ATI LPN
Nursing Assessment Questions Questions
Question 1 of 5
To remove soft contact lenses from the eyes of an unconscious patient the nurse should:
Correct Answer: B
Rationale: The safest method to remove soft contact lenses from an unconscious patient is to pinch the lens gently and slide it off the cornea (B). Suction cups (A) are for rigid lenses, dry cotton balls (C) risk corneal damage, and blink reflex stimulation (D) is ineffective in unconscious patients.
Question 2 of 5
A nurse is assessing a group of clients. The nurse knows that which of the following clients is at risk for fluid volume deficit? (DHA)
Correct Answer: D
Rationale: A colostomy bag (D) increases fluid loss via stool, risking deficit. Cirrhosis (A) and CHF (C) cause fluid retention, and kidney dysfunction (B) may reduce output but not necessarily deficit.
Question 3 of 5
What is the first choice of MI
Correct Answer: C
Rationale: Morphine (C) is the first-line treatment for myocardial infarction (MI) to relieve chest pain and reduce oxygen demand. Ecospirin (A) and heparin (D) prevent clotting, and streptokinase (B) dissolves clots, but pain relief is the priority.
Question 4 of 5
The nurse is taking the health history of a patient being treated for sickle cell disease. After being told the patient has severe generalized pain, the nurse expects to note which assessment finding?
Correct Answer: C
Rationale: Sickle cell disease causes vaso-occlusion, leading to jaundice (yellow sclera, C) from hemolysis. Generalized pain is typical, not toe-specific (B), and diarrhea (A) or headache (D) are less common.
Question 5 of 5
An woman is prescribed metformin for glucose control. The patient is on NPO status pending a diagnostic test. The nurse is most concerned about which side effect of metformin?
Correct Answer: D
Rationale: Metformin doesn’t typically cause hypoglycemia (D) alone, but NPO status risks it if combined with other factors. Diarrhea (A) is common but less urgent here.