ATI LPN
PN ATI Comprehensive Predictor Questions
Question 1 of 5
What intervention is essential for a client with dehydration?
Correct Answer: B
Rationale: Administering oral rehydration solutions is essential for a client with dehydration as it helps replenish lost fluids and electrolytes directly through the oral route. Monitoring electrolyte levels regularly (
Choice
A) is important but not as essential as providing immediate rehydration. Increasing fluid intake to maintain hydration (
Choice
C) may not be sufficient for a client already dehydrated and needing rapid replenishment. Administering intravenous fluids (
Choice
D) is a more invasive intervention typically reserved for severe cases of dehydration or when the client cannot tolerate oral fluids.
Question 2 of 5
A nurse is caring for a client with a pressure ulcer. Which of the following interventions is most appropriate?
Correct Answer: D
Rationale: The correct answer is to cleanse the wound from the center outwards. This technique helps prevent infection and promotes healing by ensuring that any contaminants are moved away from the center of the wound. Administering a protein supplement (choice
A) or increasing protein intake in the client's diet (choice
B) may be beneficial for overall healing but are not the most appropriate interventions specifically for wound care. Increasing IV fluid intake (choice
C) is important for hydration but is not the most appropriate intervention for managing a pressure ulcer.
Question 3 of 5
A nurse is preparing to administer a medication to a client. The client states, 'I'm sick of all these medications, and I'm not taking any more today!' Which of the following actions should the nurse take?
Correct Answer: D
Rationale: When a client refuses medication, the nurse should inform the client of the possible consequences of refusal. This action helps the client understand the risks associated with not taking the medication. Asking the client to discuss their feelings (choice
A) is important but should follow after informing them of the consequences. Explaining the importance of the medications (choice
B) might not address the immediate concern of the client. Documenting the refusal and withholding the medication (choice
C) should be done after informing the client of the consequences and attempting to address their concerns.
Question 4 of 5
What is the priority nursing action for a dehydrated client who needs fluids?
Correct Answer: B
Rationale: The correct answer is to monitor electrolyte levels frequently. When a client is dehydrated and needs fluids, it is essential to monitor electrolyte levels to prevent complications such as electrolyte imbalances. Administering antiemetics to prevent vomiting (
Choice
A) may be necessary but is not the priority when addressing dehydration. Administering oral rehydration solutions (
Choice
C) can be beneficial, but monitoring electrolyte levels takes precedence to ensure proper hydration. Inserting an NG tube for fluid administration (
Choice
D) is invasive and not typically the first-line approach for managing dehydration.
Question 5 of 5
What are the steps in managing a patient with a pressure ulcer?
Correct Answer: A
Rationale: The correct answer is A: Clean the wound and apply a hydrocolloid dressing. This step is crucial in managing a pressure ulcer as it helps protect the ulcer from infection and promotes healing by creating a moist environment conducive to tissue repair.
Choice B, debriding necrotic tissue and applying antibiotics, is more suitable for managing infected pressure ulcers but not as the initial step.
Choice C, applying an alginate dressing and elevating the affected area, may be part of the management but is not the initial step.
Choice D, using moisture-retentive dressings and repositioning frequently, is important for prevention but not the first step in managing an existing pressure ulcer.