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 nephrectomy. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Post-nephrectomy, monitoring urinary output from the remaining kidney ensures function. Supine isn't required, diet adjusts gradually, and deep breathing prevents complications.
Question 2 of 5
A nurse is collecting data from a client who reports recent weight loss. Which of the following findings should indicate to the nurse that the client is dehydrated?
Correct Answer: C
Rationale: Dry mucous membranes are a key sign of dehydration due to reduced fluid volume. Quick refill, distended veins, and strong pulses suggest adequate hydration.
Question 3 of 5
A nurse is reinforcing teaching with a client who has a new prescription for a metered-dose inhaler. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: B
Rationale: Rinsing the mouth prevents irritation or infection from residual medication. Waiting time is typically 30-60 seconds, one depression per puff, and breath-holding aids absorption.
Question 4 of 5
A nurse is assisting with the care of a client who is postoperative following a TURP. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Post-TURP, hourly urine output monitoring ensures patency and detects bleeding. Ambulation, gradual diet, and breathing exercises are standard.
Extract:
Vital Signs
05:00
Temperature 36.6 C (97.9 F)
Heart rate 100/min
Respiratory rate 22/min
Blood pressure 160/98 mm Hg
Oxygen saturation 96% on oxygen 2 L/min via nasal cannula
14:00
Temperature 36.8 C (98.3 F)
Heart rate 90/min
Respiratory rate 18/min
Blood pressure 138/88 mm Hg
Oxygen saturation 97% on oxygen 2 L/min via nasal cannula
Question 5 of 5
A nurse is assisting with the care of a client in a medical-surgical unit. Vital Signs 05:00 Temperature 36.6 C (97.9 F) Heart rate 100/min Respiratory rate 22/min Blood pressure 160/98 mm Hg Oxygen saturation 96% on oxygen 2 L/min via nasal cannula 14:00 Temperature 36.8 C (98.3 F) Heart rate 90/min Respiratory rate 18/min Blood pressure 138/88 mm Hg Oxygen saturation 97% on oxygen 2 L/min via nasal cannula Which of the following actions should the nurse take to decrease the risks for a urinary tract infection for this client? Select all that apply.
Correct Answer: A,D,E,F
Rationale: High fluid intake flushes bacteria, frequent emptying prevents growth, daily review minimizes catheter use, and soap/water cleaning reduces infection risk. Tubing changes and bag placement increase risk.