ATI LPN
PN Comprehensive Predictor 2020 Questions
Extract:
Question 1 of 5
A nurse is assisting with the care of a client who is receiving a continuous IV infusion of 0.9% sodium chloride. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Hourly monitoring detects phlebitis early, preventing complications. Site changes are every 72-96 hr, heparin isn't routine, and rate depends on orders.
Question 2 of 5
A nurse is reinforcing teaching with a client who has a new prescription for apixaban. Which of the following statements should the nurse include?
Correct Answer: B
Rationale: Apixaban, an anticoagulant, increases bleeding risk, leading to bruising. It's taken with or without food, urine color isn't affected, and alcohol isn't contraindicated but should be limited.
Question 3 of 5
A nurse is assisting with the care of a client who is postoperative following a cesarean birth. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Splinting the incision reduces pain and strain during coughing post-cesarean. Monitoring should be more frequent, supine isn't ideal, and laxatives depend on need.
Question 4 of 5
A nurse is caring for a client who has a new prescription for spironolactone. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Spironolactone, a potassium-sparing diuretic, risks hyperkalemia, requiring monitoring (e.g., potassium levels). Potassium intake should be limited, it's oral, and glucose isn't affected.
Question 5 of 5
A nurse is assisting with the care of a client who is postoperative following a pancreaticoduodenectomy (Whipple procedure). Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Post-Whipple, pancreatic function may decrease, risking hyperglycemia, requiring monitoring. Ambulation, low-fat diet, and supported coughing are standard.