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 mechanical ventilation. Which of the following actions should the nurse take to prevent ventilator-associated pneumonia?
Correct Answer: A
Rationale: Perform oral care every 4 hours: Regular oral care reduces bacterial growth in the mouth, decreasing the risk of pneumonia. Generated rationale: Oral hygiene minimizes colonization of pathogens that could be aspirated into the lungs, a key strategy in preventing ventilator-associated pneumonia.
Question 2 of 5
A nurse is reinforcing teaching with a client who is starting chemotherapy. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: A
Rationale: I should avoid contact with people who have infections: Chemotherapy suppresses the immune system, increasing infection risk. Generated rationale: Neutropenia from chemotherapy necessitates precautions to minimize exposure to pathogens, ensuring patient safety.
Question 3 of 5
A charge nurse is reinforcing teaching with a newly licensed nurse about infection control measures. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?
Correct Answer: D
Rationale: Soiled dressings should be placed in a biohazard trash receptacle: Soiled dressings, particularly those that are contaminated with blood, bodily fluids, or pathogens, should always be disposed of in a biohazard trash receptacle. This ensures the safe and appropriate handling of potentially infectious materials and helps prevent the spread of infection.
Question 4 of 5
A nurse is collecting data from a client who is receiving IV therapy. Which of the following findings indicates fluid volume overload?
Correct Answer: A,B
Rationale: Crackles in the lungs: Crackles indicate fluid accumulation in the alveoli, a sign of fluid overload. Distended neck veins: This reflects increased venous pressure due to excess fluid volume. Generated rationale: Fluid volume overload leads to systemic congestion, manifesting as pulmonary edema (crackles) and increased central venous pressure (distended neck veins), requiring immediate intervention.
Extract:
Preoperative
0730:
Client is scheduled for a left stapedectomy.
Pupils 3.5 mm, equal, round, and reactive to light.
Smile symmetrical.
Mucous membranes show color expected for client's skin tone and moist.
Speech clear.
Skin warm and dry.
Lungs clear bilaterally.
Apical heart rate regular at 78/min.
Postoperative
1230:
Pupils 3 mm, equal, and reactive to light.
Smile asymmetrical.
Mucous membranes pink.
Speech hoarse.
Client with left facial droop.
Skin warm and dry.
Client reports vertigo and nausea.
Bilateral breath sounds clear and present throughout
Question 5 of 5
A client presents to the medical surgical unit. Which of the following findings requires further action by the nurse? Select all that apply.
Correct Answer: D,E
Rationale: Facial nerve assessment: Left facial droop suggests potential facial nerve injury. Vertigo: Persistent vertigo may indicate inner ear trauma.