ATI LPN
ATI PN Comprehensive Predictor Questions
Question 1 of 5
A nurse is reviewing the medical record of a client who has diabetes mellitus and is receiving insulin. Which of the following findings should the nurse report to the provider?
Correct Answer: C
Rationale: In this scenario, option C, a blood glucose level of 200 mg/dL, is the finding that the nurse should report to the provider. This elevated blood glucose level indicates hyperglycemia, which can be a sign of poorly controlled diabetes and may require adjustments to the client's insulin regimen. Option A, a hemoglobin A1c of 6%, is within the target range for well-controlled diabetes and does not require immediate reporting. Option B, a fasting blood glucose of 90 mg/dL, is within the normal range and indicates good glycemic control. Option D, a blood glucose of 100 mg/dL, is also within the normal range and does not raise any immediate concerns. Educationally, this question highlights the importance of monitoring blood glucose levels in clients with diabetes who are on insulin therapy. It emphasizes the need for nurses to recognize abnormal findings and communicate them to the healthcare provider promptly to ensure timely interventions and optimal management of the client's condition.
Question 2 of 5
A nurse is caring for a client who is in severe pain. Which of the following questions should the nurse ask first?
Correct Answer: B
Rationale: The correct answer is B: 'Where is your pain located?' When a client is experiencing severe pain, determining the location of the pain is crucial as it helps the nurse identify potential causes and select appropriate interventions. Option A may be important but assessing the location of pain takes precedence as it can provide valuable information for immediate management. Option C focuses on the current treatment, which is important but not the first priority. Option D, knowing when the pain started, is relevant but does not help in immediate pain management.
Question 3 of 5
A nurse is caring for a client who is postoperative following hip replacement surgery. Which of the following actions should the nurse take to prevent dislocation of the prosthesis?
Correct Answer: C
Rationale: The correct action to prevent dislocation of the prosthesis after hip replacement surgery is to avoid placing a pillow under the client's knees. Placing a pillow can cause hip adduction, leading to dislocation. Crossing the client's legs at the knees and elevating the client's legs can also increase the risk of hip dislocation. Maintaining the client's legs in a neutral position is important to prevent complications.
Question 4 of 5
A nurse is caring for a client who has hypertension and is receiving enalapril. Which of the following findings should the nurse report to the provider?
Correct Answer: B
Rationale: The correct answer is B: Persistent cough. Enalapril is an ACE inhibitor that can cause a persistent cough as a common side effect. This symptom should be reported to the healthcare provider to evaluate if a medication adjustment is needed. Choices A, C, and D are not typically associated with enalapril use and are less likely to be directly related to the medication. Increased heart rate, constipation, and sweating are not commonly linked to enalapril, so they are not the priority findings to report in this case.
Question 5 of 5
A client with COPD is being cared for by a nurse. Which of the following interventions should the nurse include in the plan of care?
Correct Answer: B
Rationale: The correct intervention for a client with COPD is to encourage pursed-lip breathing. Pursed-lip breathing helps maintain airway patency by preventing the collapse of small airways during exhalation, improving breathing efficiency. Administering oxygen at 2 L/min via nasal cannula may be appropriate for some COPD patients but is not the priority intervention. Positioning the client in high Fowler's position may help improve breathing but is not as specific as pursed-lip breathing for COPD. Encouraging deep breathing and coughing may be beneficial in other respiratory conditions, but it is not the most effective intervention for COPD.