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 cholecystectomy. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Splinting the incision reduces pain and strain during coughing post-cholecystectomy. Monitoring should be more frequent, ambulation is encouraged, and laxatives depend on need.
Question 2 of 5
A nurse is reinforcing teaching to a newly licensed nurse about bowel sounds. Which of the following characteristics should the nurse use to describe hyperactive bowel sounds?
Correct Answer: A
Rationale: Hyperactive bowel sounds are loud, high-pitched, and frequent, indicating increased motility, not decreased. They aren't linked to paralytic ileus or soft, infrequent sounds.
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 3 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.
Extract:
Question 4 of 5
A nurse is assisting with the admission of an adolescent client who is suspected to have bacterial meningitis. Which of the following findings should the nurse expect?
Correct Answer: C
Rationale: Nuchal rigidity (neck stiffness) is a classic sign of bacterial meningitis due to meningeal inflammation. Edema, jaundice, and hematuria suggest other conditions.
Question 5 of 5
A nurse is reinforcing teaching with a client who has a new prescription for insulin glargine. Which of the following statements should the nurse include?
Correct Answer: B
Rationale: Insulin glargine requires consistent timing for steady blood sugar control. Shaking clouds it, hypoglycemia is rare at night with glargine, and it shouldn't be mixed.