ATI LPN
ATI PN Comprehensive Predictor 2023 - Exam 1 Questions
Extract:
Question 1 of 5
A nurse is assisting with the care of a client who is receiving a continuous tube feeding. The nurse notes residuals of 210 mL. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: A residual of 210 mL exceeds typical thresholds (e.g., 200 mL), indicating possible intolerance; holding and notifying the provider is prudent.
Question 2 of 5
A nurse is assisting with the care of a client who has a new prescription for cefazolin. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Cefazolin risks allergic reactions; monitoring is key. It's IV/IM, not SQ, and glucose/massage aren't relevant.
Question 3 of 5
A nurse at an outpatient clinic receives a call from a client who reports experiencing syncope after starting a new prescription for enalapril. Which of the following instructions should the nurse give the client?
Correct Answer: C
Rationale: Enalapril can cause orthostatic hypotension leading to syncope; rising slowly minimizes this risk. Fluid decrease worsens it, pulse isn't key, and potassium isn't directly related.
Question 4 of 5
A nurse is reinforcing teaching with a client who has a new diagnosis of genital herpes. Which of the following information should the nurse include?
Correct Answer: A
Rationale: Stress can trigger herpes outbreaks. Alkaline soaps may irritate, cultures aren't always needed if lesions are typical, and sitz baths are less specific than antivirals.
Question 5 of 5
A nurse is collecting data from a client who has a history of heart failure. Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: Orthopnea reflects fluid backup in heart failure. Output decreases, cough may be wet, and weight increases.