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 cholecystectomy. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Splinting the incision reduces pain and strain during coughing post-cholecystectomy. Monitoring should be more frequent, ambulation is encouraged, and laxatives depend on need.
Question 2 of 5
A nurse is assisting with the care of a client who is receiving a continuous IV infusion of heparin. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Heparin requires aPTT monitoring (e.g., every 6-12 hr) to ensure therapeutic levels. Site changes are less frequent, rate depends on orders, and saline is used, not dextrose.
Question 3 of 5
A nurse is assisting with the care of a client who is postoperative following a gastrectomy. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Dumping syndrome (rapid gastric emptying) is a risk post-gastrectomy, requiring monitoring. Supine isn't needed, diet starts low-carb, and fluid timing varies.
Question 4 of 5
A nurse is reinforcing teaching with a client who has a new prescription for simvastatin. Which of the following statements should the nurse include?
Correct Answer: C
Rationale: Simvastatin can cause muscle pain (myopathy), a key side effect to report. It's taken at night, energy isn't affected, and grapefruit is a concern with some statins, not all.
Question 5 of 5
A nurse is caring for a client who has a new prescription for heparin therapy. Which of the following laboratory values should the nurse plan to monitor?
Correct Answer: B
Rationale: Heparin affects clotting via aPTT, which monitors its therapeutic effect. PT/INR is for warfarin, and platelets are checked for thrombocytopenia risk.