ATI LPN
V1 ATI PN Comprehensive Predictor 2020 Questions
Extract:
Question 1 of 5
A nurse is assisting with an admission interview for a client who has schizophrenia. He tells the nurse that he is receiving special audible messages from the Central Intelligence Agency that no one else is able to hear. The nurse should identify that the client is having which of the following alterations in perception?
Correct Answer: C
Rationale: Audible messages not heard by others are auditory hallucinations.
Question 2 of 5
A charge nurse is supervising a newly licensed nurse who is caring for a client who is experiencing auditory hallucinations and is refusing medication. The newly licensed nurse suggests placing the medication in the client's food to the charge nurse. Which of the following actions should the charge nurse take?
Correct Answer: C
Rationale: Clients have the right to refuse; covert administration is unethical.
Question 3 of 5
A nurse is reinforcing teaching with an adolescent who has a new prescription for cefazolin. For which of the following findings should the nurse instruct the adolescent to monitor and report to the provider?
Correct Answer: C
Rationale: Ringing in the ears (tinnitus) may indicate ototoxicity, a serious cefazolin side effect.
Question 4 of 5
A nurse is preparing to insert a nasogastric tube for a client who has a prescription for gastric decompression. Which of the following supplies should the nurse obtain prior to the procedure?
Correct Answer: D
Rationale: pH strips confirm tube placement in the stomach.
Question 5 of 5
A nurse is caring for a client who is cyanotic and has a respiratory rate of 8/min with shallow respirations. Which of the following is the priority action by the nurse?
Correct Answer: A
Rationale: Establishing an airway is the priority for respiratory distress.