ATI LPN
Health Assessment Nursing Questions Questions
Question 1 of 5
Which of the following is the warning sign of dying?
Correct Answer: C
Rationale: Cheyne-Stokes respiration (C) is a cyclic breathing pattern seen near death. Rigor mortis (A) occurs post-mortem, Kussmaul (B) is metabolic acidosis-related, and tachycardia (D) is nonspecific.
Question 2 of 5
The nurse prepares to administer an intramuscular injection to a client with thrombocytopenia. Which action is most appropriate before administering the injection?
Correct Answer: C
Rationale: Thrombocytopenia (low platelets) increases bleeding risk; applying pressure for 5 minutes post-injection (C) prevents hematoma. Heat (A) or massage (D) worsens bleeding, and cleansing (B) is routine but not specific.
Question 3 of 5
A client with chronic kidney disease is on hemodialysis. Which dietary restriction should the nurse emphasize?
Correct Answer: C
Rationale: Low-potassium intake (C) is critical in CKD to prevent hyperkalemia, as kidneys can’t excrete excess. Protein (B) is moderated, but potassium is the priority.
Question 4 of 5
Which client action is most likely to promote acid-base balance?
Correct Answer: B
Rationale: Quitting smoking in a client with COPD promotes acid-base balance by improving oxygenation and reducing CO2 retention which can cause respiratory acidosis. Avoiding undercooked meat (A) prevents infection but doesn't directly affect acid-base balance. Daily antacids in alkalosis (C) would worsen the condition. Reducing fat intake (D) is unrelated to acid-base balance.
Question 5 of 5
When caring for a client who is a smoker with a history of polycythemia and immobility issues,which medical/surgical concepts are the nurse's highest priority? Select one that apply.
Correct Answer: B
Rationale: Clotting (B) is a priority due to polycythemia and immobility increasing thrombosis risk. Gas exchange (E) is critical due to smoking history. Infection (A) fluid/electrolyte imbalance (C) pain (D) and sexuality (F) are less urgent.