ATI LPN
LPN Comprehensive Predictor 2023 Questions
Extract:
Question 1 of 5
A nurse is a long-term care facility is caring for a client who has methicillin-resistant Staphylococcus aureus (MRSA). Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Don gloves prior to assisting the client with brushing their teeth: MRSA is a contact-borne infection, so it is essential to use proper personal protective equipment, such as gloves.
Extract:
0900:
Client reports, "I'm bloated and my stomach hurts."
History of prior illness: Client reports a 3-week history of gnawing abdominal pain. Client states, "It's a burning sensation that radiates to my back. I think I've lost a little weight too. Reports one episode of dark, tarry stool. No vomiting. Client reports pain is worse about 1 hr after eating a meal and pain is worsened by eating.
Past Medical History: osteoarthritis
Social History: recently divorced, drinks in moderation (3 to 4 drinks per week), smokes tobacco
Current Medications: Ibuprofen 800 mg three times daily PRN arthritis pain
General: client appears uncomfortable, diaphoretic
Head, ears, eyes, nose, and throat (HEENT): oropharynx clear, mucous membranes moist and pale
Respiratory: bilateral breath sounds clear
A nurse assisting with the care of a client who is admitted to the medical-surgical unit.
The nurse is reviewing the client's laboratory findings and vital signs.
Question 2 of 5
A nurse is assisting with the care of a client who is admitted to the medical-surgical unit. The nurse is reviewing the client's laboratory findings and vital signs. Select the 5 findings that require immediate follow-up.
| Respiratory rate |
| Stool results |
| Heart rate |
| Temperature |
| WBC count |
| Blood pressure |
| Hemoglobin and hematocrit |
Correct Answer: B,C,F,G
Rationale: Stool results: A positive hemoccult test indicates gastrointestinal bleeding, likely due to a peptic ulcer. Heart rate: The tachycardia (118/min) suggests a compensatory response to hypovolemia. Blood pressure: Hypotension (90/50 mm Hg) is concerning for volume depletion. Hemoglobin and hematocrit: A hemoglobin of 9.1 g/dL and hematocrit of 27% indicate anemia. Current medications: Ibuprofen use is a major risk factor for gastrointestinal bleeding.
Extract:
1230:
0.9% sodium chloride 500 mL bolus then 100 mL/hr.
Type and cross match for 2 units of packed RBCs.
Repeat WBC, hemoglobin, and hematocrit STAT.
Delay endoscopy.
2 L/min O2 via nasal cannula.
1330:
2 units packed RBCs IV over 4 hr.
Repeat WBC, hemoglobin, and hematocrit at transfusion
completion STAT.
The nurse is reviewing the client's medical record.
The nurse is assisting with the care the client prior to a blood transfusion
Question 3 of 5
The nurse is assisting with the care the client prior to a blood transfusion. Which of the following actions should the nurse take? Select all that apply.
Correct Answer: B,C,D
Rationale: Ensure two nurses confirm the information on the blood label: Before initiating a blood transfusion, two nurses must verify the client's identity, blood type, and compatibility with the donor blood. Obtain a large-bore IV catheter: A large-bore IV catheter (18 20 gauge) is necessary to facilitate the transfusion of packed red blood cells. Witness the client signing a consent for transfusion: A blood transfusion is an invasive procedure requiring informed consent.
Extract:
Question 4 of 5
A nurse is caring for a client who has a new diagnosis of epilepsy and is prescribed phenytoin. Which of the following instructions should the nurse include?
Correct Answer: A,B
Rationale: Brush teeth gently to avoid gum bleeding: Phenytoin can cause gingival hyperplasia, requiring careful oral hygiene. Avoid alcohol consumption: Alcohol can interfere with phenytoin metabolism, increasing seizure risk. Generated rationale: Phenytoin's side effects and interactions necessitate specific precautions to maintain therapeutic efficacy and patient safety.
Question 5 of 5
A nurse is receiving a telephone prescription from a client's provider. Which of the following actions should the nurse take? Select all that apply
Correct Answer: C,D,E
Rationale: Ask the provider to spell out the name of the medication: When receiving a telephone prescription, the nurse should ask the provider to spell out the name of the medication to avoid errors. Record the date and time of the telephone prescription: Recording the date and time is essential for accurate documentation. Request that the provider confirm the read-back of the prescription: The read-back process verifies accuracy and reduces errors.