ATI LPN
Patient Care Questions and Answers Questions
Question 1 of 5
Three year old Vicki is having a hard time with her new baby brother. She cries whenever he is awake, wets the bed every night and insists on having her juice in a bottle like his. These are signs of:
Correct Answer: B
Rationale: Vicki's behaviors crying, bedwetting, bottle use show regression , reverting to earlier stages due to stress from a sibling, per child development theory. Adjusting implies coping, not retreat. Progressing is forward growth. Projecting is emotional displacement. PSWs recognize regression in family dynamics, making it the correct sign.
Question 2 of 5
Profound truths of nutrition at end of life includes:
Correct Answer: D
Rationale: At the end of life, nutritional needs shift dramatically as the body shuts down. Eating doesn't necessarily prolong life , as the dying process often overrides caloric benefits, and forcing it can cause distress. Food and water may increase suffering by causing nausea, bloating, or aspiration in a weakened state, a common observation in palliative care. Food refusal is a natural part of dying, as appetite and digestion wane, signaling the body's preparation for death. Combining B and C reflects these truths holistically, aligning with hospice principles that prioritize comfort over forced nutrition. PSWs witness this, supporting families to accept it rather than fight it, making 'Both b and c' the correct and compassionate answer based on end-of-life care standards.
Question 3 of 5
The PSW may assist a client with medications by:
Correct Answer: A
Rationale: PSWs assist with medications within scope, like opening bottles , per Ontario guidelines, aiding clients unable to do so. Crushing or injecting requires nursing authority. Increasing doses is prescribing, beyond PSW role. 'Opening the medication bottle' ensures support without overstepping, making it the correct and legal action.
Question 4 of 5
Insulin is a:
Correct Answer: B
Rationale: Insulin is a hormone from the pancreas, regulating blood sugar, per physiology. It's not sugar , a vitamin , or just protein (Choice D, though it's made of amino acids). PSWs assist with insulin use, making 'Hormone' the correct classification.
Question 5 of 5
Delaney, one of your staff nurses, confides that Marjorie, another nurse, has been actively telling others that you are incompetent and do not know what you are doing in relation to patient care, and that you lie to the staff about attempts to get more staffing. Delaney says that Marjorie is derogatory towards her in front of others and tells her that she better shape up. Through telephone calls and conversations during breaks, she is recruiting other staff to her position. Delaney confides that most of the staff find you fair, honest, and knowledgeable. Marjories behavior can best be characterized as:
Correct Answer: B
Rationale: Marjorie's smear campaign and put-downs are classic bullying behaviors.