ATI LPN
LPN Comprehensive Predictor 2023 Questions
Extract:
Preoperative
0730:
Client is scheduled for a left stapedectomy.
Pupils 3.5 mm, equal, round, and reactive to light.
Smile symmetrical.
Mucous membranes show color expected for client's skin tone and moist.
Speech clear.
Skin warm and dry.
Lungs clear bilaterally.
Apical heart rate regular at 78/min.
Postoperative
1230:
Pupils 3 mm, equal, and reactive to light.
Smile asymmetrical.
Mucous membranes pink.
Speech hoarse.
Client with left facial droop.
Skin warm and dry.
Client reports vertigo and nausea.
Bilateral breath sounds clear and present throughout
Question 1 of 5
A client presents to the medical surgical unit. Which of the following findings requires further action by the nurse? Select all that apply.
Correct Answer: D,E
Rationale: Facial nerve assessment: Left facial droop suggests potential facial nerve injury. Vertigo: Persistent vertigo may indicate inner ear trauma.
Extract:
Question 2 of 5
A nurse is reinforcing teaching with a client who has a new prescription for isosorbide mononitrate. Which of the following instructions should the nurse include?
Correct Answer: B
Rationale: Report headaches to the provider: Headaches are a common side effect of isosorbide mononitrate due to vasodilation and should be monitored. Generated rationale: Headaches may indicate the need for dose adjustment, ensuring tolerability while maintaining efficacy for angina prevention.
Extract:
Postoperative Day 3
0900:
Client reports pain at surgical incision site as 5 on a scale of 0 to 10. Client reports bladder fullness. Perineal dressing Intact with minimal serosanguinous drainage. Client transferring out of bed to chair independently. Extremities cool and dry with 2+peripheral pulses.
1300:
Client reports abdominal cramping and small, hard, painful bowel movement after lunch. Ambulating independently in hallway. Reports pain as 8 on a scale of 0 to 10. Urinary catheter intact with 100 mL/hr of pink urine.
Question 3 of 5
Select the 2 actions the nurse should prepare to take for the client.
| Encourage prolonged dangling before ambulation. |
| Administer an enema. |
| Encourage oral fluid intake. |
| Irrigate indwelling catheter with 500 mL of fluid. |
| Assist the client with a sitz bath. |
Correct Answer: C,E
Rationale: Encourage oral fluid intake: Hydration softens stool and prevents constipation. Assist the client with a sitz bath: Promotes perineal relaxation and healing.
Extract:
Question 4 of 5
A nurse is reinforcing teaching with a client who has a new prescription for fluoxetine. Which of the following instructions should the nurse include?
Correct Answer: B
Rationale: Take the medication at bedtime: Fluoxetine can cause insomnia, so taking it at night may minimize sleep disturbances. Generated rationale: Timing fluoxetine to avoid peak activity periods helps manage side effects, improving adherence and comfort.
Question 5 of 5
A nurse is caring for a client who has a new diagnosis of gout. Which of the following dietary instructions should the nurse include?
Correct Answer: A
Rationale: Avoid purine-rich foods: Purines increase uric acid, worsening gout symptoms. Generated rationale: Reducing purine intake lowers uric acid production, helping to prevent gout flares.