ATI LPN
LPN Comprehensive Predictor 2023 Questions
Extract:
Question 1 of 5
A nurse is assisting with the care of a client who is receiving a spinal epidural to treat a herniated disc. Which of the following findings should the nurse identify as an indicator of unrelieved pain?
Correct Answer: A
Rationale: Clenched teeth: Clenched teeth are often a sign of discomfort or pain, especially in a client who is undergoing an epidural for pain management. This physical response typically occurs when the pain is not well controlled.
Question 2 of 5
A nurse is reinforcing teaching with a client who has a new prescription for venlafaxine. Which of the following instructions should the nurse include?
Correct Answer: A
Rationale: Report increased anxiety: Venlafaxine, an SNRI, can initially worsen anxiety, requiring close monitoring. Generated rationale: Early side effects like anxiety may indicate the need for dose adjustment or additional support.
Question 3 of 5
A nurse is assisting with the care of a client who is receiving a spinal epidural to treat a herniated disc. Which of the following findings should the nurse identify as an indicator of unrelieved pain?
Correct Answer: A
Rationale: Clenched teeth: Clenched teeth are often a sign of discomfort or pain, especially in a client who is undergoing an epidural for pain management. This physical response typically occurs when the pain is not well controlled.
Question 4 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.
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 5 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.