ATI LPN
LPN Comprehensive Predictor 2023 Questions
Extract:
Question 1 of 5
A nurse is assisting with the care of a client who is postoperative following a cesarean birth. Which of the following findings should the nurse report immediately?
Correct Answer: D
Rationale: Temperature 38.2°C (100.8°F): A fever post-cesarean could indicate infection, such as endometritis, requiring prompt evaluation. Generated rationale: Postoperative fever suggests possible infection, necessitating immediate investigation to prevent complications.
Question 2 of 5
A nurse is reinforcing teaching with a client who has a new prescription for levodopa/carbidopa for Parkinson's disease. Which of the following instructions should the nurse include?
Correct Answer: B
Rationale: Avoid high-protein meals: High-protein meals can interfere with levodopa absorption, reducing its effectiveness. Generated rationale: Amino acids in protein compete with levodopa for absorption in the gut, necessitating dietary adjustments to optimize therapy.
Question 3 of 5
A nurse is reinforcing teaching with a client who is starting chemotherapy and is concerned about hair loss. Which of the following responses should the nurse make?
Correct Answer: A
Rationale: Let's discuss some head-covering options to help you feel comfortable: This response addresses the client's concern empathetically and offers practical solutions. Generated rationale: Acknowledging hair loss concerns and providing options like wigs or scarves supports emotional well-being during chemotherapy.
Extract:
Postoperative Day 3
0900:
Client reports pain at surgical incision site as 5 on a scale of 0 to 10. Client reports bladder fullness. Perineal dressing Intact with minimal serosanguinous drainage. Client transferring out of bed to chair independently. Extremities cool and dry with 2+peripheral pulses.
1300:
Client reports abdominal cramping and small, hard, painful bowel movement after lunch. Ambulating independently in hallway. Reports pain as 8 on a scale of 0 to 10. Urinary catheter intact with 100 mL/hr of pink urine.
Question 4 of 5
Select the 2 actions the nurse should prepare to take for the client.
Encourage prolonged dangling before ambulation. |
Administer an enema. |
Encourage oral fluid intake. |
Irrigate indwelling catheter with 500 mL of fluid. |
Assist the client with a sitz bath. |
Correct Answer: C,E
Rationale: Encourage oral fluid intake: Hydration softens stool and prevents constipation. Assist the client with a sitz bath: Promotes perineal relaxation and healing.
Extract:
Question 5 of 5
A nurse is receiving a telephone prescription from a client's provider. Which of the following actions should the nurse take? Select all that apply
Correct Answer: C,D,E
Rationale: Ask the provider to spell out the name of the medication: When receiving a telephone prescription, the nurse should ask the provider to spell out the name of the medication to avoid errors. Record the date and time of the telephone prescription: Recording the date and time is essential for accurate documentation. Request that the provider confirm the read-back of the prescription: The read-back process verifies accuracy and reduces errors.