ATI LPN
Health Assessment in Nursing Practice Questions Questions
Question 1 of 5
Which is the primary consideration when preparing to administer thrombolytic therapy to a patient who is experiencing an acute myocardial infarction (MI)? (HAAD 2014)
Correct Answer: D
Rationale: Time since symptom onset (D) is critical for thrombolytic therapy, effective within 12 hours of MI onset. History (A), aspirin sensitivity (B), and MI specifics (C) are secondary.
Question 2 of 5
Chronic alcoholic’s needs which of the following vitamins
Correct Answer: A
Rationale: Chronic alcoholics need thiamine (A) to prevent Wernicke’s encephalopathy due to poor absorption and diet. Other vitamins (B, C, D) are less critical acutely.
Question 3 of 5
A client with a myocardial infarction and cardiogenic shock is placed on an intra-aortic balloon pump (IABP). If the device is functioning properly, the balloon inflates when the:
Correct Answer: C
Rationale: The IABP inflates during diastole when the aortic valve is closed (C), aiding coronary perfusion and reducing afterload.
Question 4 of 5
A client who has been diagnosed with Prinzmetal’s angina will exhibit which change on an electrocardiogram while experiencing chest pain?
Correct Answer: C
Rationale: Prinzmetal’s angina, caused by coronary vasospasm, shows transient ST segment elevation (C) on ECG during pain, unlike typical angina (A). Q waves (B) indicate infarction, and T wave flattening (D) is nonspecific.
Question 5 of 5
The nurse is preparing a client for a lumbar puncture. In which position should the nurse place the client?
Correct Answer: C
Rationale: Lateral with knees drawn to chest (C) widens intervertebral spaces for lumbar puncture access. Prone (A), supine (B), or sitting (D) positions are less effective.