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 a unit of packed red blood cells. Which of the following findings should indicate to the nurse that the client is experiencing a transfusion reaction?
Correct Answer: A
Rationale: Temperature 38.8°C (101.8°F): A fever during transfusion is a classic sign of a transfusion reaction, such as a febrile non-hemolytic reaction. Generated rationale: A rise in temperature during a blood transfusion often indicates an immune response to the transfused blood, requiring immediate cessation of the transfusion and further evaluation.
Question 2 of 5
A nurse is caring for a client who has a new diagnosis of type 1 diabetes mellitus. Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: Increased thirst: Polydipsia is a classic symptom of type 1 diabetes due to hyperglycemia-induced dehydration. Generated rationale: Osmotic diuresis from high glucose levels causes excessive thirst, a hallmark of uncontrolled diabetes.
Question 3 of 5
A nurse is caring for a client who has a new diagnosis of rheumatoid arthritis. Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: Morning stiffness: Rheumatoid arthritis causes prolonged joint stiffness, especially in the morning, due to inflammation. Generated rationale: Synovial inflammation in rheumatoid arthritis leads to stiffness, a hallmark symptom impacting daily function.
Question 4 of 5
A nurse is caring for a client who has a new diagnosis of pancreatitis. Which of the following dietary instructions should the nurse include?
Correct Answer: A,D
Rationale: Eat a low-fat diet: High-fat foods can exacerbate pancreatitis by stimulating pancreatic enzyme release. Avoid alcohol consumption: Alcohol is a common cause of pancreatitis and must be avoided to prevent recurrence. Generated rationale: These dietary changes reduce pancreatic workload and prevent further inflammation.
Question 5 of 5
A nurse is assisting with the care of a client who is postoperative following a thyroidectomy. Which of the following findings should the nurse report immediately?
Correct Answer: D
Rationale: Neck swelling: Significant swelling post-thyroidectomy could indicate hematoma or airway compromise, requiring urgent intervention. Generated rationale: Neck swelling may compress the airway or vessels, posing an immediate threat to the client's safety.