ATI LPN
PN Comprehensive Predictor 2020 Questions
Extract:
Question 1 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 2 of 5
A nurse is assisting with the care of a client who is postoperative following a cesarean birth. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Splinting the incision reduces pain and strain during coughing post-cesarean. Monitoring should be more frequent, supine isn't ideal, and laxatives depend on need.
Question 3 of 5
A nurse is caring for a client who has an indwelling catheter with a urinary drainage system. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Securing tubing to the abdomen prevents tugging and maintains flow, reducing infection risk. Coiling above the bag, holding at waist, or sampling from the bag increase infection risk.
Question 4 of 5
A nurse is assisting with the care of a client who is receiving IV chemotherapy. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Protective equipment (gown, gloves, mask) prevents exposure to hazardous chemotherapy drugs. Peripheral lines are used, checks should be hourly, and saline is standard for flushing.
Question 5 of 5
A nurse is reinforcing teaching with a client who has a new prescription for omeprazole. Which of the following statements should the nurse include?
Correct Answer: D
Rationale: Abdominal pain could signal a serious side effect (e.g., ulcer perforation) with omeprazole, requiring reporting. It's taken before meals, doesn't increase stools, and urine color isn't affected.