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 cholecystectomy. Which of the following findings should the nurse report to the provider?
Correct Answer: B
Rationale: Yellowish drainage suggests infection or bile leakage, requiring reporting. Mild fever, moderate pain, and normal heart rate are less urgent post-cholecystectomy.
Question 2 of 5
A nurse is caring for a client who has a prescription for dalteparin. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Dalteparin, an anticoagulant, increases bleeding risk, requiring monitoring (e.g., bruising). It's subcutaneous (not IM), massaging increases bleeding, and it's not oral.
Question 3 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 4 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 5 of 5
A nurse in an emergency department is assisting with the care of a client who reports chest pain and shortness of breath. Which of the following actions should the nurse take first?
Correct Answer: B
Rationale: An ECG first assesses for cardiac ischemia or infarction, guiding urgent treatment. Oxygen, nitroglycerin, and IV access follow based on findings.