ATI LPN
ATI PN Comprehensive Predictor 2023 with NGN Questions
Question 1 of 5
A nurse is assessing a client who has dehydration. Which of the following findings should the nurse expect?
Correct Answer: C
Rationale: The correct answer is C: 'Furrows in the tongue.' Dehydration commonly presents with furrows in the tongue due to decreased oral moisture. This physical finding indicates dehydration as the tongue loses moisture and becomes dry.
Choice A, 'Bradycardia,' is not typically associated with dehydration; instead, tachycardia may be present as a compensatory mechanism. Elevated blood pressure, as mentioned in choice B, is not a typical finding in dehydration; in fact, dehydration often leads to a decrease in blood pressure. Polyuria, as in choice D, is more commonly associated with conditions like diabetes mellitus or diabetes insipidus, rather than dehydration.
Question 2 of 5
What is the nurse's priority when caring for a client with a tracheostomy who is showing signs of respiratory distress?
Correct Answer: B
Rationale: The correct answer is to suction the tracheostomy. When a client with a tracheostomy is experiencing respiratory distress, the priority intervention is to clear the airway by suctioning the tracheostomy to remove secretions that may be obstructing the air passage. Administering a bronchodilator (
Choice
A) may be considered if bronchospasm is present, but the immediate focus should be on clearing the airway. Notifying the physician (
Choice
C) is important but should not delay the immediate intervention of suctioning. Increasing the oxygen flow rate (
Choice
D) may provide temporary relief, but addressing the root cause of the distress by suctioning is the priority.
Question 3 of 5
What is the most appropriate strategy for a client with an NG tube who is experiencing nausea and decreased gastric secretions?
Correct Answer: B
Rationale: Irrigating the NG tube with sterile water is the most appropriate strategy for a client with an NG tube experiencing nausea and decreased gastric secretions. This intervention helps in relieving blockages within the tube and can help reduce nausea by ensuring proper drainage. Increasing the suction pressure (
Choice
A) can lead to complications and should not be done without healthcare provider orders. Turning the client onto their side (
Choice
C) is a general measure for patient comfort but does not directly address the issue with the NG tube. Replacing the NG tube with a new one (
Choice
D) is not necessary unless there are specific indications like tube damage or dislodgement.
Question 4 of 5
What should a person recommend to a client experiencing constipation?
Correct Answer: B
Rationale: Increasing dietary fiber is an effective recommendation for clients experiencing constipation as it helps promote regular bowel movements.
Choice A, increasing fluid intake, is also important but the most appropriate initial recommendation for constipation is to increase dietary fiber.
Choice C, administering a laxative, should not be the first-line recommendation and is typically considered after dietary and lifestyle interventions.
Choice D, encouraging bed rest, does not directly address constipation relief or prevention.
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?
Correct Answer: B
Rationale: The correct answer is to check the client's capillary blood glucose level every 4 hours. Clients receiving TPN are at risk for hyperglycemia, so regular monitoring of blood glucose levels is essential to detect and manage hyperglycemia promptly. Administering TPN through a peripheral IV catheter (
Choice
A) is incorrect as TPN should be given through a central venous catheter to prevent complications. Heating the TPN solution to room temperature (
Choice
C) is unnecessary and not a standard practice. Weighing the client every 3 days (
Choice
D) is important for monitoring fluid status but is not the priority action when caring for a client receiving TPN.