ATI LPN
Health Assessment in Nursing Practice Questions Questions
Question 1 of 5
Which medical-surgical nursing concept does the nurse expect to be most affected by a client's recent episodes of nausea and vomiting?
Correct Answer: A
Rationale: Nausea and vomiting can lead to acid-base imbalance due to loss of gastric acid or dehydration. Cellular regulation (B) gas exchange (C) and immunity (D) are less directly affected.
Question 2 of 5
The nurse administers cleansing enema. The common position for this procedure is:
Correct Answer: A
Rationale: Sims left lateral position is used for enemas to facilitate flow into the colon. Dorsal recumbent (B) is for abdominal exams supine (C) is for general rest and prone (D) is for posterior access.
Question 3 of 5
Why is palliative care the best care for a terminal illness?
Correct Answer: D
Rationale: Palliative care focuses on improving quality of life through symptom management for terminal patients. A B and C do not reflect the primary goal of palliative care which is patient-centered comfort and support.
Question 4 of 5
When making an unoccupied bed, where would the nurse place a waterproof pad?
Correct Answer: C
Rationale: The waterproof pad goes over the bottom sheet (C) to protect the mattress while allowing the draw sheet to secure it and maintain patient comfort. Directly on the mattress (A) or beneath the draw sheet (B) is less practical, and over the top sheet (D) defeats its purpose.
Question 5 of 5
A nurse assesses a client who is admitted to the inpatient rehabilitation unit with hip problems. The client asks, 'Why are you asking about my bowels and bladder?' How would the nurse respond?
Correct Answer: A
Rationale: Band D are relevant but secondary to functional assessment.