ATI LPN
Patient Care Exam Questions Questions
Question 1 of 9
A 19 year-old client is paralyzed in a car accident. Which statement used by the client would indicate to the nurse that the client is using the mechanism of 'suppression'?
Correct Answer: B
Rationale: Suppression is consciously avoiding discussion, unlike repression .
Question 2 of 9
The nurse is caring for a client with cirrhosis of the liver with ascites. When instructing nursing assistants in the care of the client, the nurse should emphasize that the client
Correct Answer: C
Rationale: Ambulation and sitting promote comfort and circulation, balanced with ascites management.
Question 3 of 9
Care of the aged is called:
Correct Answer: A
Rationale: Geriatrics is the correct term for care of the aged, focusing on health and well-being in older adults, distinct from pediatrics for children, respite care for temporary relief to caregivers, and palliative care for end-of-life comfort. PSWs often work with geriatric clients in long-term care, addressing age-related needs like mobility or chronic conditions. Misidentifying this could lead to inappropriate care approaches e.g., pediatric methods won't suit seniors. Understanding geriatrics ensures PSWs tailor support to aging physiology and psychology, enhancing quality of life. It's a foundational concept, as aging populations dominate their caseload, requiring specialized knowledge over other care types.
Question 4 of 9
The provider order reads 'Aspirate nasogastric (NG) feeding tube every 4 hours and check pH of aspirate.' The pH of the aspirate is 10. Which action should the nurse take?
Correct Answer: A
Rationale: Holding the feeding and notifying the provider is correct for a pH of 10. Gastric pH is typically 1-5; 10 suggests misplacement (e.g., lung), per enteral feeding standards. Feeding , irrigating , or suction risk harm. A ensures safety.
Question 5 of 9
Health care and support services provided in the community refers to:
Correct Answer: C
Rationale: Home care is community services e.g., visits unlike promotion , prevention , or Medicare . PSWs deliver this e.g., ADLs for access. Misnaming risks confusion; this fits. This role enhances independence, a PSW focus in settings.
Question 6 of 9
The client's right to decide or choose, or to refuse, in all aspects of their care refers to:
Correct Answer: D
Rationale: Self-determination is the right to choose or refuse care e.g., treatment unlike independence , interdependence , or self-care . PSWs respect this e.g., honoring refusals per rights. Misnaming risks overriding; this fits. It's a PSW ethic, ensuring autonomy, a legal and moral duty.
Question 7 of 9
The nurse practicing in a long term care facility recognizes that elderly clients are at greater risk for drug toxicity than younger adults because of which of the following physiological changes of advancing age?
Correct Answer: B
Rationale: Reduced water and increased fat alter drug distribution, prolonging effects and increasing toxicity risk.
Question 8 of 9
A parent calls the hospital hot line and is connected to the triage nurse. The caller proclaims: 'I found my child with odd stuff coming from the mouth and an unmarked bottle nearby.' Which of these comments would be the best tool for the nurse to determine if the child has swallowed a corrosive substance?
Correct Answer: A
Rationale: Ask the child if the mouth is burning or throat pain is present' is the best tool. Burning indicates a corrosive substance, per toxicology triage, guiding urgency. Pulse/breathing , color , and GI symptoms are secondary. A targets the key symptom.
Question 9 of 9
When teaching a 10 year-old child about their impending heart surgery, which form of explanation meets the developmental needs of this age child?
Correct Answer: D
Rationale: A heart model meets a 10-year-old's needs. Concrete operational stage (Piaget) favors tangible explanations, reducing fear. Verbal lacks depth, booklet may overwhelm, peer risks confusion. D enhances understanding, making it the best method.