ATI LPN
LPN Comprehensive Predictor 2023 Questions
Extract:
Question 1 of 5
A nurse is assisting with the care of a client who is postoperative following a lumbar laminectomy. Which of the following instructions should the nurse include?
Correct Answer: A,C
Rationale: Log-roll when changing positions: Log-rolling maintains spinal alignment, reducing strain on the surgical site. Ambulate only with assistance initially: Assistance ensures safety while mobility is limited post-surgery. Generated rationale: These measures protect the surgical site and promote safe recovery by minimizing spinal stress and fall risk.
Question 2 of 5
A nurse is reinforcing teaching with a parent of a child who has asthma about the administration of montelukast. Which of the following statements by the parent indicates an understanding of the teaching?
Correct Answer: C
Rationale: I will give this medication to my child once daily in the evening: Montelukast is typically taken once daily in the evening. It helps to reduce inflammation and prevent asthma symptoms, and taking it in the evening aligns with the medication's intended use for long-term control of asthma.
Question 3 of 5
A nurse is caring for a client who has a new diagnosis of bipolar disorder and is prescribed lithium. Which of the following laboratory values should the nurse monitor?
Correct Answer: A
Rationale: Sodium: Lithium can cause hyponatremia, and sodium levels must be monitored to prevent toxicity. Generated rationale: Lithium's renal effects can disrupt sodium balance, requiring close monitoring to avoid adverse effects like confusion or seizures.
Extract:
Postoperative Day 3
0900:
Client reports pain at surgical incision site as 5 on a scale of 0 to 10. Client reports bladder fullness. Perineal dressing Intact with minimal serosanguinous drainage. Client transferring out of bed to chair independently. Extremities cool and dry with 2+peripheral pulses.
1300:
Client reports abdominal cramping and small, hard, painful bowel movement after lunch. Ambulating independently in hallway. Reports pain as 8 on a scale of 0 to 10. Urinary catheter intact with 100 mL/hr of pink urine.
Question 4 of 5
Select the 2 actions the nurse should prepare to take for the client.
| Encourage prolonged dangling before ambulation. |
| Administer an enema. |
| Encourage oral fluid intake. |
| Irrigate indwelling catheter with 500 mL of fluid. |
| Assist the client with a sitz bath. |
Correct Answer: C,E
Rationale: Encourage oral fluid intake: Hydration softens stool and prevents constipation. Assist the client with a sitz bath: Promotes perineal relaxation and healing.
Extract:
Day 1
0800:
Client admitted for epigastric abdominal pain. Client rates pain
as 8 on a 0 to 10 scale. Client states pain began 24 hr after
drinking alcohol and eating, a large meal. Client has history of
alcohol use disorder. Client indicated no relief of pain after
taking cimetidine. Client is alert and oriented to person, place and time. Lung sounds diminished in the bases bilaterally. Bowel sounds hypoactive in all four quadrants, abdomen distended. Client reports nausea and vomiting for the past 24 hr
Question 5 of 5
A nurse is assisting in the care of a newly admitted client. Which of the following findings should the nurse report immediately to the provider? Select all that apply.
Correct Answer: A,B,E,F
Rationale: Temperature: The client's temperature increased to 38.9°C (102°F), indicating possible infection. Blood pressure: Hypotension (92/48 mmHg) suggests volume depletion. Heart rate: Tachycardia (132/min) indicates compensatory shock. Respiratory status: Respiratory rate of 32/min and SpO2 of 88% suggest distress. Mental confusion: Disorientation indicates worsening condition. Cold, clammy skin: Suggests poor perfusion and shock.