ATI LPN
PN Comprehensive Predictor 2020 Questions
Extract:
A nurse is assisting with the care of a client in a PACU. Provider Prescriptions
1100:
Oxygen 2 to 5 L/min via nasal cannula to maintain oxygen saturation greater than 92%.
Question 1 of 5
A nurse is assisting with the care of a client in a PACU. Provider Prescriptions 1100: Oxygen 2 to 5 L/min via nasal cannula to maintain oxygen saturation greater than 92%. Which of the following actions should the nurse take during the management of oxygenation for this client? Select all that apply.
Correct Answer: C,D,E
Rationale: Adding a humidifier prevents nasal dryness, deep breathing enhances oxygenation, and checking nail beds detects cyanosis. Supine positioning isn't ideal for oxygenation, and a Venturi mask isn't prescribed here.
Extract:
Question 2 of 5
A nurse is collecting data from a client who has pyelonephritis and is receiving gentamicin via IV infusion. Which of the following manifestations should the nurse identify as an adverse effect of the treatment?
Correct Answer: C
Rationale: Gentamicin can cause ototoxicity, leading to hearing loss, a serious adverse effect requiring monitoring. Slurred speech, hypotension, and hyperthermia aren't typical gentamicin side effects.
Question 3 of 5
A nurse is collecting data from a client who has heart failure and is taking furosemide. Which of the following findings should indicate to the nurse that the medication is effective?
Correct Answer: B
Rationale: Furosemide, a diuretic, is effective if it increases urinary output, reducing fluid overload in heart failure. Hemoglobin, BUN, and weight changes aren't direct indicators of its efficacy here.
Question 4 of 5
A nurse is caring for a client who has dementia. Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: Dementia typically involves memory loss severe enough to disrupt activities of daily living (ADLs), unlike catatonia, illusions, or pressured speech, which aren't defining features.
Question 5 of 5
A nurse is reinforcing teaching to a newly licensed nurse about bowel sounds. Which of the following characteristics should the nurse use to describe hyperactive bowel sounds?
Correct Answer: A
Rationale: Hyperactive bowel sounds are loud, high-pitched, and frequent, indicating increased motility, not decreased. They aren't linked to paralytic ileus or soft, infrequent sounds.