ATI LPN
Patient Care Questions Questions
Question 1 of 5
You note that Unit 64 has had a high turnover rate of staff during the past year. In investigating this situation, an important source of data might include:
Correct Answer: C
Rationale: Exit interviews reveal reasons like violence or bullying for staff turnover.
Question 2 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 3 of 5
The nurse is instructing a woman in a low-fat, high-fiber diet. Which of the following food choices, if selected by the client, indicate an understanding of a low-fat, high-fiber diet?
Correct Answer: B
Rationale: Vegetable soup with stock, carrots, celery, legumes, and oat bread is low-fat (no meat stock) and high-fiber (vegetables, legumes, oats), per the document. Tuna salad has fatty mayo, chef's salad has egg fat, and chicken with walnuts is higher-fat. B best matches dietary goals, indicating understanding.
Question 4 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 5 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.