ATI LPN
Health Assessment Nursing Questions Questions
Question 1 of 5
When caring for a client who is a smoker with a history of polycythemia and immobility issues,which medical/surgical concepts are the nurse's highest priority? Select one that apply.
Correct Answer: B
Rationale: Clotting (B) is a priority due to polycythemia and immobility increasing thrombosis risk. Gas exchange (E) is critical due to smoking history. Infection (A) fluid/electrolyte imbalance (C) pain (D) and sexuality (F) are less urgent.
Question 2 of 5
A technique in physical assessment that is used to assess the movement of air through the tracheobronchial tree.
Correct Answer: B
Rationale: Auscultation uses a stethoscope to listen to air movement in the tracheobronchial tree. Palpation (A) is for touch inspection (C) is visual and percussion (D) assesses density through tapping.
Question 3 of 5
The nurse is preparing to make an occupied bed for a patient who is on aspiration precautions. What will the nurse do to ensure the safety of this patient during the bed change?
Correct Answer: A
Rationale: For patients on aspiration precautions, maintaining the head of the bed at a 30- to 45-degree angle reduces the risk of aspiration by using gravity to keep gastric contents below the esophagus. Flat positions (C) increase aspiration risk, and folding a pillow (B) or holding the head (D) doesn’t address this effectively.
Question 4 of 5
When making a surgical bed with no patient present, at which time is it unnecessary to perform hand hygiene?
Correct Answer: D
Rationale: Hand hygiene is unnecessary after fanfolding clean sheets (D) if hands remain uncontaminated, as it’s the final step with clean linen. It’s required before starting (A), after ungloving (B), and after handling soiled linen (C), even if not visibly soiled.
Question 5 of 5
A rehabilitation nurse is caring for an older adult client who states, 'I tire easily.' How would the nurse respond? (Select one that apply..)
Correct Answer: D
Rationale: Rest before/after tasks (B) gathering supplies (D) and breaking activities into parts conserve energy. Morning scheduling (A) may not suit all and hiring help (C) is not a nursing response.