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 reinforcing teaching with a client who has hypertension and a new prescription for verapamil. Which of the following statements should the nurse include?
Correct Answer: A
Rationale: Verapamil interacts with grapefruit, increasing drug levels and side effects. Weight gain, gum bleeding, and energy boosts aren't typical effects.
Question 3 of 5
A nurse is assisting with the care of a client who is postoperative following a mastectomy. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Arm exercises prevent lymphedema and stiffness post-mastectomy. Elevation, frequent infection checks, and sling use are standard.
Question 4 of 5
A nurse is caring for a client who has a new prescription for diltiazem. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Diltiazem, a calcium channel blocker, can cause bradycardia, requiring monitoring. Grapefruit increases levels, it's given slowly IV, and glucose isn't affected.
Question 5 of 5
A nurse is assisting with the care of a client who is postoperative following a cholecystectomy. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Splinting the incision reduces pain and strain during coughing post-cholecystectomy. Monitoring should be more frequent, ambulation is encouraged, and laxatives depend on need.