ATI LPN
LPN Comprehensive Predictor 2023 Questions
Extract:
Question 1 of 5
A nurse is assisting with the care of a client who has a new diagnosis of shingles. Which of the following instructions should the nurse include?
Correct Answer: A,C
Rationale: Apply cool, wet compresses to the lesions: Cool compresses can soothe discomfort and reduce inflammation from shingles lesions. Avoid contact with pregnant women: Shingles (herpes zoster) can transmit varicella-zoster virus to those not immune, posing risks during pregnancy. Generated rationale: These measures alleviate symptoms and prevent transmission, especially to vulnerable populations.
Extract:
1400:
Client's history includes cigarette smoking, for 50 years but quit 3years ago, Parkinson's disease, and anxiety, Yesterday, client reported "feeling bad.' Client is alert and oriented to self, reports upper chest discomfort, and is coughing up thick clear sputum.
Question 2 of 5
A nurse is assisting in the care of an older adult client who was admitted. Select the 3 findings that require immediate follow-up.
| Chronic health condition |
| Current level of consciousness |
| Oxygen saturation level |
| Heart rate |
| Respiratory rate |
| Tremors |
Correct Answer: B,C,E
Rationale: Current level of consciousness: Restlessness and not following commands may indicate hypoxia or sepsis. Oxygen saturation level: 89% suggests respiratory compromise. Respiratory rate: Tachypnea (30/min) indicates distress.
Extract:
Question 3 of 5
A nurse is caring for a client who has a new prescription for enalapril. Which of the following findings should the nurse monitor as an adverse effect?
Correct Answer: A
Rationale: Dry cough: Enalapril, an ACE inhibitor, commonly causes a persistent dry cough due to bradykinin accumulation. Generated rationale: Cough is a frequent side effect that may require switching to another medication class if intolerable.
Question 4 of 5
A nurse is assisting with the care of a client who has a new prescription for albuterol. Which of the following findings should the nurse monitor as an adverse effect?
Correct Answer: A
Rationale: Tremors: Albuterol, a beta-agonist, can cause tremors as a side effect due to its stimulatory effects on the nervous system. Generated rationale: Tremors result from albuterol's activation of beta-2 receptors, which can cause muscle overstimulation, requiring monitoring to assess severity.
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 1hr 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
Gastrointestinal: epigastric tenderness to palpation, no rebound tenderness
Question 5 of 5
The nurse anticipates the client will likely require ____ as evidenced by the client's ____ and ____.
| proton pump inhibitor therapy |
| blood transfusion |
| antibiotic therapy |
| surgical intervention |
| intravenous fluid resuscitation |
| low hemoglobin |
| low hematocrit |
Correct Answer: B,F,G
Rationale: The nurse anticipates the client will likely require blood transfusion as evidenced by the client's low hemoglobin and low hematocrit.