ATI LPN
Patient Care Exam Questions Questions
Question 1 of 5
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 2 of 5
The nurse is teaching a child and the family about the medication phenytoin (Dilantin) prescribed for seizure control. Which of the following side effects is most likely to occur?
Correct Answer: C
Rationale: Gingival hyperplasia is a common, long-term side effect of phenytoin, especially in children.
Question 3 of 5
The health care provider has written 'Morphine sulfate 2 mgs IV every 3-4 hours prn for pain' on the chart of a child weighing 22 lb. (10 kg). What is the nurse's initial action?
Correct Answer: B
Rationale: Dose is potentially unsafe (low for weight); provider clarification is needed.
Question 4 of 5
While giving care to a 2 year-old client, the nurse should remember that the toddler's tendency to say 'no' to almost everything is an indication of what psychosocial skill?
Correct Answer: D
Rationale: Saying 'no' reflects autonomy development (Erikson's stage), a normal toddler milestone.
Question 5 of 5
A client arrived in the USA from a developing country 1 week ago. The client is to be admitted to the medical surgical unit with a diagnosis of AIDS. There is a history of these findings: unintended weight loss, drug abuse, night sweats, productive cough and a 'feeling of being hot all the time.' The nurse should assign the client to share a room with a client with the diagnosis of
Correct Answer: A
Rationale: Both clients require airborne precautions (TB risk in AIDS); co-assignment minimizes isolation needs.