ATI LPN
Patient Care Exam Questions Questions
Question 1 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.
Question 2 of 5
A parent calls the hospital hot line and is connected to the triage nurse. The caller proclaims: 'I found my child with odd stuff coming from the mouth and an unmarked bottle nearby.' Which of these comments would be the best tool for the nurse to determine if the child has swallowed a corrosive substance?
Correct Answer: A
Rationale: Ask the child if the mouth is burning or throat pain is present' is the best tool. Burning indicates a corrosive substance, per toxicology triage, guiding urgency. Pulse/breathing , color , and GI symptoms are secondary. A targets the key symptom.
Question 3 of 5
A client is placed on sulfamethoxazole-trimethoprim (Bactrim) for a recurrent urinary tract infection. Which of the following is appropriate reinforcement of information by the nurse?
Correct Answer: A
Rationale: Increased fluid intake flushes bacteria from the urinary tract, enhancing the antibiotic's effectiveness.
Question 4 of 5
What must the nurse emphasize when teaching a client with depression about a new prescription for nortriptyline (Pamelor)?
Correct Answer: B
Rationale: Alcohol potentiates CNS depression with tricyclics, increasing toxicity risk.
Question 5 of 5
The nurse practicing in a long term care facility recognizes that elderly clients are at greater risk for drug toxicity than younger adults because of which of the following physiological changes of advancing age?
Correct Answer: B
Rationale: Reduced water and increased fat alter drug distribution, prolonging effects and increasing toxicity risk.