ATI LPN
PN Comprehensive Predictor 2020 Questions
Extract:
Question 1 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 2 of 5
A nurse is assisting with the care of a client who is postoperative following a total hip arthroplasty. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Dislocation is a risk post-hip arthroplasty, requiring monitoring (e.g., leg positioning). Prone isn't standard, dependent positioning risks swelling, and cold compresses are as needed.
Question 3 of 5
A nurse is caring for a client who has a prescription for warfarin. Which of the following laboratory tests should the nurse monitor?
Correct Answer: D
Rationale: Warfarin affects clotting via vitamin K, so prothrombin time (PT) monitors its efficacy and safety. Other tests assess thyroid, kidney, or respiratory function, not anticoagulation.
Extract:
Nurses' Notes
Day 1, 12:00:
Transferred to medical-surgical unit from emergency department (ED) for continued care following a closed reduction and immobilization of a fracture of the right arm. Accompanied by adult child.
Client in visibly soiled night clothes with multiple stains, including what appears to be dried blood. Hair, teeth, and fingernails unclean. Strong body odor noted. Bruising of various stages noted around upper arms, back, shoulders, and neck area.
Client is soft-spoken, speaks almost in a whisper, does not make eye contact with nurse.
Client looks at their child before answering the nurse's questions and, when asked how the injury occurred, mumbles "I don't know. Ask them." Client's child states, "He gets confused sometimes. I can answer your questions."
Question 4 of 5
A nurse is caring for a newly admitted older adult client. Nurses' Notes Day 1, 12:00: Transferred to medical-surgical unit from emergency department (ED) for continued care following a closed reduction and immobilization of a fracture of the right arm. Accompanied by adult child. Client in visibly soiled night clothes with multiple stains, including what appears to be dried blood. Hair, teeth, and fingernails unclean. Strong body odor noted. Bruising of various stages noted around upper arms, back, shoulders, and neck area. Client is soft-spoken, speaks almost in a whisper, does not make eye contact with nurse. Client looks at their child before answering the nurse's questions and, when asked how the injury occurred, mumbles 'I don't know. Ask them.' Client's child states, 'He gets confused sometimes. I can answer your questions.' Which of the following interventions should the nurse recommend to include in the client's plan of care? Select all that apply.
Correct Answer: B,C,D
Rationale: Asking for details about the fracture gathers information, discussing respite care supports the caregiver, and speaking privately assesses for abuse safely. Threatening reporting lacks evidence, and legal advice is outside nursing scope.
Extract:
Question 5 of 5
A nurse is caring for a client who has a new prescription for clonazepam. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Clonazepam causes drowsiness, requiring monitoring. It's as prescribed (not always daily), taken without regard to meals, and respiratory checks aren't primary.