ATI LPN
LPN Comprehensive Predictor 2023 Questions
Extract:
Question 1 of 5
A nurse is assisting with the care of a client who has a new diagnosis of chronic obstructive pulmonary disease (COPD). Which of the following instructions should the nurse include?
Correct Answer: A,C
Rationale: Pursue-lipped breathing during exhalation: This technique helps maintain airway pressure, easing breathing in COPD. Use a humidifier at night: Humidified air reduces airway irritation and mucus viscosity. Generated rationale: These interventions improve respiratory function and comfort, addressing key symptoms of COPD.
Question 2 of 5
A nurse is reinforcing teaching with a client who has a new prescription for rivaroxaban. Which of the following instructions should the nurse include?
Correct Answer: A
Rationale: Report unusual bleeding: Rivaroxaban, a direct oral anticoagulant, increases bleeding risk, and any unusual bleeding should be reported. Generated rationale: Bleeding is a serious adverse effect of rivaroxaban, requiring prompt reporting to prevent hemorrhage.
Extract:
Client reports, “I have a cough”
History of present illness: 38-year-old client presents to the ED with a 4 day history of cough, often productive. Client reports fatigue, night sweats and a low-grade fever. Client reports “blood-tinged sputum”. Client also reports, “I used to weigh 167 pounds. Now I weigh 162 pounds.” Client reports a decreased appetite along with the 2.26kg (5lb) weight loss over the past week. Client states they have been trying to stay hydrated.
Family history: Child has asthma. All other family members healthy.
Social history: Heavy alcohol use (4 to 5 drinks per day), denies tobacco or illicit drug use. Recently traveled to visit their family in South Africa and stayed for 3 weeks
Question 3 of 5
Select the 3 client statements that indicate an understanding of the teaching.
| I can expect my contact lenses to turn red or orange. |
| I should notify my provider if I start taking new over-the-counter or prescription medications. |
| I will need to have someone observe me when I take my medication. |
| I will need to have a repeat Mantoux test in 4 weeks. |
| I am no longer contagious. |
| I will need to take my medications for a total of 6 weeks. |
| I can continue my current alcohol intake. |
Correct Answer: A,B,C
Rationale: I can expect my contact lenses to turn red or orange: Rifampin causes discoloration. I should notify my provider if I start taking new medications: Rifampin affects drug metabolism. I will need to have someone observe me: Directly observed therapy ensures adherence.
Extract:
Question 4 of 5
A nurse is assisting with the care of a client who has a new diagnosis of cirrhosis. Which of the following laboratory values should the nurse monitor?
Correct Answer: A
Rationale: Ammonia: Elevated ammonia levels in cirrhosis indicate impaired liver function and risk of hepatic encephalopathy. Generated rationale: Monitoring ammonia helps detect neurological complications, critical in managing advanced liver disease.
Question 5 of 5
A nurse is reinforcing teaching with a client who has a new prescription for levodopa/carbidopa for Parkinson's disease. Which of the following instructions should the nurse include?
Correct Answer: B
Rationale: Avoid high-protein meals: High-protein meals can interfere with levodopa absorption, reducing its effectiveness. Generated rationale: Amino acids in protein compete with levodopa for absorption in the gut, necessitating dietary adjustments to optimize therapy.