ATI LPN
ATI PN Comprehensive Predictor 2020 Questions
Question 1 of 5
A nurse is reinforcing teaching with a client who has dumping syndrome about measures to reduce manifestations. Which of the following instructions should the nurse include in the teaching?
Correct Answer: D
Rationale: The correct instruction the nurse should include in teaching a client with dumping syndrome is to 'Avoid foods high in sugar content.' Dumping syndrome occurs when high-sugar foods move too quickly into the small intestine, leading to symptoms like abdominal cramps, diarrhea, and bloating. By avoiding foods high in sugar content, the client can reduce these symptoms.
Choices A, B, and C are incorrect. Drinking plenty of fluids after meals may exacerbate symptoms by speeding up the movement of food through the digestive system. Increasing sugar intake would worsen dumping syndrome symptoms. While eating smaller, more frequent meals is a good strategy, the key emphasis should be on avoiding high-sugar foods.
Question 2 of 5
How can pain in a post-operative patient be managed effectively?
Correct Answer: D
Rationale: Managing pain in a post-operative patient requires a multimodal approach, which includes both pharmacological and non-pharmacological strategies. Administering analgesics as prescribed helps in controlling pain pharmacologically. Encouraging deep breathing exercises can aid in pain management by promoting relaxation and reducing anxiety. Providing distractions, such as music or activities, can help divert the patient's attention from pain.
Therefore, all the given options are essential components of an effective pain management plan for post-operative patients.
Question 3 of 5
How should a healthcare professional assess a patient with a suspected infection?
Correct Answer: A
Rationale: When assessing a patient with a suspected infection, it is crucial to monitor temperature and check for elevated white blood cells. Elevated temperature indicates a potential infection, and increased white blood cells are a sign of inflammation and the body's response to an infection. Monitoring blood pressure (choice
B) and checking for fever (choice
B) are not as specific indicators of infection as monitoring temperature and white blood cell count. Assessing changes in mental status and monitoring urine output (choice
C) are important aspects of patient assessment but may not directly indicate a suspected infection. Administering antibiotics (choice
D) should only be done after a confirmed diagnosis of a bacterial infection, as unnecessary antibiotic use can lead to antibiotic resistance and other adverse effects.
Question 4 of 5
What is a key nursing action for a client with a wound infection?
Correct Answer: B
Rationale: Performing a wound culture before applying antibiotics is crucial for determining the specific type of infection present and selecting the most effective antibiotic treatment. Changing the dressing daily (
Choice
A) is a routine wound care practice but may not address the root cause of the infection. Cleansing the wound with alcohol-based solutions (
Choice
C) can be too harsh and delay wound healing. Applying a wet-to-dry dressing (
Choice
D) is an outdated practice that can cause trauma to the wound bed and hinder the healing process.
Question 5 of 5
A nurse is planning care for a preschool-age child who is in the acute phase of Kawasaki disease. Which of the following interventions should the nurse include in the plan of care?
Correct Answer: B
Rationale: Monitoring cardiac status is crucial during the acute phase of Kawasaki disease because of the potential for coronary artery complications. Acetaminophen may be used for fever management but is not the priority intervention. Antibiotics are not indicated as Kawasaki disease is not caused by a bacterial infection. Providing stimulation in the playroom is important for the child's emotional well-being but does not address the immediate physiological concern of cardiac monitoring.