ATI LPN
Health Assessment Nursing Questions Questions
Question 1 of 5
The nurse prepares to administer an intramuscular injection to a client with thrombocytopenia. Which action is most appropriate before administering the injection?
Correct Answer: C
Rationale: Thrombocytopenia (low platelets) increases bleeding risk; applying pressure for 5 minutes post-injection (C) prevents hematoma. Heat (A) or massage (D) worsens bleeding, and cleansing (B) is routine but not specific.
Question 2 of 5
Which client action is most likely to promote acid-base balance?
Correct Answer: B
Rationale: Quitting smoking in a client with COPD promotes acid-base balance by improving oxygenation and reducing CO2 retention which can cause respiratory acidosis. Avoiding undercooked meat (A) prevents infection but doesn't directly affect acid-base balance. Daily antacids in alkalosis (C) would worsen the condition. Reducing fat intake (D) is unrelated to acid-base balance.
Question 3 of 5
When caring for a client who is a smoker with a history of polycythemia and immobility issues,which medical/surgical concepts are the nurse's highest priority? Select one that apply.
Correct Answer: B
Rationale: Clotting (B) is a priority due to polycythemia and immobility increasing thrombosis risk. Gas exchange (E) is critical due to smoking history. Infection (A) fluid/electrolyte imbalance (C) pain (D) and sexuality (F) are less urgent.
Question 4 of 5
Which conditions or health problems demonstrate the presence of inflammation without infection? Select one that apply..
Correct Answer: A
Rationale: Allergic rhinitis (A) rheumatoid arthritis (C) and cholecystitis (F) involve non-infectious inflammation. Hepatitis (B) cellulitis (D) appendicitis (E) and TB (G) are infectious.
Question 5 of 5
A technique in physical assessment that is used to assess the movement of air through the tracheobronchial tree.
Correct Answer: B
Rationale: Auscultation uses a stethoscope to listen to air movement in the tracheobronchial tree. Palpation (A) is for touch inspection (C) is visual and percussion (D) assesses density through tapping.