ATI LPN
Patient Care Questions Questions
Question 1 of 9
A client calls the evening health clinic to state “I know I have a severely low sugar since the Lantus insulin was given 3 hours ago and it peaks in 2 hours.†What should be the nurse's initial response to the client?
Correct Answer: B
Rationale: Assessing symptoms first clarifies if hypoglycemia is occurring; Lantus is long-acting and doesn't peak at 2 hours.
Question 2 of 9
While performing an initial assessment on a newborn following a breech delivery, the nurse suspects hip dislocation. Which of the following is most suggestive of the abnormality?
Correct Answer: D
Rationale: Asymmetry (e.g., uneven gluteal folds) strongly suggests hip dislocation.
Question 3 of 9
A Medical Doctor who prescribes medications and leads the health care team is a:
Correct Answer: A
Rationale: A physician prescribes and leads, unlike surgeons (B, surgery), pathologists (C, diagnostics), or cardiologists (D, heart-specific). PSWs report to them e.g., symptoms for care plans. Misidentifying risks role confusion; physicians oversee broadly. This clarity ensures PSWs align with leadership, supporting medical directives, a key team dynamic.
Question 4 of 9
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 5 of 9
A PSW's work is concerned primarily with:
Correct Answer: D
Rationale: Implementation is PSW work e.g., bathing unlike assessment , documentation , or planning , which RNs lead. PSWs execute plans. Misnaming risks scope creep; this fits. This focus ensures hands-on care, a PSW core duty.
Question 6 of 9
What should a nurse do before assisting a patient to stand up from the bed?
Correct Answer: B
Rationale: Assessing readiness and strength before assisting a patient to stand ensures safety by confirming they can bear weight or need support, preventing falls or strain. Telling them to stand alone risks injury if they're unsteady. Starting exercises skips this vital check preparation precedes action. Medicating after standing delays pain relief needed for the task. Nurses evaluate balance, pain, and vitals, customizing assistance, a proactive step to secure a smooth, safe transition from bed to standing.
Question 7 of 9
A newly admitted client has a diagnosis of depression. She complains of “twitching muscles†and a “racing heartâ€, and states she stopped taking Zoloft a few days ago because it was not helping her depression. Instead, she began to take her partner's Parnate. The nurse should immediately assess for which of these adverse reactions?
Correct Answer: C
Rationale: Switching from an SSRI (Zoloft) to an MAOI (Parnate) without a washout period risks serotonin syndrome, with mental status changes as a key sign.
Question 8 of 9
The nurse is caring for a client suspected to have Tuberculosis (TB). Which of the following diagnostic tests is essential for determining the presence of active TB?
Correct Answer: B
Rationale: Sputum culture confirms active TB by identifying Mycobacterium tuberculosis, unlike screening or supportive tests.
Question 9 of 9
The nurse is assessing a newborn infant and observes low set ears, short palpebral fissures, flat nasal bridge and indistinct philtrum. A priority maternal assessment by the nurse should be to ask about
Correct Answer: A
Rationale: These features suggest fetal alcohol syndrome, linked to maternal alcohol use.