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 thyroidectomy. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Hypocalcemia (e.g., tetany) is a risk post-thyroidectomy due to parathyroid damage, requiring monitoring. Supine isn't needed, diet adjusts later, and speaking isn't restricted.
Question 2 of 5
A nurse is assisting with the care of a client who is receiving a continuous IV infusion of potassium chloride. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Potassium chloride can cause arrhythmias, requiring cardiac monitoring. Site changes are less frequent, rate depends on orders (typically 10-20 mEq/hr), and heparin isn't routine.
Question 3 of 5
A nurse is caring for a client who has a new prescription for amitriptyline. Which of the following findings should the nurse identify as an adverse effect of the medication?
Correct Answer: B
Rationale: Amitriptyline, a tricyclic antidepressant, commonly causes dry mouth due to anticholinergic effects. Energy may decrease, mood improves over time, and weight gain is more likely.
Question 4 of 5
A nurse is assisting with the care of a client who is postoperative following a total knee arthroplasty. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Ice packs reduce swelling and pain post-arthroplasty. Elevation, not dependent positioning, frequent bleeding checks, and CPM use are standard.
Question 5 of 5
A nurse is reinforcing teaching with a client who has a new prescription for atorvastatin. Which of the following statements should the nurse include?
Correct Answer: C
Rationale: Atorvastatin can cause muscle pain (myopathy), a key side effect to report. It's taken regardless of meals, cholesterol drops take weeks, and potassium isn't restricted.