ATI LPN · Patient Care Technician Questions and Answers
Question 1 of 90
How can a nurse assist a patient with impaired mobility to maintain proper foot hygiene?
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Question 2 of 90
What is the purpose of using a gait belt when assisting a patient with walking?
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Question 3 of 90
When applying elastic stockings to a patient's legs, what should the nurse ensure?
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Question 4 of 90
A client has been receiving dexamethasone (Decadron) for control of cerebral edema. Which of the following assessments would indicate that the treatment is effective?
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Question 5 of 90
You note that Unit 64 has had a high turnover rate of staff during the past year. In selecting the appropriate action, it is important that:
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Question 6 of 90
Infancy is the:
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Question 7 of 90
A client receiving chlorpromazine HCL (Thorazine) is in psychiatric home care. During a home visit the nurse observes the client smacking her lips alternately with grinding her teeth. The nurse recognizes this assessment finding as what?
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Question 8 of 90
For which of the following mother-baby pairs should the nurse review the Coombs' test in preparation for administering Rho immune globulin within 72 hours of birth?
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Question 9 of 90
Which one of the following is a subjective symptom?
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Question 10 of 90
In which of the following situations would you, as the head nurse, be concerned about potential safety issues?
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Question 11 of 90
Client-specific information that is gathered directly from the client and recorded at the time of admission as part of the permanent record to ensure ongoing consent to treatment is:
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Question 12 of 90
The nurse admitting a 5 month-old who vomited 9 times in the past 6 hours should observe for signs of which overall imbalance?
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Question 13 of 90
Which of these clients would be appropriate to assign to a practical nurse (PN)?
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Question 14 of 90
A symptom of hyperglycemia is:
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Question 15 of 90
A client with schizophrenia is receiving haloperidol (Haldol) 5 mg T.I.D. The client's family is alarmed and calls the clinic when 'his eyes rolled upward.' The nurse recognizes this as what type of side effect?
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Question 16 of 90
The state of well-being in all dimensions of one's life refers to:
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Question 17 of 90
Which of these nursing diagnoses, appropriate for elderly clients, would indicate the client is at greatest risk for falls?
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Question 18 of 90
The nurse is caring for a 75 year old client in congestive heart failure. Which finding suggests that digitalis levels should be reviewed?
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Question 19 of 90
The nurse is talking by telephone with a parent of a 4 year-old child who has chickenpox. Which of the following demonstrates appropriate teaching by the nurse?
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Question 20 of 90
What is the purpose of using a footboard at the foot of the bed for a patient?
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Question 21 of 90
When assisting a patient with a cane, which side should the nurse stand on?
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Question 22 of 90
The nurse is providing instructions for a client with pneumonia. What is the most important information to convey to the client?
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Question 23 of 90
Your role as a Health Care Aide includes all except:
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Question 24 of 90
An elderly client is on an anticholinergic metered dose inhaler (MDI) for chronic obstructive pulmonary disease. The nurse would suggest a spacer to
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Question 25 of 90
With an alert of an internal disaster and the need for beds, the charge nurse is asked to list clients who are potential discharges within the next hour. Which client should the charge nurse select?
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Question 26 of 90
The nurse is assessing a 2-day-old infant with a diagnosis of ventricular septal defect (VSD). Which finding should the nurse report immediately to the health care provider?
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Question 27 of 90
A client in a long term care facility complains of pain. The nurse collects data about the client's pain. The first step in pain assessment is for the nurse to
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Question 28 of 90
As a senior manager, you notice that there have been several resignations on a unit where a new charge nurse has been hired. You suspect that the new charge nurse may be demonstrating bullying behaviors, but staff say little about their relationship with the charge nurse. Your decisions about intervention would be based on which assumptions?
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Question 29 of 90
A resident is very angry. The PSW should:
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Question 30 of 90
The nursing care plan for a toddler diagnosed with Kawasaki disease (mucocutaneous lymph node syndrome) should be based on the high risk for development of which problem?
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Question 31 of 90
A 67 year-old client with non-insulin dependent diabetes should be instructed to contact the out-patient clinic immediately if the following findings are present
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Question 32 of 90
What should a nurse consider when assisting a patient with personal hygiene tasks?
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Question 33 of 90
In reviewing the assessment data of a client suspected of having diabetes insipidus, the nurse expects which of the following after a water deprivation test?
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Question 34 of 90
An assessment completed to determine the care needs and assistance with Activities of Daily Living, for a specific client, refers to their:
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Question 35 of 90
The nurse is caring for a client with a vascular access for hemodialysis. Which of these findings necessitates immediate action by the nurse?
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Question 36 of 90
A client with a history of epilepsy is admitted for observation after a seizure. Which precaution should the nurse implement to reduce the risk of injury?
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Question 37 of 90
When an infant car seat is properly installed, the infant should face
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Question 38 of 90
The community health nurse has been caring for an adolescent with a history of morbid obesity, asthma, and hypertension, and is 22 weeks pregnant. Which of these lab reports need to be called to the teen's provider within the next hour?
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Question 39 of 90
Which type of traction can the nurse expect to be used on a 7 year-old with a fractured femur and extensive skin damage?
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Question 40 of 90
The nurse is caring for a client with a long leg cast. During discharge teaching about appropriate exercises for the affected extremity, the nurse should recommend _________ exercises
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Question 41 of 90
A client is admitted for COPD. Which findings would require the nurse's immediate attention?
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Question 42 of 90
A client is in the third month of her first pregnancy. During the interview, she tells the nurse that she has several sex partners and is unsure of the identity of the baby's father. Which of the following nursing interventions is a priority?
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Question 43 of 90
A 14 month-old had cleft palate surgical repair several days ago. The parents ask the nurse about feedings after discharge. Which lunch is the best example of an appropriate meal?
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Question 44 of 90
A fire breaks out in a trash can in the hallway of a medical unit. Which action should the nurse take first?
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Question 45 of 90
All of the following are physical changes of the Nervous System that occur with aging except one:
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Question 46 of 90
Which of the following should be included in a plan of care for a client receiving total parenteral nutrition (TPN)?
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Question 47 of 90
The nurse assigns an unlicensed assistive personnel (UAP) to care for a client with a musculoskeletal disorder. The client ambulates with a leg splint. Which task requires supervision of the UAP?
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Question 48 of 90
An infant weighed 7 pounds 8 ounces at birth. If growth occurs at a normal rate, what would be the expected weight change at 6 months of age?
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Question 49 of 90
While you are taking Mrs. Dillan's vital signs, she complains of severe abdominal pain. You should:
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Question 50 of 90
The nurse is caring for a client with Meniere's disease. When teaching the client about the disease, the nurse should explain that the client should avoid foods high in
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Question 51 of 90
A common barrier to effective communication is:
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Question 52 of 90
The nurse is caring for a client who is receiving total parenteral nutrition (TPN) (hyperalimentation and lipids). What is the priority nursing action on every 8 hour shift?
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Question 53 of 90
The nursing student is discussing with a preceptor the delegation of tasks to an unlicensed assistive personnel (UAP). Assigning which of these tasks to a UAP indicates the student needs further teaching about the delegation process?
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Question 54 of 90
An 86 year-old nursing home resident who has impaired mental status is hospitalized with pneumonic infiltrates in the right lower lobe. When the nurse assists the client with a clear liquid diet, the client begins to cough. What should the nurse do next?
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Question 55 of 90
A caregiver can do all of the following except:
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Question 56 of 90
Seeing things from another's point of view refers to:
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Question 57 of 90
An 85-year-old male patient has been bedridden for two weeks. Which of the following complaints by the patient indicates to the nurse that he is developing a complication of immobility?
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Question 58 of 90
The nurse is caring for a client with status epilepticus. The most important nursing assessment(s) of this client is/are
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Question 59 of 90
How can a nurse promote patient safety when using a bedside commode?
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Question 60 of 90
The nurse is caring for a 10 year-old on admission to the burn unit. One assessment parameter that will indicate that the child has adequate fluid replacement is
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Question 61 of 90
When your client, Mr. Brown, tells you that he has a headache and a sore back he is communicating his:
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Question 62 of 90
The nurse would teach a client with Raynaud's phenomenon that, after smoking cessation, it is most important to
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Question 63 of 90
You are teaching a client about the patient controlled analgesia (PCA) planned for post-operative care. Which statement indicates further teaching may be needed by the client?
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Question 64 of 90
Which of the following type of bone protects the organs:
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Question 65 of 90
Strategies that improve or maintain health and independence refers to:
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Question 66 of 90
The nurse manager identifies that time spent by staff in charting is excessive, requiring overtime for completion. The nurse manager states that 'staff will form a task force to investigate and develop potential solutions to the problem, and report on this at the next staff meeting.' The nurse manager's leadership style is best described as
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Question 67 of 90
Which one of the following statements is true about Alzheimer's disease?
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Question 68 of 90
An adolescent client comes to the clinic 3 weeks after the birth of her first baby. She tells the nurse she is concerned because she has not returned to her pre-pregnant weight. Which action should the nurse perform first?
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Question 69 of 90
A client with congestive heart failure is newly admitted to home health care. The nurse discovers that the client has not been following the prescribed diet. What would be the most appropriate nursing action?
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Question 70 of 90
Failure to provide for oneself through inattention or dissipation may be attributed to:
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Question 71 of 90
A nurse from the surgical department is reassigned to the pediatric unit. The charge nurse should recognize that the child at highest risk for cardiac arrest and is the least likely to be assigned to this nurse is which child?
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Question 72 of 90
A school-aged child has had a long leg (hip to ankle) synthetic cast applied 4 hours ago. Which statement from the parent indicates that teaching has been inadequate?
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Question 73 of 90
What is the purpose of using a warm compress on a patient's sore muscles?
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Question 74 of 90
The basic functional unit of the body is the:
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Question 75 of 90
What is the primary purpose of using a bed cradle for a patient?
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Question 76 of 90
A client has been hospitalized after an automobile accident. A full leg cast was applied in the emergency room. The most important reason for the nurse to elevate the casted leg is to
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Question 77 of 90
To maintain a professional image at work, a PSW should:
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Question 78 of 90
The acquisition of new skills and knowledge refers to:
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Question 79 of 90
A nurse is assigned to perform well-child assessments at a day care center. A staff member interrupts the examinations to ask for assistance. They find a crying 3 year-old child on the floor with mouth wide open and gums bleeding. Two unlabeled open bottles lie nearby. The nurse's first action should be
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Question 80 of 90
A client admits to benzodiazepine dependence for several years. She is now in an outpatient detoxification program. The nurse must understand that a priority during withdrawal is
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Question 81 of 90
The nurse is caring for a depressed client with a new prescription for a selective serotonin reuptake inhibitor (SSRI) antidepressant. In reviewing the admission history and physical, which of the following should prompt questions about the safety of this medication?
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Question 82 of 90
What is the major purpose of community health research?
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Question 83 of 90
Your resident is anemic and is often pale and tired due to decreased amounts of which mineral?
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Question 84 of 90
You help prevent dehydration when you:
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Question 85 of 90
The initial response by the nurse to a delusional client who refuses to eat because of a belief that the food is poisoned is
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Question 86 of 90
Mr. Searle has been in bed for several days and is getting up for the first time. Before he gets up, he will be helped to sit on the side of the bed and dangle his feet for a few minutes. The main reason for this is to:
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Question 87 of 90
The nurse is administering diltiazem (Cardizem) to a client. Prior to administration, it is important for the nurse to assess which parameter?
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Question 88 of 90
The nurse has admitted a client with obsessive-compulsive disorder who takes fluoxetine (Prozac). Which comment by the client would indicate that the medication is effective?
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Question 89 of 90
A client is admitted to the hospital with a history of confusion. The client has difficulty remembering recent events and becomes disoriented when away from home. Which statement would provide the best reality orientation for this client?
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Question 90 of 90
A client is diagnosed with a spontaneous pneumothorax necessitating the insertion of a chest tube. What is the best explanation for the nurse to provide this client?
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