ATI LPN
ATI PN Comprehensive Predictor 2023 - Exam 1 Questions
Extract:
Nurses' Notes 2000:
Client presents to emergency department and states, "I have been assaulted." Client was immediately placed in a treatment room.
2015:
"Client states they were out with friends this evening and had "a little too much to drink." Client states that they fell asleep at their friend's house and when they woke up all of their clothes were off and their genitals were sore. The client states, "I think someone had sex with me, but I don't remember anything." Client reports history of depression. Client is a full-time college student who lives with roommates. Client admits to drinking socially but denies illicit drug use and tobacco use.
Question 1 of 5
A nurse is assisting in the care of a client. Nurses' Notes 2000: Client presents to emergency department and states, 'I have been assaulted.' Client was immediately placed in a treatment room. 2015: 'Client states they were out with friends this evening and had a little too much to drink.' Client states that they fell asleep at their friend's house and when they woke up all of their clothes were off and their genitals were sore. The client states, 'I think someone had sex with me, but I don't remember anything.' Client reports history of depression. Client is a full-time college student who lives with roommates. Client admits to drinking socially but denies illicit drug use and tobacco use. Which of the following interventions should the nurse plan to implement? Select all that apply.
Correct Answer: C,D,E,F
Rationale: C: Case management coordinates support post-assault. D: A safe, private environment protects confidentiality. E: STI prophylaxis addresses assault risks. F: Support services aid recovery. A isn't relevant (client is an adult), and B isn't indicated (no alcohol addiction stated).
Extract:
Question 2 of 5
A nurse is reinforcing teaching with a client who has a new prescription for clonidine. Which of the following statements should the nurse include?
Correct Answer: A
Rationale: Clonidine causes dry mouth. Antacids aren't needed, BP decreases, and stopping risks rebound.
Question 3 of 5
A nurse is reinforcing teaching with a client who is at 36 weeks of gestation and is about to undergo an amniocentesis. Which of the following statements should the nurse make?
Correct Answer: B
Rationale: Pressure is common during amniocentesis as the needle enters the uterus. A full bladder isn't needed (unlike ultrasound), fasting isn't required, and burning isn't typical.
Question 4 of 5
A nurse is reinforcing teaching with a client who has a new prescription for amitriptyline. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: B
Rationale: Amitriptyline, a tricyclic antidepressant, causes drowsiness. Effects take weeks, it's taken with food, and dry mouth isn't a reason to stop.
Question 5 of 5
A nurse is assisting with the care of a client who has a new prescription for phenytoin. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Phenytoin causes gingival hyperplasia; monitoring is key. It's oral or IV, not IM, and glucose/massage aren't relevant.