ATI LPN
Patient Care Questions Questions
Question 1 of 5
Which of the following foods should be avoided by clients who are prone to develop heartburn as a result of gastroesophageal reflux disease (GERD)?
Correct Answer: C
Rationale: Clients with GERD should avoid chocolate , per the document, as it reduces lower esophageal sphincter (LES) pressure, triggering reflux and heartburn. Lettuce and eggs are neutral, not affecting LES. Butterscotch isn't noted for LES impact. Chocolate's theobromine content relaxes the sphincter, worsening symptoms, making it the food to avoid for GERD management.
Question 2 of 5
When administering enteral feeding to a client via a jejunostomy tube, the nurse should administer the formula
Correct Answer: B
Rationale: Continuous administration is best for jejunostomy feeding. The jejunum lacks stomach capacity, so bolus or intermittent (A, D) feeding risks dumping syndrome or intolerance. Continuous delivery matches absorption, reducing diarrhea and ensuring nutrition. This standard method enhances tolerance post-pyloric, making B the optimal choice.
Question 3 of 5
A client is being maintained on heparin therapy for deep vein thrombosis (DVT). The nurse must closely monitor which of the following laboratory values?
Correct Answer: C
Rationale: Activated PTT must be closely monitored on heparin for DVT. Heparin, an anticoagulant, prolongs PTT (therapeutic range: 1.5-2.5x normal), ensuring efficacy without bleeding risk. Bleeding time and clotting time are nonspecific. Platelet count monitors heparin-induced thrombocytopenia, but PTT directly measures effect. C guides dosing, making it the key value.
Question 4 of 5
The measurement and documentation of vital signs is expected for clients in a long term facility. Which staff type would it be a priority to delegate these tasks to?
Correct Answer: C
Rationale: Unlicensed assistive personnel (UAP) is the priority for delegating vital signs in a long-term facility. Routine tasks fit UAP scope, freeing RNs and PNs for complex care. Volunteers lack training. C optimizes efficiency, making it the best choice.
Question 5 of 5
Which of these clients would be most appropriate to assign to a practical nurse (PN)?
Correct Answer: C
Rationale: A hemiplegic with NG tube feeding and an amputee in rehab suits a PN. Stable care aligns with PN scope, unlike acute trauma/neck surgery , new diabetes/AIDS , or psych/renal . C matches PN skills, making it appropriate.