ATI LPN
Patient Care Exam Questions Questions
Question 1 of 5
The nurse sees a substance abusing client occasionally in the outpatient clinic. In evaluating the client's progress, the nurse recognizes that the most revealing resistant behavior is
Correct Answer: B
Rationale: Continuing drug use is the most revealing resistant behavior. It directly indicates failure to progress in substance abuse treatment, per addiction nursing. Crises , rationalizing , and absences suggest resistance but ongoing use is the definitive barrier to recovery.
Question 2 of 5
The nurse is caring for a client with a pressure ulcer on the heel that is covered with black hard tissue. Which would be an appropriate goal in planning care for this client?
Correct Answer: C
Rationale: Debriding eschar is the appropriate goal for a heel ulcer with black tissue. Eschar removal promotes healing, per wound care standards. Granulation isn't present, infection may follow debridement, and keeping eschar delays recovery. C addresses the primary barrier.
Question 3 of 5
During the two-month well-baby visit, the mother complains that formula seems to stick to her baby's mouth and tongue. Which of the following would provide the most valuable data for nursing assessment?
Correct Answer: A
Rationale: Inspecting the mouth and throat provides the most valuable data. Sticky formula suggests thrush (Candida), requiring visual confirmation, per pediatric assessment. Cultures follow inspection, flushing is therapeutic, and wiping risks irritation. A guides diagnosis.
Question 4 of 5
The nurse is assigned to care for a client newly diagnosed with angina. As part of discharge teaching, it is important to remind the client to remove the nitroglycerine patch after 12 hours in order to prevent what condition?
Correct Answer: B
Rationale: Removing the nitroglycerine patch after 12 hours prevents drug tolerance . A nitrate-free interval maintains efficacy, per cardiac pharmacology. Irritation , headaches , and hypotension occur but tolerance affects treatment. B ensures therapeutic benefit.
Question 5 of 5
The nurse is planning care for a 2 year-old hospitalized child. Which of the following will produces the most stress at this age?
Correct Answer: A
Rationale: Separation anxiety produces the most stress in a 2-year-old. Per Erikson's autonomy stage, separation from caregivers is primary, per pediatric psychology. Pain , control , and injury matter but separation is dominant. A guides care focus.