ATI LPN
ATI PN Comprehensive Predictor 2023 - Exam 1 Questions
Extract:
Nurses' Notes 2000:
Client presents to emergency department and states, "I have been assaulted." Client was immediately placed in a treatment room.
2015:
"Client states they were out with friends this evening and had "a little too much to drink." Client states that they fell asleep at their friend's house and when they woke up all of their clothes were off and their genitals were sore. The client states, "I think someone had sex with me, but I don't remember anything." Client reports history of depression. Client is a full-time college student who lives with roommates. Client admits to drinking socially but denies illicit drug use and tobacco use.
Question 1 of 5
A nurse is assisting in the care of a client. Nurses' Notes 2000: Client presents to emergency department and states, 'I have been assaulted.' Client was immediately placed in a treatment room. 2015: 'Client states they were out with friends this evening and had a little too much to drink.' Client states that they fell asleep at their friend's house and when they woke up all of their clothes were off and their genitals were sore. The client states, 'I think someone had sex with me, but I don't remember anything.' Client reports history of depression. Client is a full-time college student who lives with roommates. Client admits to drinking socially but denies illicit drug use and tobacco use. Which of the following interventions should the nurse plan to implement? Select all that apply.
Correct Answer: C,D,E,F
Rationale: C: Case management coordinates support post-assault. D: A safe, private environment protects confidentiality. E: STI prophylaxis addresses assault risks. F: Support services aid recovery. A isn't relevant (client is an adult), and B isn't indicated (no alcohol addiction stated).
Extract:
Question 2 of 5
A nurse is collecting data from a client who has a history of glaucoma. Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: Halos occur in glaucoma from optic nerve pressure. Peripheral vision decreases, sclera is unrelated, and pain varies.
Question 3 of 5
A nurse is reinforcing teaching with a client who has a new prescription for clopidogrel. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: B
Rationale: Clopidogrel, an antiplatelet, increases bruising/bleeding risk. Milk isn't needed, red stools suggest bleeding (reportable), and stopping early risks clots.
Question 4 of 5
A nurse is reviewing the guidelines for documenting client care. Which of the following actions should the nurse plan to take?
Correct Answer: A
Rationale: Avoiding direct quotes ensures objective, professional documentation. Subjective and objective data are both needed, meds are documented post-administration, and only witnessed info is recorded.
Question 5 of 5
A nurse is preparing to test a client's plantar Babinski reflex. Which of the following instructions should the nurse give to prepare the client for this test?
Correct Answer: B
Rationale: The Babinski reflex is tested by stroking the sole of the foot, eliciting toe response. Other options test different reflexes (Achilles, patellar, triceps).