ATI LPN
PN Comprehensive Predictor 2020 Questions
Extract:
Question 1 of 5
A nurse is assisting with the care of a client who is postoperative following a total knee arthroplasty. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Ice packs reduce swelling and pain post-arthroplasty. Elevation, frequent bleeding checks, and CPM use are standard.
Question 2 of 5
A nurse is assisting with the care of a client who is receiving a continuous IV infusion of dextrose 5% in 0.9% sodium chloride. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Hourly monitoring detects infiltration early, preventing complications. Heparin isn't routine, site changes are typically every 72-96 hours, and once-per-shift checks are insufficient.
Question 3 of 5
A nurse is reinforcing teaching with a client who has a new prescription for methotrexate. Which of the following statements should the nurse include?
Correct Answer: C
Rationale: Methotrexate can cause mucositis, leading to mouth sores, a common side effect to monitor. Milk isn't required, energy may decrease due to fatigue, and while alcohol avoidance is advised, mouth sores are a more immediate concern.
Question 4 of 5
A nurse is assisting with the care of a client who is receiving total parenteral nutrition (TPN). Which of the following actions should the nurse take?
Correct Answer: A
Rationale: TPN's high glucose content requires frequent blood sugar checks (e.g., every 4-6 hr, but 12 hr is minimum). Tubing changes are every 24 hr, weight is daily, and it's given at room temp.
Question 5 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.