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 amoxicillin. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Amoxicillin risks allergic reactions (e.g., rash, anaphylaxis), requiring monitoring. It's oral or slow IV, diluted in saline, and full course completion is needed.
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 diabetes mellitus about a 24-hour creatinine clearance test. Which of the following statements should the nurse include in the teaching?
Correct Answer: C
Rationale: For a 24-hour creatinine clearance test, the client discards the first morning void and collects all urine for the next 24 hours to measure kidney function accurately. Protein-rich diets can skew results, glucose levels aren't relevant, and antiseptics may contaminate the sample.
Question 5 of 5
A nurse is reinforcing teaching with a client who has a new prescription for a metered-dose inhaler. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: B
Rationale: Rinsing the mouth prevents irritation or infection from residual medication. Waiting time is typically 30-60 seconds, one depression per puff, and breath-holding aids absorption.