ATI LPN
LPN Comprehensive Predictor 2023 Questions
Extract:
1400:
Client's history includes cigarette smoking, for 50 years but quit 3years ago, Parkinson's disease, and anxiety, Yesterday, client reported "feeling bad.' Client is alert and oriented to self, reports upper chest discomfort, and is coughing up thick clear sputum.
Question 1 of 5
A nurse is assisting in the care of an older adult client who was admitted. Select the 3 findings that require immediate follow-up.
| Chronic health condition |
| Current level of consciousness |
| Oxygen saturation level |
| Heart rate |
| Respiratory rate |
| Tremors |
Correct Answer: B,C,E
Rationale: Current level of consciousness: Restlessness and not following commands may indicate hypoxia or sepsis. Oxygen saturation level: 89% suggests respiratory compromise. Respiratory rate: Tachypnea (30/min) indicates distress.
Extract:
Question 2 of 5
A nurse is caring for a client who has a new diagnosis of hyperthyroidism. Which of the following findings should the nurse expect?
Correct Answer: C
Rationale: Heat intolerance: Hyperthyroidism increases metabolism, causing sensitivity to heat and excessive sweating. Generated rationale: Elevated thyroid hormone levels accelerate metabolic rate, leading to heat intolerance as a hallmark symptom.
Question 3 of 5
A nurse is collecting data from a client who has placenta previa. Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: Bright red vaginal bleeding: Bright red vaginal bleeding is the most characteristic finding in placenta previa.
Question 4 of 5
A nurse is caring for a client who has a prescription for levothyroxine. Which of the following laboratory tests should the nurse monitor?
Correct Answer: B
Rationale: Thyroid stimulating hormone (TSH): TSH is the most important laboratory test to monitor in a client taking levothyroxine, as this medication is used to replace or supplement thyroid hormone levels. Levothyroxine directly affects thyroid hormone levels in the body, so monitoring TSH levels is essential for determining whether the medication dosage needs to be adjusted.
Question 5 of 5
A nurse is caring for a client who has a new diagnosis of bipolar disorder and is prescribed lithium. Which of the following laboratory values should the nurse monitor?
Correct Answer: A
Rationale: Sodium: Lithium can cause hyponatremia, and sodium levels must be monitored to prevent toxicity. Generated rationale: Lithium's renal effects can disrupt sodium balance, requiring close monitoring to avoid adverse effects like confusion or seizures.