ATI LPN
PN Comprehensive Predictor 2020 Questions
Extract:
Question 1 of 5
A nurse is assisting with the admission of an adolescent client who is suspected to have bacterial meningitis. Which of the following findings should the nurse expect?
Correct Answer: C
Rationale: Nuchal rigidity (neck stiffness) is a classic sign of bacterial meningitis due to meningeal inflammation. Edema, jaundice, and hematuria suggest other conditions.
Question 2 of 5
A nurse is caring for a client who has a prescription for vancomycin IV. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Vancomycin can cause ototoxicity (hearing loss), requiring monitoring. It's given over 60+ minutes, diluted in saline, and temp checks aren't specific to it.
Question 3 of 5
A nurse is preparing to provide tracheostomy care for a client. Which of the following actions should the nurse plan to take?
Correct Answer: A
Rationale: Cleaning the stoma inward to outward removes debris safely. Alcohol irritates mucosa, two finger widths is standard for ties, and sterile supplies should be ready beforehand.
Question 4 of 5
A nurse is reinforcing teaching with a client who has a new prescription for esomeprazole. Which of the following statements should the nurse include?
Correct Answer: D
Rationale: Abdominal pain could signal a serious issue (e.g., ulcer complication) with esomeprazole, requiring reporting. It's taken before meals, doesn't affect appetite, and drowsiness isn't typical.
Question 5 of 5
A nurse is assisting with the care of a client who is receiving a continuous IV infusion of 0.9% sodium chloride. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Hourly monitoring detects phlebitis early, preventing complications. Site changes are every 72-96 hr, heparin isn't routine, and rate depends on orders.