ATI LPN
ATI PN Comprehensive Predictor 2020 Questions
Question 1 of 5
A nurse is reinforcing discharge teaching with a client who has dependent personality disorder. Which of the following instructions should the nurse include in the discharge teaching?
Correct Answer: B
Rationale: The correct answer is B: 'Demonstrate assertiveness.' For clients with dependent personality disorder, assertiveness training is crucial as it helps them become more independent and develop the skills to express their own needs and preferences effectively.
Choice A ('Limit social interactions') is incorrect because promoting healthy social interactions is important for individuals with this disorder to build confidence and reduce dependency.
Choice C ('Follow a rigid schedule') is incorrect as overly rigid schedules may exacerbate feelings of helplessness and dependence.
Choice D ('Perform deep breathing exercises') is not directly related to addressing the core issues of dependent personality disorder, which primarily involve developing self-reliance and assertiveness.
Question 2 of 5
A nurse is caring for a client who has a prescription for wound irrigation. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct action for the nurse to take when caring for a client with a prescription for wound irrigation is to cleanse the wound from the center outwards. This technique helps prevent contamination by pushing debris away from the wound rather than into it.
Choice A is incorrect because wearing sterile gloves is important during wound care but not specifically mentioned for wound irrigation.
Choice B is incorrect because warming the irrigation solution to a specific temperature is not a standard recommendation and can potentially harm the client.
Choice D is incorrect because the size of the syringe may vary based on the wound size and depth, so using a 20 mL syringe is not a universal guideline.
Question 3 of 5
A nurse is caring for a client who has returned to the medical-surgical unit following a transurethral resection of the prostate (TURP). Which of the following should the nurse identify as a priority nursing assessment after reviewing the client's information?
Correct Answer: A
Rationale: The correct answer is A: Level of consciousness. Following a TURP procedure, monitoring the client's level of consciousness is crucial as it can indicate potential postoperative complications such as hemorrhage or shock. Skin turgor (choice
B) is more related to hydration status, deep-tendon reflexes (choice
C) are not the priority post-TURP, and bowel sounds (choice
D) are important but not the priority in this situation.
Question 4 of 5
What is the most important action when providing wound care to a client with a pressure ulcer?
Correct Answer: C
Rationale: Performing a wound culture before applying ointment is crucial when providing wound care to a client with a pressure ulcer. This action helps identify any underlying infections, allowing healthcare providers to select the most appropriate treatment. Options A, B, and D are not as critical as performing a wound culture, as they focus on wound dressing and cleansing rather than identifying potential infections.
Question 5 of 5
Which nursing action is a priority when managing a client with a wound infection?
Correct Answer: B
Rationale: Performing a wound culture before administering antibiotics is crucial when managing a client with a wound infection. This step helps identify the specific pathogens causing the infection, allowing for the prescription of the most effective antibiotics. Changing the wound dressing every 24 hours (
Choice
A) is important for wound care but not the priority when an infection is present. Cleansing the wound with alcohol-based solutions (
Choice
C) can be too harsh and may delay wound healing. Applying a wet-to-dry dressing (
Choice
D) is not recommended for infected wounds as it can cause trauma to the wound bed during dressing changes.