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 diverticulitis. Which of the following dietary instructions should the nurse include?
Correct Answer: A,D
Rationale: Increase fiber intake gradually: Long-term high-fiber diets prevent diverticulitis recurrence. Eat a low-residue diet during acute phase: Low-fiber foods reduce bowel irritation during inflammation. Generated rationale: Dietary adjustments balance symptom relief during acute phases and prevention of future episodes.
Question 2 of 5
A nurse is assisting with the care of a client who is postoperative following a mastectomy. Which of the following actions should the nurse take?
Correct Answer: A,B
Rationale: Encourage arm exercises on the affected side: Promotes mobility and prevents lymphedema. Keep the arm elevated when at rest: Reduces swelling. Generated rationale: These interventions support recovery by improving circulation and preventing complications like lymphedema.
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 caring for a client who is postoperative following a total hip arthroplasty. Which of the following actions should the nurse take to prevent dislocation?
Correct Answer: A
Rationale: Keep the hip in abduction: Maintaining abduction prevents the hip from adducting, which could dislocate the new joint. Generated rationale: Abduction positioning stabilizes the hip prosthesis, reducing the risk of dislocation during the early postoperative period.
Question 5 of 5
A nurse is assisting with the care of a client who is postoperative following a lumbar laminectomy. Which of the following instructions should the nurse include?
Correct Answer: A,C
Rationale: Log-roll when changing positions: Log-rolling maintains spinal alignment, reducing strain on the surgical site. Ambulate only with assistance initially: Assistance ensures safety while mobility is limited post-surgery. Generated rationale: These measures protect the surgical site and promote safe recovery by minimizing spinal stress and fall risk.