ATI LPN
Patient Care Exam Questions Questions
Question 1 of 5
The parents of a 2 year-old child report that he has been holding his breath whenever he has temper tantrums. What is the best action by the nurse?
Correct Answer: C
Rationale: Advising parents to ignore breath-holding is best. It's a benign tantrum behavior; reflex breathing resumes, per pediatric standards. CPR is unnecessary, giving in reinforces behavior, and reasoning is ineffective at this age. C prevents escalation safely.
Question 2 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 3 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 4 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.
Question 5 of 5
The provider order reads 'Aspirate nasogastric (NG) feeding tube every 4 hours and check pH of aspirate.' The pH of the aspirate is 10. Which action should the nurse take?
Correct Answer: A
Rationale: Holding the feeding and notifying the provider is correct for a pH of 10. Gastric pH is typically 1-5; 10 suggests misplacement (e.g., lung), per enteral feeding standards. Feeding , irrigating , or suction risk harm. A ensures safety.