ATI LPN
ATI PN Comprehensive Predictor 2020 Answers Questions
Question 1 of 5
A client who is newly diagnosed with iron deficiency anemia needs to include foods rich in iron in their diet. Which of the following foods should the nurse recommend as having the highest amount of iron?
Correct Answer: A
Rationale: Boiled spinach is an excellent source of iron, making it a top choice for individuals with iron deficiency anemia. Spinach contains non-heme iron, which may not be absorbed as efficiently as heme iron from animal sources but is still beneficial. Raw carrots, boiled chicken, and yogurt are not as rich in iron compared to spinach. Carrots are more known for their beta-carotene content, chicken is a good source of protein but not high in iron, and yogurt does not contain significant amounts of iron.
Question 2 of 5
A nurse is preparing to administer metoclopramide 10 mg IM. Available is metoclopramide 5 mg/mL. How many mL should the nurse administer?
Correct Answer: B
Rationale: To administer 10 mg of metoclopramide, the nurse should administer 2 mL (10 mg / 5 mg per mL). Therefore, the correct answer is 2 mL. Choice A (1 mL) is incorrect because it would only deliver 5 mg of metoclopramide, which is half the required dose. Choice C (3 mL) and D (4 mL) are incorrect as they would provide more than the required dose of 10 mg.
Question 3 of 5
A client who has undergone vein ligation and stripping to treat varicose veins should be instructed to do which of the following activities during discharge teaching?
Correct Answer: B
Rationale: The correct answer is B: 'Walk for 1-2 hours each day.' After vein ligation and stripping, walking helps promote circulation and aids in the recovery process. Option A is incorrect as remaining sedentary for 2-3 days can lead to decreased circulation and potentially increase the risk of complications. Option C is incorrect because compression stockings should typically be worn during the day to support circulation. Option D is incorrect as elevating the legs while sitting is beneficial, but walking is more effective in promoting circulation and recovery in this case.
Question 4 of 5
A nurse is reinforcing teaching with a client about the client's recent diagnosis of multiple sclerosis. The client states, 'I am very upset and I want to be alone for a little while.' Which of the following responses should the nurse make?
Correct Answer: A
Rationale: The correct response is option A: "I see that you are feeling overwhelmed. I will come back when you are ready." This response demonstrates therapeutic communication by acknowledging the client's feelings, respecting their need for space, and offering support without being intrusive. It shows empathy and understanding towards the client's emotional state, which is crucial in building trust and rapport in a therapeutic relationship. Option B is incorrect because simply stating that the client's reaction is normal and checking on them later may come across as dismissive of their emotions and not actively addressing their immediate needs. Option C is incorrect as it assumes the client is feeling frustrated when they expressed a desire to be alone, which may not be the case. It is important to validate the client's expressed emotions rather than assuming or labeling them. Option D is incorrect because it minimizes the client's feelings by providing a quick fix (water) without addressing the underlying emotional distress the client is experiencing. It is essential to prioritize emotional support and understanding in this situation. Educationally, this scenario highlights the significance of therapeutic communication skills in nursing practice, especially when dealing with clients who are experiencing emotional distress. Nurses must be able to recognize, validate, and respond appropriately to clients' emotions to provide holistic care and support their emotional well-being. Building a trusting relationship through effective communication is fundamental in promoting positive health outcomes for clients.
Question 5 of 5
A nurse is reinforcing teaching with a client who has fluid volume deficit about selecting foods that have a high water content. The nurse should include that which of the following raw foods contains the highest amount of water per 1 cup serving?
Correct Answer: D
Rationale: The correct answer is D, cucumber slices. Cucumbers have the highest water content per 1 cup serving among raw vegetables, making them an excellent choice for a client with fluid volume deficit. Cherry tomatoes (choice A), potatoes (choice B), and spinach (choice C) do not have as high water content as cucumbers and therefore are not the best choice for increasing fluid intake.