ATI LPN
ATI PN Comprehensive Predictor 2024 Questions
Question 1 of 5
A nurse is preparing to administer an influenza virus immunization to a client by the intradermal route. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct action for the nurse to take after administering an influenza virus immunization by the intradermal route is to avoid massaging the site. Massaging the site can spread the vaccine, potentially reducing its effectiveness. Rubbing the site in a circular motion or applying a bandage are not recommended actions as they can also interfere with the proper absorption of the vaccine.
Question 2 of 5
Which of the following is an early indication that a tracheostomy client requires suctioning?
Correct Answer: B
Rationale: Irritability is indeed an early sign that a tracheostomy client may require suctioning. When a tracheostomy client becomes irritable, it can indicate that there is a need for suctioning to clear the airway. Bradycardia (choice
A) refers to a slow heart rate and is not typically a direct indication for suctioning. Hypotension (choice
C) indicates low blood pressure and is not specifically related to the need for suctioning. Decreased respiratory rate (choice
D) can be a sign of respiratory distress, but irritability is a more direct and early indication of the need for suctioning in a tracheostomy client.
Question 3 of 5
A client has an NG tube that needs irrigation every 8 hours. Which solution should be used to irrigate the tube to maintain fluid and electrolyte balance?
Correct Answer: C
Rationale: The correct answer is 0.9% sodium chloride. This solution is isotonic and helps maintain electrolyte balance during irrigation, preventing fluid and electrolyte imbalances. Tap water (choice
A) may cause electrolyte imbalances due to its hypotonic nature. Sterile water (choice
B) is hypotonic and can lead to electrolyte disturbances. 0.45% sodium chloride (choice
D) is hypotonic and may also disrupt electrolyte balance when used for irrigation.
Question 4 of 5
A nurse is teaching a client who has irritable bowel syndrome (IBS) about dietary modifications. Which of the following instructions should the nurse include?
Correct Answer: C
Rationale: The correct answer is C: 'Eat small, frequent meals.' Eating small, frequent meals helps manage IBS symptoms by avoiding overloading the digestive system.
Choice A is incorrect because increasing fiber intake may worsen symptoms in some individuals with IBS.
Choice B is not a blanket recommendation for all IBS patients; some may tolerate dairy products well.
Choice D is incorrect as fruits and vegetables are important sources of nutrients and should not be completely avoided unless specific triggers are identified.
Question 5 of 5
A nurse is caring for a client who is postoperative following a thyroidectomy. The nurse should monitor for which of the following findings as a sign of hypocalcemia?
Correct Answer: B
Rationale: Tingling in the fingers is a classic sign of hypocalcemia. Following a thyroidectomy, hypocalcemia can occur due to damage to the parathyroid glands, which regulate calcium levels in the body. Nausea, numbness in the toes, and sweating are not specific signs of hypocalcemia. Numbness and tingling usually start in the hands and feet due to their increased nerve sensitivity to low calcium levels.