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 craniotomy. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Increased intracranial pressure (e.g., pupil changes) is a risk post-craniotomy, requiring monitoring. Elevation, gentle coughing, and no heat are standard.
Question 2 of 5
A nurse at a provider's office is caring for a client who is in the third trimester of pregnancy. Which of the following findings should the nurse report to the provider?
Correct Answer: D
Rationale: Blurred vision in the third trimester may indicate preeclampsia, a serious condition requiring immediate reporting. Other findings are common pregnancy symptoms.
Question 3 of 5
A nurse is assisting with the care of a client who is postoperative following a TURP. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Post-TURP, hourly urine output monitoring ensures patency and detects bleeding. Ambulation, gradual diet, and breathing exercises are standard.
Question 4 of 5
A nurse is caring for a client who has a prescription for acetaminophen 300 mg with codeine 30 mg, 1 tablet every 3 to 4 hours PRN for pain. The nurse inadvertently administers 2 tablets to the client. In which of the following locations should the nurse document this alert care incident?
Correct Answer: A
Rationale: Medication errors like administering an incorrect dose must be documented in an incident report for quality improvement and risk management, kept separate from the client's medical record. Other options are for care planning, controlled substance tracking, or provider updates, not incident reporting.
Question 5 of 5
A nurse is caring for a client who has paranoid schizophrenia and believes that they are being followed by FBI agents who are pretending to be psychiatric staff. Which of the following responses should the nurse make?
Correct Answer: B
Rationale: Acknowledging the client's fears with empathy ('This must be very frightening for you') validates their feelings and builds trust, encouraging further discussion. Denying beliefs outright or questioning them confrontationally can increase distrust and defensiveness.