ATI LPN
LPN Comprehensive Predictor 2023 Questions
Extract:
Question 1 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 2 of 5
A nurse is caring for a client who has a new diagnosis of gout. Which of the following dietary instructions should the nurse include?
Correct Answer: A
Rationale: Avoid purine-rich foods: Purines increase uric acid, worsening gout symptoms. Generated rationale: Reducing purine intake lowers uric acid production, helping to prevent gout flares.
Question 3 of 5
A nurse is caring for a client who is postoperative following a cholecystectomy. Which of the following findings should the nurse report immediately?
Correct Answer: D
Rationale: Clay-colored stools: This may indicate bile duct obstruction, a serious complication requiring immediate evaluation. Generated rationale: Absence of bile in the stool suggests a blockage post-cholecystectomy, which could lead to jaundice or pancreatitis if untreated.
Question 4 of 5
A nurse is assisting with the care of a client who has a new diagnosis of diverticulitis. Which of the following dietary instructions should the nurse include?
Correct Answer: A,D
Rationale: Increase fiber intake gradually: Long-term high-fiber diets prevent diverticulitis recurrence. Eat a low-residue diet during acute phase: Low-fiber foods reduce bowel irritation during inflammation. Generated rationale: Dietary adjustments balance symptom relief during acute phases and prevention of future episodes.
Extract:
0900:
Client reports, "I'm bloated and my stomach hurts."
History of prior illness: Client reports a 3-week history of gnawing abdominal pain. Client states, "It's a burning sensation that radiates to my back. I think I've lost a little weight too. Reports one episode of dark, tarry stool. No vomiting. Client reports pain is worse about 1 hr after eating a meal and pain is worsened by eating.
Past Medical History: osteoarthritis
Social History: recently divorced, drinks in moderation (3 to 4 drinks per week), smokes tobacco
Current Medications: Ibuprofen 800 mg three times daily PRN arthritis pain
General: client appears uncomfortable, diaphoretic
Head, ears, eyes, nose, and throat (HEENT): oropharynx clear, mucous membranes moist and pale
Respiratory: bilateral breath sounds clear
A nurse assisting with the care of a client who is admitted to the medical-surgical unit.
The nurse is reviewing the client's laboratory findings and vital signs.
Question 5 of 5
A nurse is assisting with the care of a client who is admitted to the medical-surgical unit. The nurse is reviewing the client's laboratory findings and vital signs. Select the 5 findings that require immediate follow-up.
| Respiratory rate |
| Stool results |
| Heart rate |
| Temperature |
| WBC count |
| Blood pressure |
| Hemoglobin and hematocrit |
Correct Answer: B,C,F,G
Rationale: Stool results: A positive hemoccult test indicates gastrointestinal bleeding, likely due to a peptic ulcer. Heart rate: The tachycardia (118/min) suggests a compensatory response to hypovolemia. Blood pressure: Hypotension (90/50 mm Hg) is concerning for volume depletion. Hemoglobin and hematocrit: A hemoglobin of 9.1 g/dL and hematocrit of 27% indicate anemia. Current medications: Ibuprofen use is a major risk factor for gastrointestinal bleeding.