ATI LPN
PN Comprehensive Predictor 2023 Questions
Extract:
Question 1 of 5
A nurse in an acute care setting is assisting in collecting client information to include in a referral for physical therapist. Which of the following information should the nurse plan to include?
Correct Answer: B
Rationale: Physical assessment findings provide critical details about mobility and strength, guiding the physical therapist's plan.
Question 2 of 5
A nurse is assisting with the care of a client who is receiving a spinal epidural to treat a herniated disc. Which of the following findings should the nurse identify as an indicator of unrelieved pain?
Correct Answer: A
Rationale: Clenched teeth indicate muscle tension often associated with unrelieved pain, requiring further assessment.
Extract:
Nurses’ Notes
Vital Signs
0800:
Client transported to emergency department by emergency medical services. Client found in a bathroom at a bar unresponsive and without a pulse. Report by emergency medical services states that a needle was in the client’s left antecubital space. Naloxone was administered at the scene. EMS relayed that someone saw the client have one beer and then go to the bathroom
Client drowsy, arouses noxious stimuli, but falls back asleep quickly.
Eyes: Pupils reactive, miotic
Heart: Normal rate and rhythm
Lungs: Equal bilateral, clear to auscultation
Abdomen: Decreased bowel sounds
Skin: Marks in left antecubital space
Review of medical record 2 weeks prior:
Discharge note:
At 0600, Client transported to the emergency department by emergency medical services. Client was found in the park by runners. Client presented with manifestations of sedation, miosis, hypokinesis and mood alteration. Supportive care provided. At 1000, client stated, “I am going to throw up. I’ve never used this drug before.’’ Assessment revealed mydriasis, hyperrflexia, diaphoresis, piloerection. Supportive care provided. Medications included buprenorphine/naloxone taper x 4 days. Client stabilizied and dischargd back to shelter after completing the 4-day buprenorphine/naloxone taper
Question 3 of 5
The client likely suffered from [dropdown] as evidenced by [dropdown].
Correct Answer: B
Rationale: Opioid intoxication is indicated by miosis and unresponsiveness, consistent with needle use.
Extract:
Question 4 of 5
A nurse is caring client who has peptic ulcer disease and is scheduled to undergo an esophagogastroduodenoscopy. Which of the following actions should the nurse take prior to the procedure?
Correct Answer: A
Rationale: Informed consent is critical to ensure the client understands the procedure's risks and benefits.
Question 5 of 5
A nurse is collecting data from a client who has a history of deep-vein thrombosis. Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: Swelling in the affected leg is typical in DVT due to venous obstruction.