ATI LPN
Patient Care Test Questions Questions
Question 1 of 5
When counseling a 6 year-old who is experiencing enuresis, what must the nurse understand about the pathophysiological basis of this disorder?
Correct Answer: A
Rationale: Enuresis has no clear etiology . It's multifactorial possibly maturational delay, genetics, or stress per pediatric urology, not fully understood. Sleep phobia isn't established, genetics contributes but isn't definite, and misbehavior is outdated. A guides nonjudgmental counseling and evaluation.
Question 2 of 5
A 35 year-old client with sickle cell crisis is talking on the telephone but stops as the nurse enters the room to request something for pain. The nurse should
Correct Answer: C
Rationale: Administering prescribed analgesia is the priority in sickle cell crisis pain, per pain management standards. It addresses vaso-occlusive pain swiftly. Placebo is unethical, fluids are adjunctive, and relaxation is insufficient. C ensures relief and trust.
Question 3 of 5
The nurse is discussing negativity with the parents of a 30 month-old child. How should the nurse tell the parents to best respond to this behavior?
Correct Answer: C
Rationale: Use patience and a sense of humor' is best for a 30-month-old's negativity. It aligns with toddler autonomy development, per Erikson, avoiding power struggles. Time out escalates, permissiveness lacks guidance, and authority may overwhelm. C fosters positive discipline.
Question 4 of 5
A client with a history of heart disease takes prophylactic aspirin daily. The nurse should monitor which of the following to prevent aspirin toxicity?
Correct Answer: D
Rationale: Monitoring serum albumin prevents aspirin toxicity. Aspirin binds albumin; low levels increase free drug, risking toxicity, per pharmacology. Potassium , protein , and lactose don't directly relate. D guides safe dosing in heart disease.
Question 5 of 5
A nurse aide is taking care of a 2 year-old child with Wilm's tumor. The nurse aide asks the nurse why there is a sign above the bed that says DO NOT PALPATE THE ABDOMEN? The best response by the nurse would be made to the statements:
Correct Answer: A
Rationale: Touching the abdomen could cause cancer cells to spread' is the best response. Palpation risks rupturing a Wilms' tumor, per oncology nursing, potentially disseminating cells. B is unclear, C and D are incorrect. A educates accurately.