ATI LPN
LPN Comprehensive Predictor 2023 Questions
Extract:
Day 1
0800:
Client admitted for epigastric abdominal pain. Client rates pain
as 8 on a 0 to 10 scale. Client states pain began 24 hr after
drinking alcohol and eating, a large meal. Client has history of
alcohol use disorder. Client indicated no relief of pain after
taking cimetidine. Client is alert and oriented to person, place and time. Lung sounds diminished in the bases bilaterally. Bowel sounds hypoactive in all four quadrants, abdomen distended. Client reports nausea and vomiting for the past 24 hr
Question 1 of 5
A nurse is assisting in the care of a newly admitted client. Which of the following findings should the nurse report immediately to the provider? Select all that apply.
Correct Answer: A,B,E,F
Rationale: Temperature: The client's temperature increased to 38.9°C (102°F), indicating possible infection. Blood pressure: Hypotension (92/48 mmHg) suggests volume depletion. Heart rate: Tachycardia (132/min) indicates compensatory shock. Respiratory status: Respiratory rate of 32/min and SpO2 of 88% suggest distress. Mental confusion: Disorientation indicates worsening condition. Cold, clammy skin: Suggests poor perfusion and shock.
Extract:
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 " 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 2 of 5
A nurse is assisting in the care of a client. Which of the following interventions should the nurse plan to implement? Select all that apply.
Correct Answer: A,B,E,F
Rationale: Maintain a safe and private environment for the client: Providing a secure and private setting helps support the client emotionally. Request a consult for case management: Case management can coordinate follow-up care and resources. Provide resources for local support services: Connecting the client with crisis centers and counseling services is essential. Administer sexually transmitted infection prophylaxis: Post-exposure prophylaxis (PEP) for STIs should be administered.
Extract:
Question 3 of 5
A nurse is reinforcing teaching with a client who is starting to use a transdermal nitroglycerin patch. Which of the following instructions should the nurse include?
Correct Answer: A
Rationale: Apply the patch to a hairless area: Hairless skin ensures proper adhesion and absorption of nitroglycerin. Generated rationale: Proper patch application maximizes drug delivery, ensuring effective angina prevention.
Question 4 of 5
A nurse is caring for a client who has a new prescription for digoxin. Which of the following findings should the nurse recognize as an adverse effect?
Correct Answer: A
Rationale: Blurred vision: Digoxin toxicity can cause visual disturbances, including blurred vision, a critical adverse effect to monitor. Generated rationale: Digoxin's narrow therapeutic range makes toxicity a concern, with visual changes indicating potential overdose needing immediate evaluation.
Extract:
Day 1
0800:
Client admitted for epigastric abdominal pain. Client rates pain
as 8 on a 0 to 10 scale. Client states pain began 24 hr after
drinking alcohol and eating, a large meal. Client has history of
alcohol use disorder. Client indicated no relief of pain after
taking cimetidine. Client is alert and oriented to person, place and time. Lung sounds diminished in the bases bilaterally. Bowel sounds hypoactive in all four quadrants, abdomen distended. Client reports nausea and vomiting for the past 24 hr
Question 5 of 5
A nurse is assisting in the care of a newly admitted client. Which of the following findings should the nurse report immediately to the provider? Select all that apply.
Correct Answer: A,B,E,F
Rationale: Temperature: The client's temperature increased to 38.9°C (102°F), indicating possible infection. Blood pressure: Hypotension (92/48 mmHg) suggests volume depletion. Heart rate: Tachycardia (132/min) indicates compensatory shock. Respiratory status: Respiratory rate of 32/min and SpO2 of 88% suggest distress. Mental confusion: Disorientation indicates worsening condition. Cold, clammy skin: Suggests poor perfusion and shock.