ATI LPN
ATI NCLEX PN Predictor Test Questions
Question 1 of 5
A client with a serum albumin level of 3 g/dL has a pressure ulcer. What should the nurse do first?
Correct Answer: B
Rationale: The correct first action for a client with a serum albumin level of 3 g/dL and a pressure ulcer is to consult a dietitian to improve the client's nutritional status. Adequate nutrition is essential for wound healing. Monitoring fluid and electrolyte balance is important but not the first priority in this situation. Administering a protein supplement can be considered after dietary evaluation. Administering an anti-inflammatory medication is not the primary intervention for addressing a pressure ulcer related to low albumin levels.
Question 2 of 5
A nurse in a provider's office is collecting data from a preschooler. Which of the following findings should the nurse report to the provider?
Correct Answer: D
Rationale: A heart rate of 146/min is abnormal for a preschooler and indicates tachycardia, which should be reported to the provider.
Choices A, B, and C fall within normal ranges for a preschooler's heart rate (80-120/min) and respiratory rate (22-34/min), so they do not require immediate reporting. Option D is the correct answer as it deviates significantly from the normal range and may indicate an underlying health issue that needs attention.
Question 3 of 5
A nurse is educating a client on how to use a cane due to left-leg weakness. What should the nurse include in the teaching?
Correct Answer: A
Rationale: The correct answer is to use the cane on the stronger side. By doing so, the client will have better support and balance.
Choice B is incorrect because advancing the cane and the weaker leg at the same time may lead to instability and falls.
Choice C is incorrect as using the cane on the weaker side does not provide optimal support.
Choice D is incorrect as advancing the cane 30 to 45 cm (12-18 in) with each step is not a standard recommendation for cane use.
Question 4 of 5
A client is learning to use a cane due to left-leg weakness. Which instruction is correct?
Correct Answer: B
Rationale: The correct instruction when using a cane due to leg weakness is to maintain two points of support on the floor at all times. This provides stability and support while walking.
Choice A is incorrect because the cane should be used on the weaker side to provide assistance.
Choice C is incorrect as the cane and weak leg should move together for support.
Choice D is incorrect as advancing the cane too far with each step may compromise balance and stability.
Question 5 of 5
A nurse is caring for a client who is receiving total parenteral nutrition (TPN). Which of the following actions should the nurse take to prevent infection?
Correct Answer: B
Rationale: The correct answer is B. Changing the TPN tubing every 24 hours is crucial in preventing infection by reducing the risk of bacterial contamination. Monitoring electrolyte levels (choice
A) is essential but not directly related to preventing TPN-related infections. Monitoring blood glucose levels (choice
C) is important for clients receiving TPN, but it is more related to glycemic control than infection prevention. Administering insulin as prescribed (choice
D) is necessary for clients with diabetes but is not directly linked to preventing TPN-related infections.