ATI LPN
Patient Care Questions and Answers Questions
Question 1 of 5
Which of these clients is the priority for the nurse to report to the public health department within the next 24 hours?
Correct Answer: B
Rationale: The elderly worker with a positive acid-fast bacillus smear is the priority to report. It suggests TB, a public health threat, per CDC mandates, requiring rapid notification. Shigella , Pneumocystis , and varicella are less urgent. B protects the community.
Question 2 of 5
The nurse is caring for a client several days following a cerebral vascular accident. Coumadin (warfarin) has been prescribed. Today's prothrombin level is 40 seconds (normal range 10-14 seconds). Which of the following findings requires priority follow-up?
Correct Answer: A
Rationale: Prolonged PT increases bleeding risk; gum bleeding signals potential hemorrhage.
Question 3 of 5
A client with an aplastic sickle cell crisis is receiving a blood transfusion and begins to complain of 'feeling hot.' Almost immediately, the client begins to wheeze. What is the nurse's first action?
Correct Answer: A
Rationale: Symptoms suggest a transfusion reaction; stopping the infusion prevents further harm.
Question 4 of 5
The nurse is providing education for a client with newly diagnosed tuberculosis. Which statement should be included in the information that is given to the client?
Correct Answer: C
Rationale: Completing the full course prevents relapse and resistance, even if symptoms resolve.
Question 5 of 5
The nurse is assessing a client who is on long term glucocorticoid therapy. Which of the following findings would the nurse expect?
Correct Answer: A
Rationale: Buffalo hump (fat redistribution) is a classic sign of chronic glucocorticoid use.