ATI LPN
PN ATI Comprehensive Predictor Questions
Question 1 of 5
A home health nurse is preparing for an initial visit with an older adult client who lives alone. Which of the following actions should the nurse take first?
Correct Answer: C
Rationale: Identifying environmental hazards in the client's home is the priority during the initial visit with an older adult living alone. This action is crucial to prevent accidents, falls, and ensure the client's safety. While educating the client about their medical diagnosis, referring them to a meal delivery program, and arranging transportation for follow-up appointments are essential, addressing environmental hazards takes precedence as it directly impacts the client's immediate safety and well-being.
Question 2 of 5
When should a healthcare provider suction a client's tracheostomy?
Correct Answer: B
Rationale: Irritability is an early sign that suctioning is required to clear secretions in a client with a tracheostomy. Hypotension, flushing, and bradycardia are not direct indicators for suctioning a tracheostomy. Hypotension may indicate a need for fluid resuscitation or other interventions, flushing could be due to various reasons like fever, and bradycardia may require evaluation for cardiac causes.
Question 3 of 5
What is the best dietary recommendation for a patient with chronic kidney disease?
Correct Answer: A
Rationale: The correct answer is a low-protein diet for a patient with chronic kidney disease. In chronic kidney disease, the kidneys may have difficulty filtering waste products from protein metabolism, leading to a buildup of toxins in the body.
Therefore, reducing protein intake can help lessen the workload on the kidneys.
Choices B, C, and D are incorrect. A high-protein diet would increase the workload on the kidneys, while a low-sodium diet is beneficial for conditions like hypertension or heart failure but not specifically targeted for chronic kidney disease. A high-sodium diet can worsen fluid retention and hypertension in patients with kidney disease.
Question 4 of 5
A nurse is caring for a client who is in the early stages of hypovolemic shock. Which of the following findings should the nurse expect?
Correct Answer: C
Rationale: In the early stages of hypovolemic shock, the body initiates compensatory mechanisms to maintain perfusion. One of these mechanisms is an increased respiratory rate to improve oxygen delivery. This helps to offset the decreased circulating blood volume. A heart rate of 60/min (choice
A) is not expected in hypovolemic shock; instead, tachycardia is a common finding due to the body's attempt to maintain cardiac output. Increased urinary output (choice
B) is not typically seen in hypovolemic shock as the body tries to conserve fluid. Hypothermia (choice
D) is usually a late sign of shock when the body's compensatory mechanisms are failing, and perfusion is severely compromised.
Question 5 of 5
A client who has a new prosthesis for an above-the-knee amputation of the right leg needs teaching on its use. Which of the following instructions should the nurse include?
Correct Answer: C
Rationale: The correct instruction is to apply the prosthesis immediately upon waking each day. This helps the client adjust to and maintain mobility.
Choice A is incorrect because wearing the prosthesis for only 2 hours at a time may not be sufficient for proper adjustment.
Choice B is incorrect as removing the prosthesis every other day is not a standard practice and may hinder the client's mobility.
Choice D is incorrect because elevating the stump for 24 hours after applying the prosthesis is unnecessary and not a recommended practice.