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 assisting with the care of a client who is postoperative following a cholecystectomy. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Splinting the incision reduces pain and strain during coughing post-cholecystectomy. Monitoring should be more frequent, ambulation is encouraged, and laxatives depend on need.
Question 3 of 5
A nurse is assisting with the care of a client who is postoperative following a total hip arthroplasty. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Dislocation is a risk post-hip arthroplasty, requiring monitoring (e.g., leg positioning). Prone isn't standard, dependent positioning risks swelling, and cold compresses are as needed.
Extract:
Admission Assessment
12:00:
58-year-old client reporting chest pain is admited to the emergency department. Client states chest pain began this morning after breakfast and pain radiates to left arm. Client rates pain as 4 on a scale of 0 to 10. Client has medical history of hypertension, type 2 diabetes mellitus, and hyperlipidemia. Social history: denies alcohol use, smokes 1 pack per day for 35 years.
Current medications.
Lisinopril 20 mg PO daily.
Glucophage 500 mg PO BID.
Simvastatin 20 mg PO daily
Question 4 of 5
Admission Assessment 12:00: 58-year-old client reporting chest pain is admitted to the emergency department. Client states chest pain began this morning after breakfast and pain radiates to left arm. Client rates pain as 4 on a scale of 0 to 10. Client has medical history of hypertension, type 2 diabetes mellitus, and hyperlipidemia. Social history: denies alcohol use, smokes 1 pack per day for 35 years. Current medications: Lisinopril 20 mg PO daily, Glucophage 500 mg PO BID, Simvastatin 20 mg PO daily. A nurse is assisting with the care of a client. Complete the following sentence. After notifying the provider, the nurse should first [dropdown group 1] and then [dropdown group 2].
| apply ice packs to the chest |
| assess for signs of stroke |
| administer nitroglycerin |
| provide a high-fat meal |
| obtain an electrocardiogram (ECG) |
| perform a throat culture |
| check blood glucose levels |
Correct Answer: C,E
Rationale: Chest pain radiating to the arm suggests angina or myocardial infarction. Nitroglycerin relieves cardiac pain, and an ECG confirms ischemia, both urgent steps in this scenario.
Extract:
Question 5 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: Hyperthyroidism increases metabolism, causing heat intolerance. Weight loss, tachycardia, and diarrhea are more typical than gain, bradycardia, or constipation.