ATI LPN
LPN Comprehensive Predictor 2023 Questions
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 1 hr 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
A nurse assisting with the care of a client who is admitted to the medical-surgical unit.
The nurse is reviewing the client's laboratory findings and vital signs.
Question 1 of 5
A nurse is assisting with the care of a client who is admitted to the medical-surgical unit. The nurse is reviewing the client's laboratory findings and vital signs. Select the 5 findings that require immediate follow-up.
| Respiratory rate |
| Stool results |
| Heart rate |
| Temperature |
| WBC count |
| Blood pressure |
| Hemoglobin and hematocrit |
Correct Answer: B,C,F,G
Rationale: Stool results: A positive hemoccult test indicates gastrointestinal bleeding, likely due to a peptic ulcer. Heart rate: The tachycardia (118/min) suggests a compensatory response to hypovolemia. Blood pressure: Hypotension (90/50 mm Hg) is concerning for volume depletion. Hemoglobin and hematocrit: A hemoglobin of 9.1 g/dL and hematocrit of 27% indicate anemia. Current medications: Ibuprofen use is a major risk factor for gastrointestinal bleeding.
Extract:
Question 2 of 5
A nurse is reinforcing teaching with a client who has a new prescription for epinephrine auto-injector PRN. The nurse should reinforce with the client that the medication can help treat which of the following manifestations?
Correct Answer: D
Rationale: Shortness of breath: Epinephrine is commonly used in emergencies, such as anaphylactic reactions, to alleviate shortness of breath, which occurs due to bronchoconstriction.
Question 3 of 5
A nurse is reinforcing teaching with a client who has a new diagnosis of gastroesophageal reflux disease (GERD). Which of the following instructions should the nurse include?
Correct Answer: B
Rationale: Avoid lying down for 2 hours after eating: Lying down soon after eating can exacerbate reflux by allowing stomach acid to flow into the esophagus. Generated rationale: Preventing acid reflux involves maintaining an upright position post-meals to reduce esophageal irritation and promote gastric emptying.
Question 4 of 5
A nurse is providing change-of-shift report for a client. Which of the following information should the nurse include in the report?
Correct Answer: B,C
Rationale: The client reports pain is reduced when he is positioned on his side: This is relevant clinical information that affects the client's comfort and care plan. Client received the prescribed antibiotic every 8 hours: This confirms adherence to the treatment plan and is critical for continuity of care. Generated rationale: Including relevant clinical data such as pain management strategies and medication administration ensures the oncoming nurse can maintain effective care, while social or historical details like visitors or past family history are less critical unless directly impacting current care.
Question 5 of 5
A nurse is assisting with the care of a client who has a new diagnosis of diverticulitis. Which of the following dietary instructions should the nurse include?
Correct Answer: A,D
Rationale: Increase fiber intake gradually: Long-term high-fiber diets prevent diverticulitis recurrence. Eat a low-residue diet during acute phase: Low-fiber foods reduce bowel irritation during inflammation. Generated rationale: Dietary adjustments balance symptom relief during acute phases and prevention of future episodes.