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 pancreaticoduodenectomy (Whipple procedure). Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Post-Whipple, pancreatic function may decrease, risking hyperglycemia, requiring monitoring. Ambulation, low-fat diet, and supported coughing are standard.
Question 2 of 5
A nurse is caring for a client who has a new prescription for amitriptyline. Which of the following findings should the nurse identify as an adverse effect of the medication?
Correct Answer: B
Rationale: Amitriptyline, a tricyclic antidepressant, commonly causes dry mouth due to anticholinergic effects. Energy may decrease, mood improves over time, and weight gain is more likely.
Extract:
Vital Signs
05:00
Temperature 36.6 C (97.9 F)
Heart rate 100/min
Respiratory rate 22/min
Blood pressure 160/98 mm Hg
Oxygen saturation 96% on oxygen 2 L/min via nasal cannula
14:00
Temperature 36.8 C (98.3 F)
Heart rate 90/min
Respiratory rate 18/min
Blood pressure 138/88 mm Hg
Oxygen saturation 97% on oxygen 2 L/min via nasal cannula
Question 3 of 5
A nurse is assisting with the care of a client in a medical-surgical unit. Vital Signs 05:00 Temperature 36.6 C (97.9 F) Heart rate 100/min Respiratory rate 22/min Blood pressure 160/98 mm Hg Oxygen saturation 96% on oxygen 2 L/min via nasal cannula 14:00 Temperature 36.8 C (98.3 F) Heart rate 90/min Respiratory rate 18/min Blood pressure 138/88 mm Hg Oxygen saturation 97% on oxygen 2 L/min via nasal cannula Which of the following actions should the nurse take to decrease the risks for a urinary tract infection for this client? Select all that apply.
Correct Answer: A,D,E,F
Rationale: High fluid intake flushes bacteria, frequent emptying prevents growth, daily review minimizes catheter use, and soap/water cleaning reduces infection risk. Tubing changes and bag placement increase risk.
Extract:
Question 4 of 5
A nurse is caring for a client who has a new prescription for topiramate. Which of the following actions should the nurse take?
Correct Answer: B
Rationale:
Topiramate can cause confusion or cognitive slowing, requiring monitoring. It's taken without regard to meals, oral only, and glucose isn't primary.
Question 5 of 5
A nurse is assisting with the care of a client who is postoperative following a bowel resection. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Paralytic ileus (absent bowel sounds) is a risk post-bowel resection, requiring monitoring. Supine isn't needed, diet starts low-fiber, and coughing is encouraged with support.