ATI LPN
LPN Comprehensive Predictor 2023 Questions
Extract:
Question 1 of 5
A nurse is assisting with the care of a client who is postoperative following a bowel resection. Which of the following findings should the nurse report immediately?
Correct Answer: A
Rationale: Abdominal distension: Significant distension post-bowel resection could indicate a complication like ileus or obstruction, requiring urgent evaluation. Generated rationale: Distension may signal impaired bowel function, necessitating immediate intervention to prevent perforation or sepsis.
Question 2 of 5
A nurse is assisting with the care of a client who has a pressure injury. Which of the following actions should the nurse take to promote healing?
Correct Answer: B
Rationale: Keep the wound bed moist: A moist environment supports tissue regeneration and healing in pressure injuries. Generated rationale: Moist wound healing facilitates cell migration and prevents desiccation, optimizing recovery of damaged tissue.
Extract:
Client reports, “I have a cough”
History of present illness: 38-year-old client presents to the ED with a 4 day history of cough, often productive. Client reports fatigue, night sweats and a low-grade fever. Client reports “blood-tinged sputum”. Client also reports, “I used to weigh 167 pounds. Now I weigh 162 pounds.” Client reports a decreased appetite along with the 2.26kg (5lb) weight loss over the past week. Client states they have been trying to stay hydrated.
Family history: Child has asthma. All other family members healthy.
Social history: Heavy alcohol use (4 to 5 drinks per day), denies tobacco or illicit drug use. Recently traveled to visit their family in South Africa and stayed for 3 weeks
Question 3 of 5
Select the 3 client statements that indicate an understanding of the teaching.
| I can expect my contact lenses to turn red or orange. |
| I should notify my provider if I start taking new over-the-counter or prescription medications. |
| I will need to have someone observe me when I take my medication. |
| I will need to have a repeat Mantoux test in 4 weeks. |
| I am no longer contagious. |
| I will need to take my medications for a total of 6 weeks. |
| I can continue my current alcohol intake. |
Correct Answer: A,B,C
Rationale: I can expect my contact lenses to turn red or orange: Rifampin causes discoloration. I should notify my provider if I start taking new medications: Rifampin affects drug metabolism. I will need to have someone observe me: Directly observed therapy ensures adherence.
Extract:
Question 4 of 5
A nurse is assisting with the care of a client who has a new diagnosis of breast cancer. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Provide information about support groups: Support groups offer emotional and social support, helping clients cope with their diagnosis. Generated rationale: Psychosocial support is critical in cancer care to address emotional needs and improve quality of life.
Question 5 of 5
A nurse is assigned to care for several clients on a mental health unit. One of the clients who has suicidal ideation starts to verbalize clear intent to self harm. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Notify the supervisor that the client requires one-to-one nursing observation: This is the most appropriate and immediate action when a client verbalizes a clear intent to self-harm.