ATI LPN
LPN Comprehensive Predictor 2023 Questions
Extract:
0100:
Client's skin warm to touch. Crackles auscultated in lower lung lobes bilaterally. Mucous membranes show color expected for client's skin tone and dry. Client reports productive cough with yellow sputum
Pedal pulses 2+
Client reports mild penicillin allergy.
A nurse is assisting with the care of a client who has pneumonia.
Question 1 of 5
A nurse is assisting with the care of a client who has pneumonia. For each potential nursing action, click to specify if the potential action is anticipated or contraindicated for the client.
| Options | Anticipated | Contraindicated |
|---|---|---|
| Administer phytonadione (Vitamin K) | ||
| Apply cool compress to the extremity | ||
| Elevate extremity | ||
| Suggest irrigating the IV catheter | ||
| Assist in inserting a new IV catheter in a site distal to the infiltration site | ||
| Send the catheter tip for culture |
Correct Answer: B,C,F
Rationale: Apply cool compress to the extremity: A cool compress helps reduce pain and swelling associated with IV infiltration. Elevate extremity: Elevation promotes venous return and reduces edema. Send the catheter tip for culture: Given the client's edema, pain, and potential IV infiltration, infection is a concern.
Extract:
Question 2 of 5
A nurse is reinforcing teaching with a client who has a new diagnosis of asthma. Which of the following instructions should the nurse include?
Correct Answer: A,C
Rationale: Use a peak flow meter daily: Regular use helps monitor lung function and detect early signs of asthma exacerbation. Take albuterol as needed for wheezing: Albuterol is a rescue inhaler used to relieve acute symptoms. Generated rationale: A peak flow meter tracks asthma control, and albuterol provides quick relief for bronchospasm, both critical for effective asthma management.
Question 3 of 5
A nurse is reinforcing teaching with a client who has a new prescription for isosorbide mononitrate. Which of the following instructions should the nurse include?
Correct Answer: B
Rationale: Report headaches to the provider: Headaches are a common side effect of isosorbide mononitrate due to vasodilation and should be monitored. Generated rationale: Headaches may indicate the need for dose adjustment, ensuring tolerability while maintaining efficacy for angina prevention.
Question 4 of 5
A nurse is assisting with the care of a client who is receiving a continuous bladder irrigation following a TURP. Which of the following findings should the nurse report immediately?
Correct Answer: A
Rationale: Cloudy urine output: Cloudy urine during continuous bladder irrigation could indicate infection or significant debris, requiring immediate evaluation. Generated rationale: Cloudiness may suggest a complication like infection or clot retention, necessitating prompt intervention post-TURP.
Question 5 of 5
A nurse is caring for a client who has a new prescription for heparin. Which of the following laboratory values should the nurse monitor?
Correct Answer: A
Rationale: Platelet count: Heparin can cause thrombocytopenia, and monitoring platelet counts is essential to detect this adverse effect. Generated rationale: Heparin-induced thrombocytopenia is a serious complication that requires early detection to prevent thrombotic events.