ATI LPN
Patient Care Questions and Answers Questions
Question 1 of 5
To prevent unnecessary hypoxia during suctioning of a tracheostomy, the nurse must
Correct Answer: A
Rationale: Applying suction for no more than 10 seconds prevents hypoxia during tracheostomy suctioning. Prolonged suction depletes oxygen, per airway management standards. Sterility , lubrication , and motion matter but hypoxia is the primary risk. A safeguards oxygenation.
Question 2 of 5
Which of these clients is the priority for the nurse to report to the public health department within the next 24 hours?
Correct Answer: B
Rationale: The elderly worker with a positive acid-fast bacillus smear is the priority to report. It suggests TB, a public health threat, per CDC mandates, requiring rapid notification. Shigella , Pneumocystis , and varicella are less urgent. B protects the community.
Question 3 of 5
The nurse reviews an order to administer Rh immune globulin to an Rh negative woman following the birth of an Rh positive baby. Which assessment is a priority before the nurse gives the injection?
Correct Answer: B
Rationale: A positive Coombs' test indicates Rh sensitization, contraindicating RhoGAM as it's ineffective post-sensitization.
Question 4 of 5
The nurse is caring for a client several days following a cerebral vascular accident. Coumadin (warfarin) has been prescribed. Today's prothrombin level is 40 seconds (normal range 10-14 seconds). Which of the following findings requires priority follow-up?
Correct Answer: A
Rationale: Prolonged PT increases bleeding risk; gum bleeding signals potential hemorrhage.
Question 5 of 5
A client with an aplastic sickle cell crisis is receiving a blood transfusion and begins to complain of 'feeling hot.' Almost immediately, the client begins to wheeze. What is the nurse's first action?
Correct Answer: A
Rationale: Symptoms suggest a transfusion reaction; stopping the infusion prevents further harm.