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 preparing to provide tracheostomy care for a client. Which of the following actions should the nurse plan to take?
Correct Answer: A
Rationale: Cleaning the stoma inward to outward removes debris safely. Alcohol irritates mucosa, two finger widths is standard for ties, and sterile supplies should be ready beforehand.
Question 3 of 5
A nurse is contributing to an in-service for newly licensed nurses about situations requiring an incident report. Which of the following examples should the nurse include?
Correct Answer: C
Rationale: An IV pump error delivering double the fluid is a serious medication error requiring an incident report. Vomiting is a side effect, restraint removal may not need reporting, and PCA misuse needs clarification.
Question 4 of 5
A nurse is caring for a client who has a prescription for gentamicin IV. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Gentamicin can cause kidney damage (nephrotoxicity), requiring monitoring (e.g., creatinine). It's given over 30-60 minutes, diluted in saline, and BP isn't directly related.
Question 5 of 5
A nurse is caring for a client who has a new prescription for fluoxetine. Which of the following findings should the nurse identify as an adverse effect of the medication?
Correct Answer: B
Rationale: Fluoxetine, an SSRI, commonly causes insomnia as a side effect. Appetite may decrease, concentration improves over time, and weight loss may occur, not gain.