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 continuous enteral feedings. Which of the following actions should the nurse take to prevent aspiration?
Correct Answer: A
Rationale: Keep the head of the bed elevated to 30 degrees: Elevating the head of the bed reduces the risk of aspiration by preventing reflux of gastric contents. Generated rationale: A 30- to 45-degree elevation promotes gravitational flow of feedings, minimizing the chance of aspiration pneumonia.
Question 2 of 5
A nurse is receiving a telephone prescription from a client's provider. Which of the following actions should the nurse take? Select all that apply
Correct Answer: C,D,E
Rationale: Ask the provider to spell out the name of the medication: When receiving a telephone prescription, the nurse should ask the provider to spell out the name of the medication to avoid errors. Record the date and time of the telephone prescription: Recording the date and time is essential for accurate documentation. Request that the provider confirm the read-back of the prescription: The read-back process verifies accuracy and reduces errors.
Question 3 of 5
A nurse is caring for a child who has terminal cancer. Which of the following responses by the child's school-age brother should the nurse expect?
Correct Answer: D
Rationale: Believes his bad behavior is causing his brother's death: This response is the most typical for a school-age child. At this stage, children often have a sense of responsibility for events around them and may develop feelings of guilt or magical thinking, where they believe their actions or behavior contributed to the illness or death of a loved one.
Question 4 of 5
A nurse in an acute care setting is assisting in collecting client information to include in a referral for physical therapist. Which of the following information should the nurse plan to include?
Correct Answer: B
Rationale: Physical assessment findings: This is the most relevant information to include in a referral for physical therapy. The physical assessment findings provide the physical therapist with important details about the client's mobility, strength, range of motion, and other factors that can guide the creation of an individualized therapy plan.
Extract:
0900:
Client reports, "I'm bloated and my stomach hurts."
History of prior illness:
Client reports a 3-week history of gnawing abdominal pain. Client states, "It's a burning sensation that radiates to my back. I think I've lost a little weight too." Reports one episode of dark, tarry stool. No vomiting. Client reports pain is worse about 1hr after eating a meal and pain is worsened by eating.
Past Medical History: osteoarthritis
Social History: recently divorced, drinks in moderation (3 to 4 drinks per week), smokes tobacco
Current Medications: Ibuprofen 800 mg three times daily PRN arthritis pain
General: client appears uncomfortable, diaphoretic head, ears, eyes, nose, and throat (HEENT): oropharynx clear, mucous membranes moist and pale
Respiratory: bilateral breath sounds clear
Gastrointestinal: epigastric tenderness to palpation, no rebound tenderness
Question 5 of 5
The nurse anticipates the client will likely require ____ as evidenced by the client's ____ and ____.
| proton pump inhibitor therapy |
| blood transfusion |
| antibiotic therapy |
| surgical intervention |
| intravenous fluid resuscitation |
| low hemoglobin |
| low hematocrit |
Correct Answer: B,F,G
Rationale: The nurse anticipates the client will likely require blood transfusion as evidenced by the client's low hemoglobin and low hematocrit.