bright red urine with clots warrants immediate action post-TURP. It suggests active bleeding, needing irrigation adjustment or provider notification, per protocol. Low output , spasms , and mild fever are less urgent. B addresses hemorrhage, making it priority.
Question 3 of 5
A client with a history of atrial fibrillation is receiving warfarin (Coumadin). Which statement by the client indicates the need for further teaching by the nurse?
Correct Answer: C
Rationale: I can take ibuprofen if I have a headache' indicates need for teaching. Ibuprofen increases bleeding risk with warfarin, per pharmacology; acetaminophen is safer. Blood checks , avoiding greens , and reporting bruising are correct. C risks harm, making it the teachable moment.
Question 4 of 5
The nurse is performing a pre-kindergarten physical on a 5 year-old. The last series of vaccines will be administered. What is the preferred site for injection by the nurse?
Correct Answer: C
Rationale: The preferred site for injection in a 5-year-old is the vastus lateralis . This muscle, located on the anterolateral thigh, is well-developed in children, has minimal major nerves or blood vessels, and can accommodate vaccine volumes, per pediatric nursing standards. Vastus intermedius is deeper and less accessible, gluteus maximus risks sciatic nerve injury and is avoided in young children, and dorsogluteal is not recommended due to similar risks and inadequate muscle mass in this age group. C ensures safety and efficacy, aligning with immunization guidelines.
Question 5 of 5
When counseling a 6 year-old who is experiencing enuresis, what must the nurse understand about the pathophysiological basis of this disorder?
Correct Answer: A
Rationale: Enuresis has no clear etiology . It's multifactorial possibly maturational delay, genetics, or stress per pediatric urology, not fully understood. Sleep phobia isn't established, genetics contributes but isn't definite, and misbehavior is outdated. A guides nonjudgmental counseling and evaluation.