ATI LPN
Assessment Nursing Questions Questions
Question 1 of 5
Which health promotion strategies and actions are most appropriate for the nurse to perform when caring for a client who has a chronic health problem that interferes with gas exchange? Select one that apply..
Correct Answer: A
Rationale: Vaccinations (A) hand hygiene (C) bronchodilators (D) and incentive spirometry (E) improve gas exchange. Sleeping flat (B) worsens gas exchange. Increasing oxygen flow (F) is unsafe without orders.
Question 2 of 5
In communication
Correct Answer: D
Rationale: Silence in communication often shows attentiveness to the patient's verbal and non-verbal cues. Stress relief (A) understanding reality (B) and pondering decisions (C) are less specific to silence's role in communication.
Question 3 of 5
A new nursing assistive personnel (NAP) is making a surgical bed for a patient who is having abdominal surgery. Where will you instruct the NAP to place the waterproof pad on this bed?
Correct Answer: B
Rationale: Placing the waterproof pad over the bottom sheet (B) protects the mattress from potential surgical drainage while keeping the patient comfortable. Over the mattress (A) is less effective, over the top sheet (C) is impractical, and not using one (D) risks contamination.
Question 4 of 5
A rehabilitation nurse assesses a client upon admission. Which assessments would the nurse complete to determine actual or potential interruption in skin and tissue integrity? (Select one that apply.)
Correct Answer: C
Rationale: (C) impacts pressure injury risk. Oxygen saturation (A) cognition (B) spiritual needs (D)
Question 5 of 5
A nurse is caring for a client who has a flaccid bladder after a spinal cord injury. Which intervention would the nurse implement to assist with bladder dysfunction?
Correct Answer: C
Rationale: suitable for spinal cord injury clients. Indwelling catheters (A) increase infection risk stroking (B) is for spastic bladders and external catheters (D) don’t aid emptying.