ATI LPN
LPN Comprehensive Predictor 2023 Questions
Extract:
Question 1 of 5
A nurse is assisting with the care of a client who is postoperative following a total knee arthroplasty. Which of the following actions should the nurse take?
Correct Answer: B,D
Rationale: Administer anticoagulants as prescribed: Anticoagulants prevent thromboembolism post-surgery. Apply ice packs to the knee every 4 hours: Ice reduces swelling and pain. Generated rationale: Anticoagulation and ice therapy address key postoperative risks and discomfort, promoting recovery.
Question 2 of 5
A nurse is reinforcing teaching with a client who is to have plaster cast applied to his right arm. Which of the following information should the nurse include the teaching?
Correct Answer: C
Rationale: The client's extremity should be elevated after the cast is applied: Elevating the extremity after a cast is applied is a key teaching point to help reduce swelling and improve circulation.
Extract:
0800:
Client transported to emergency department by emergency medical services. Client found in a bathroom at a bar unresponsive and without a pulse. Report by emergency medical services states that a needle was in the client’s left antecubital space. Naloxone was administered at the scene. EMS relayed that someone saw the client have one beer and then go to the bathroom
Client drowsy, arouses noxious stimuli, but falls back asleep quickly.
Eyes: Pupils reactive, miotic
Heart: Normal rate and rhythm
Lungs: Equal bilateral, clear to auscultation
Abdomen: Decreased bowel sounds
Skin: Marks in left antecubital space
Review of medical record 2 weeks prior:
Discharge note:
At 0600, Client transported to the emergency department by emergency medical services. Client was found in the park by runners. Client presented with manifestations of sedation, miosis, hypokinesis and mood alteration. Supportive care provided. At 1000, client stated, “I am going to throw up. I’ve never used this drug before.’’ Assessment revealed mydriasis, hyperrflexia, diaphoresis, piloerection. Supportive care provided. Medications included buprenorphine/naloxone taper x 4 days. Client stabilizied and dischargd back to shelter after completing the 4-day buprenorphine/naloxone taper
Question 3 of 5
The client likely suffered from ____ as evidenced by ____.
| Opioid withdrawal |
| Opioid intoxication |
| Alcohol withdrawal |
| Hallucinogen intoxication |
| Alcohol intoxication |
| Pupil characteristics |
Correct Answer: B,F
Rationale: Condition: Opioid intoxication The client's presentation of unresponsiveness, respiratory depression (RR 10/min), and miosis (pinpoint pupils) is consistent with opioid intoxication. Finding: Pupil characteristics Opioid intoxication commonly causes miosis (pinpoint pupils).
Extract:
Client reports, “I have a cough”
History of present illness: 38-year-old client presents to the ED with a 4 day history of cough, often productive. Client reports fatigue, night sweats and a low-grade fever. Client reports “blood-tinged sputum”. Client also reports, “I used to weigh 167 pounds. Now I weigh 162 pounds.” Client reports a decreased appetite along with the 2.26kg (5lb) weight loss over the past week. Client states they have been trying to stay hydrated.
Family history: Child has asthma. All other family members healthy.
Social history: Heavy alcohol use (4 to 5 drinks per day), denies tobacco or illicit drug use. Recently traveled to visit their family in South Africa and stayed for 3 weeks
A nurse is assisting in the care of a client who presents to the emergency department
Question 4 of 5
A nurse is reviewing the client's medical record. Which of the following findings indicate the need for further evaluation? Select all that apply.
Correct Answer: A,B,C,D,G
Rationale: Respiratory complaint: A 4-day productive cough with fatigue raises concern for infection. Temperature: Low-grade fever (38.1°
C) suggests infection. Sputum characteristics: Blood-tinged sputum indicates possible TB or malignancy. Weight: Unintentional 5 lb loss signals systemic illness. Travel history: Recent travel to South Africa increases TB risk.
Extract:
Question 5 of 5
A nurse is assisting with the care of a client who is receiving hospice care. Which of the following interventions should the nurse prioritize?
Correct Answer: B
Rationale: Provide emotional support to the family: Hospice care focuses on comfort and support for both the client and family during end-of-life care. Generated rationale: Emotional support addresses the psychological needs of the family, aligning with hospice's holistic care approach.