ATI LPN
Patient Care Questions and Answers Questions
Question 1 of 5
Which blood serum finding in a client with diabetic ketoacidosis alerts the nurse that immediate action is required?
Correct Answer: A
Rationale: pH below 7.3 alerts for immediate action in DKA. Acidosis (pH <7.35) signals severe metabolic imbalance, needing urgent correction. Potassium , HCT , and PaO2 are secondary. A drives intervention, making it critical.
Question 2 of 5
A client who has been diagnosed with angina has been placed on the beta blocker atenolol (Tenormin). Later in the day the client says to the nurse, 'I don't understand why I have to take this pill when my chest doesn't hurt now.' Which reply by the nurse would be most appropriate?
Correct Answer: A
Rationale: This medication will help to prevent chest pain' is most appropriate. Atenolol reduces heart rate and demand, preventing angina per its beta-blocker action. Offering PRN meds ignores prophylaxis, strengthening is inaccurate, and breathing is unrelated. A educates on purpose, aligning with treatment goals, making it the best reply.
Question 3 of 5
A client says to the nurse, 'My doctor says my heart beat isn't regular, but he doesn't want me to worry about it.' Which response by the nurse is most appropriate?
Correct Answer: D
Rationale: Tell me what you know about an irregular heart beat' is most appropriate. It assesses understanding, encouraging dialogue, per education principles. Assurance , checking , or pulse-taking bypass engagement. D empowers the client, making it the best response.
Question 4 of 5
The nurse is preparing to administer heparin to a client with a deep vein thrombosis. Which laboratory value should the nurse check before administering the dose?
Correct Answer: B
Rationale: Checking PTT is essential before heparin for DVT. Heparin prolongs PTT (therapeutic 1.5-2.5x normal), guiding dosing to prevent bleeding, per protocol. PT/INR (A, C) track warfarin, platelets monitor thrombocytopenia. B ensures safety, making it key.
Question 5 of 5
The nurse is preparing to transfer a client from the bed to a wheelchair. Which action should the nurse take to prevent injury?
Correct Answer: A
Rationale: Locking the wheelchair wheels prevents injury during transfer. Stability reduces fall risk, per safety standards. 90-degree angle is awkward, lifting without belt strains nurse/client, and quick standing risks instability. A ensures safety, making it key.