ATI LPN
PN Comprehensive Predictor 2020 Questions
Extract:
Vital Signs
05:00
Temperature 36.6 C (97.9 F)
Heart rate 100/min
Respiratory rate 22/min
Blood pressure 160/98 mm Hg
Oxygen saturation 96% on oxygen 2 L/min via nasal cannula
14:00
Temperature 36.8 C (98.3 F)
Heart rate 90/min
Respiratory rate 18/min
Blood pressure 138/88 mm Hg
Oxygen saturation 97% on oxygen 2 L/min via nasal cannula
Question 1 of 5
A nurse is assisting with the care of a client in a medical-surgical unit. Vital Signs 05:00 Temperature 36.6 C (97.9 F) Heart rate 100/min Respiratory rate 22/min Blood pressure 160/98 mm Hg Oxygen saturation 96% on oxygen 2 L/min via nasal cannula 14:00 Temperature 36.8 C (98.3 F) Heart rate 90/min Respiratory rate 18/min Blood pressure 138/88 mm Hg Oxygen saturation 97% on oxygen 2 L/min via nasal cannula Which of the following actions should the nurse take to decrease the risks for a urinary tract infection for this client? Select all that apply.
Correct Answer: A,D,E,F
Rationale: High fluid intake flushes bacteria, frequent emptying prevents growth, daily review minimizes catheter use, and soap/water cleaning reduces infection risk. Tubing changes and bag placement increase risk.
Extract:
Question 2 of 5
A nurse is reinforcing teaching with a client who has a new prescription for buprenorphine. Which of the following statements should the nurse include?
Correct Answer: C
Rationale: Buprenorphine, an opioid, can cause drowsiness, a key side effect. Milk isn't required, energy may decrease, and stopping depends on the treatment plan.
Question 3 of 5
A nurse is caring for a client who has anorexia nervosa and a behavioral management plan in place. Which of the following findings should the nurse identify as an indication that the behavioral plan is effective?
Correct Answer: A
Rationale: A potassium of 3.5 mEq/L (normal range) suggests stabilization, a sign of effective management in anorexia. Low sodium, hemoglobin, and BMI indicate ongoing issues.
Question 4 of 5
A nurse is caring for a client who is receiving mechanical ventilation via an endotracheal tube. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Monitoring cuff pressure every 8 hours prevents tracheal damage from overinflation. Suctioning is as needed, securing isn't to the jaw, and prone positioning depends on condition.
Question 5 of 5
A nurse is contributing to the plan of care for a client who has herpes simplex. The nurse should plan to initiate which of the following isolation procedures when caring for this client?
Correct Answer: D
Rationale: Herpes simplex spreads via direct contact, requiring contact precautions (gloves, gown). Droplet, airborne, and protective environments are for other transmission modes.