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 cirrhosis. Which of the following laboratory values should the nurse monitor?
Correct Answer: A
Rationale: Ammonia: Elevated ammonia levels in cirrhosis indicate impaired liver function and risk of hepatic encephalopathy. Generated rationale: Monitoring ammonia helps detect neurological complications, critical in managing advanced liver disease.
Question 2 of 5
A nurse is assisting with the care of a client who is receiving a unit of packed red blood cells. Which of the following findings should indicate to the nurse that the client is experiencing a transfusion reaction?
Correct Answer: A
Rationale: Temperature 38.8°C (101.8°F): A fever during transfusion is a classic sign of a transfusion reaction, such as a febrile non-hemolytic reaction. Generated rationale: A rise in temperature during a blood transfusion often indicates an immune response to the transfused blood, requiring immediate cessation of the transfusion and further evaluation.
Question 3 of 5
A nurse is a long-term care facility is caring for a client who has methicillin-resistant Staphylococcus aureus (MRSA). Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Don gloves prior to assisting the client with brushing their teeth: MRSA is a contact-borne infection, so it is essential to use proper personal protective equipment, such as gloves.
Question 4 of 5
A nurse is caring for a client who has a new diagnosis of epilepsy and is prescribed phenytoin. Which of the following instructions should the nurse include?
Correct Answer: A,B
Rationale: Brush teeth gently to avoid gum bleeding: Phenytoin can cause gingival hyperplasia, requiring careful oral hygiene. Avoid alcohol consumption: Alcohol can interfere with phenytoin metabolism, increasing seizure risk. Generated rationale: Phenytoin's side effects and interactions necessitate specific precautions to maintain therapeutic efficacy and patient safety.
Question 5 of 5
A nurse is caring for a client who has a new diagnosis of hypertension and is prescribed hydrochlorothiazide. Which of the following instructions should the nurse include?
Correct Answer: A
Rationale: Monitor your weight weekly: Hydrochlorothiazide can cause fluid loss, and weight monitoring helps detect significant changes that may indicate dehydration or fluid retention. Generated rationale: Regular weight checks allow early identification of fluid imbalances, ensuring safe management of diuretic therapy.