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 a continuous IV infusion of heparin. Which of the following laboratory values should the nurse monitor?
Correct Answer: A,D
Rationale: Activated partial thromboplastin time (aPTT): aPTT monitors heparin's anticoagulant effect. Platelet count: Heparin can cause thrombocytopenia. Generated rationale: aPTT ensures therapeutic anticoagulation, while platelet monitoring detects heparin-induced thrombocytopenia, both critical for safe therapy.
Question 2 of 5
A nurse is assisting with the care of a client who has a chest tube in place. Which of the following findings should the nurse report immediately?
Correct Answer: A
Rationale: Continuous bubbling in the water seal chamber: Continuous bubbling indicates an air leak, which could compromise the effectiveness of the chest tube and requires immediate attention. Generated rationale: An air leak suggests a breach in the pleural space or system, potentially leading to pneumothorax if not corrected promptly.
Question 3 of 5
A nurse is caring for a client who has a new diagnosis of pancreatitis. Which of the following dietary instructions should the nurse include?
Correct Answer: A,D
Rationale: Eat a low-fat diet: High-fat foods can exacerbate pancreatitis by stimulating pancreatic enzyme release. Avoid alcohol consumption: Alcohol is a common cause of pancreatitis and must be avoided to prevent recurrence. Generated rationale: These dietary changes reduce pancreatic workload and prevent further inflammation.
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
Question 4 of 5
To further evaluate the client, the nurse anticipates the client will need ____ and ____.
| A pulmonary function test |
| A chest x-ray |
| A nasopharyngeal swab |
| Blood cultures |
| A montoux test |
Correct Answer: B,E
Rationale: A chest X-ray: Key diagnostic tool for lung abnormalities like TB. A Mantoux test: Screens for tuberculosis infection, crucial given travel history.
Extract:
Question 5 of 5
A nurse is caring for a client who has a new diagnosis of hypertension and is prescribed hydrochlorothiazide. Which of the following instructions should the nurse include?
Correct Answer: A
Rationale: Monitor your weight weekly: Hydrochlorothiazide can cause fluid loss, and weight monitoring helps detect significant changes that may indicate dehydration or fluid retention. Generated rationale: Regular weight checks allow early identification of fluid imbalances, ensuring safe management of diuretic therapy.