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 prescription for albuterol. Which of the following findings should the nurse monitor as an adverse effect?
Correct Answer: A
Rationale: Tremors: Albuterol, a beta-agonist, can cause tremors as a side effect due to its stimulatory effects on the nervous system. Generated rationale: Tremors result from albuterol's activation of beta-2 receptors, which can cause muscle overstimulation, requiring monitoring to assess severity.
Question 2 of 5
A nurse is reinforcing teaching with a client who has a new prescription for fluoxetine. Which of the following instructions should the nurse include?
Correct Answer: B
Rationale: Take the medication at bedtime: Fluoxetine can cause insomnia, so taking it at night may minimize sleep disturbances. Generated rationale: Timing fluoxetine to avoid peak activity periods helps manage side effects, improving adherence and comfort.
Question 3 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 4 of 5
A nurse is reinforcing teaching with a client who has a new prescription for gabapentin. Which of the following instructions should the nurse include?
Correct Answer: D
Rationale: Avoid driving until effects are known: Gabapentin can cause drowsiness and dizziness, affecting the ability to drive safely. Generated rationale: Central nervous system side effects of gabapentin require precautions to ensure safety during activities like driving.
Question 5 of 5
A nurse is assisting with the care of a client who is receiving IV fluids. Which of the following findings should the nurse report immediately?
Correct Answer: A
Rationale: Swelling at the IV site: Swelling indicates possible infiltration or extravasation, requiring immediate cessation of the infusion. Generated rationale: IV infiltration can cause tissue damage or infection if not addressed promptly, necessitating urgent reporting.