ATI LPN
LPN Comprehensive Predictor 2023 Questions
Extract:
Question 1 of 5
A nurse is assisting with the care of a client who is receiving chemotherapy. Which of the following laboratory values should the nurse monitor?
Correct Answer: A
Rationale: White blood cell count: Chemotherapy can cause leukopenia, increasing infection risk, necessitating close monitoring. Generated rationale: Myelosuppression from chemotherapy reduces immune defenses, making WBC monitoring critical to detect neutropenia.
Question 2 of 5
A nurse is reinforcing teaching with a client who has a new prescription for spironolactone. Which of the following instructions should the nurse include?
Correct Answer: A,B
Rationale: Monitor for signs of hyperkalemia: Spironolactone is a potassium-sparing diuretic that can cause hyperkalemia. Avoid low-sodium salt substitutes: These contain potassium, increasing hyperkalemia risk. Generated rationale: Spironolactone's potassium retention necessitates monitoring and dietary precautions to prevent dangerous electrolyte imbalances.
Question 3 of 5
A nurse is caring for a client who has a new prescription for fluconazole. Which of the following instructions should the nurse include?
Correct Answer: A
Rationale: Report yellowing of the skin: Fluconazole can cause hepatotoxicity, and jaundice (yellowing) is a serious sign to report. Generated rationale: Liver dysfunction is a rare but critical adverse effect, requiring immediate evaluation to prevent further damage.
Question 4 of 5
A nurse is reinforcing teaching with a client who has a new prescription for insulin glargine. Which of the following instructions should the nurse include?
Correct Answer: B,D
Rationale: Administer the insulin at the same time each day: Consistency ensures stable blood glucose control. Store unopened vials in a cool, dark place: Proper storage maintains insulin potency. Generated rationale: Glargine requires daily timing for steady-state coverage and proper storage to prevent degradation, ensuring effective diabetes management.
Question 5 of 5
A nurse is reinforcing teaching with the guardian of a 2-month-old infant about immunizations. Which of the following statements by a guardian indicates an understanding of the teaching?
Correct Answer: A
Rationale: My baby will receive the rotavirus immunization orally: The rotavirus vaccine is given orally in two or three doses depending on the specific vaccine used (Rotarix or RotaTeq). The vaccine is administered in the mouth and helps protect against rotavirus infections.