ATI LPN
PN Comprehensive Predictor 2023 Questions
Extract:
History and Physical
Vital signs
Client reports, “I have a cough”
History of present illness: 38-year-old client presents to the ED with a 4 day history of cough, often productive. Client reports fatigue, night sweats and a low-grade fever. Client reports “blood-tinged sputum”. Client also reports, “I used to weigh 167 pounds. Now I weigh 162 pounds.” Client reports a decreased appetite along with the 2.26kg (5lb) weight loss over the past week. Client states they have been trying to stay hydrated.
Family history: Child has asthma. All other family members healthy.
Social history: Heavy alcohol use (4 to 5 drinks per day), denies tobacco or illicit drug use. Recently traveled to visit their family in South Africa and stayed for 3 weeks
Question 1 of 5
Which of the following findings indicate the need for further evaluation?
| Respiratory complaint |
| Temperature |
| Sputum characteristics |
| Weight |
| Blood pressure |
| Oxygen saturation |
| Travel history |
Correct Answer: A,B,C,D,G
Rationale: Cough, fever, blood-tinged sputum, weight loss, and travel history suggest possible tuberculosis.
Extract:
Question 2 of 5
A nurse is reinforcing teaching with a client who is postoperative following a laparoscopic cholecystectomy. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: D
Rationale: Leaving steri-strips on until they fall off supports proper incision healing.
Question 3 of 5
A nurse is collecting data from a child who has pertussis. Which of the following manifestations should the nurse expect?
Correct Answer: A
Rationale: Facial erythema is common in pertussis due to intense coughing fits causing facial flushing.
Question 4 of 5
A nurse is reinforcing teaching with a client who has a new prescription for methotrexate. Which of the following instructions should the nurse include?
Correct Answer: B
Rationale: Alcohol can increase methotrexate's hepatotoxicity, so it should be avoided.
Question 5 of 5
A nurse is collecting data from a client who has pyelonephritis and receiving gentamicin via IV infusion. Which of the following manifestation should the nurse identify as an adverse effect of the treatment?
Correct Answer: D
Rationale: Gentamicin, an aminoglycoside, can cause ototoxicity, with hearing loss being a significant adverse effect requiring monitoring.