ATI LPN
PN Comprehensive Predictor 2023 Questions
Extract:
Question 1 of 5
A nurse is assisting with the care of a client who is receiving magnesium sulfate IV for preeclampsia. Which of the following findings should the nurse identify as an adverse effect of the medication?
Correct Answer: B
Rationale: Respiratory depression is a serious adverse effect of magnesium sulfate, requiring monitoring.
Question 2 of 5
A nurse is reinforcing teaching with a client who has a new prescription for fluoxetine. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: B
Rationale: Suicidal thoughts are a potential side effect of fluoxetine, requiring immediate reporting.
Question 3 of 5
A nurse is reinforcing teaching with a client who is preoperative for a transurethral resection of the prostate (TURP). Which of the following statements should the nurse include?
Correct Answer: A
Rationale: A temporary catheter is often needed post-TURP to manage urinary output during healing.
Question 4 of 5
A nurse is reinforcing teaching with a parent of a child who has asthma about the administration of montelukast. Which of the following statements by the parent indicates an understanding of the teaching?
Correct Answer: C
Rationale: Montelukast is taken once daily in the evening to prevent asthma symptoms, aligning with its use for long-term control.
Extract:
Nurses’ Notes
I&O
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: Fluid intake and sitz baths promote bowel function and comfort post-surgery.