ATI LPN
PN Comprehensive Predictor 2020 Questions
Extract:
Question 1 of 5
A nurse is assisting with the care of a client who is receiving a continuous IV infusion of propofol. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Propofol, a sedative, risks respiratory depression, requiring hourly monitoring. Site changes are less frequent, rate depends on orders, and heparin isn't routine.
Question 2 of 5
A nurse is assisting with the care of a client who is postoperative following a coronary artery bypass graft (CABG). Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Sternal infection (e.g., redness, drainage) is a risk post-CABG, requiring monitoring. Ambulation, low-fat diet, and supported coughing are standard.
Question 3 of 5
A nurse is caring for a client who has paranoid schizophrenia and believes that they are being followed by FBI agents who are pretending to be psychiatric staff. Which of the following responses should the nurse make?
Correct Answer: B
Rationale: Acknowledging the client's fears with empathy ('This must be very frightening for you') validates their feelings and builds trust, encouraging further discussion. Denying beliefs outright or questioning them confrontationally can increase distrust and defensiveness.
Question 4 of 5
A nurse is assisting with the care of a client who is postoperative following a total hip arthroplasty. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Dislocation is a risk post-hip arthroplasty, requiring monitoring (e.g., leg positioning). Prone isn't standard, dependent positioning risks swelling, and cold compresses are as needed.
Question 5 of 5
A nurse is caring for a client who has a prescription for captopril. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Captopril, an ACE inhibitor, commonly causes a persistent dry cough, requiring monitoring and reporting if severe. It's an oral medication, not IV, and taken daily or as prescribed, not weekly.