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 a new prescription for lisinopril. Which of the following statements should the nurse include?
Correct Answer: B
Rationale: Lisinopril can cause angioedema (swelling of lips/face), requiring immediate reporting. Potassium increase isn't needed, urine color doesn't change, and timing is flexible.
Question 3 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.
Question 4 of 5
A nurse is assisting with the care of a client who is postoperative following a laminectomy. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Urinary retention is a risk post-laminectomy due to spinal anesthesia or pain, requiring monitoring. Flat positioning varies, leg exercises are more frequent, and heat isn't standard.
Question 5 of 5
A nurse is reinforcing teaching with a client who has a new prescription for clopidogrel. Which of the following statements should the nurse include?
Correct Answer: B
Rationale: Clopidogrel increases bleeding risk, leading to more bruising. It's taken regardless of meals, black stools signal GI bleeding (not typical), and grapefruit isn't a concern.