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 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.
Question 2 of 5
A nurse is assisting with the care of a client who is at risk for falls. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Calling for assistance reduces fall risk by ensuring support. High beds, socks only, and no band alone increase risk without addressing immediate safety.
Question 3 of 5
A nurse is caring for a 3-year-old child immediately following a tonic-clonic seizure. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: After a tonic-clonic seizure, the nurse should first check the child for any injuries, particularly in the oral cavity, as the child may have bitten their tongue or sustained other oral injuries during the seizure. Offering fluids is not a priority due to disorientation and choking risk, a supine position may hinder breathing, and medication should only be given if prescribed.
Question 4 of 5
A nurse is assisting with the care of a client who is receiving a continuous IV infusion of dextrose 5% in 0.9% sodium chloride. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Hourly monitoring detects infiltration early, preventing complications. Heparin isn't routine, site changes are typically every 72-96 hours, and once-per-shift checks are insufficient.
Question 5 of 5
A nurse is caring for a client who is receiving mechanical ventilation via an endotracheal tube. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Monitoring cuff pressure every 8 hours prevents tracheal damage from overinflation. Suctioning is as needed, securing isn't to the jaw, and prone positioning depends on condition.