ATI LPN
Nursing Health Assessment Questions Questions
Question 1 of 5
Which of the following vein is commonly used for CABG
Correct Answer: B
Rationale: The greater saphenous vein (B) is commonly harvested for coronary artery bypass grafting (CABG) due to its length and accessibility.
Question 2 of 5
The nurse is doing a physical assessment and electrocardiogram on an elderly client. Which finding during the nurse’s assessment of the cardiac system is of most concern and warrants prompt further investigation?
Correct Answer: D
Rationale: An irregularly irregular heart rate (D) suggests atrial fibrillation, a serious condition requiring urgent investigation in the elderly due to stroke risk. S4 (A) and PR increase (B) are common aging findings, and orthostatic hypotension (C) is less cardiac-specific.
Question 3 of 5
A client with pneumonia develops respiratory failure and is placed on mechanical ventilation. Which assessment finding indicates the client is tolerating the ventilator?
Correct Answer: B
Rationale: Oxygen saturation of 95% (B) indicates adequate oxygenation and ventilator tolerance. High respiratory rate (A), agitation (C), or alarms (D) suggest intolerance or complications.
Question 4 of 5
The nurse is caring for a client with a fractured femur in skeletal traction. Which assessment finding indicates a complication?
Correct Answer: A
Rationale: Warmth and redness at the pin site (A) suggest infection, a traction complication. Pain relief (B), alignment (C), and no spasms (D) are expected outcomes.
Question 5 of 5
Which signs and symptoms are indicators of inadequate clotting? Select one that apply..
Correct Answer: A
Rationale: Purpura (A) indicate poor clotting. Itching (B) and poor skin turgor (E) are unrelated.