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 dobutamine. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Dobutamine, a vasopressor, affects blood pressure, requiring hourly monitoring for titration. Site changes are less frequent, rate depends on orders, and heparin isn't routine.
Extract:
Vital Signs
05:00
Temperature 36.6 C (97.9 F)
Heart rate 100/min
Respiratory rate 22/min
Blood pressure 160/98 mm Hg
Oxygen saturation 96% on oxygen 2 L/min via nasal cannula
14:00
Temperature 36.8 C (98.3 F)
Heart rate 90/min
Respiratory rate 18/min
Blood pressure 138/88 mm Hg
Oxygen saturation 97% on oxygen 2 L/min via nasal cannula
Question 2 of 5
A nurse is assisting with the care of a client in a medical-surgical unit. Vital Signs 05:00 Temperature 36.6 C (97.9 F) Heart rate 100/min Respiratory rate 22/min Blood pressure 160/98 mm Hg Oxygen saturation 96% on oxygen 2 L/min via nasal cannula 14:00 Temperature 36.8 C (98.3 F) Heart rate 90/min Respiratory rate 18/min Blood pressure 138/88 mm Hg Oxygen saturation 97% on oxygen 2 L/min via nasal cannula Which of the following actions should the nurse take to decrease the risks for a urinary tract infection for this client? Select all that apply.
Correct Answer: A,D,E,F
Rationale: High fluid intake flushes bacteria, frequent emptying prevents growth, daily review minimizes catheter use, and soap/water cleaning reduces infection risk. Tubing changes and bag placement increase risk.
Extract:
Question 3 of 5
A nurse is reinforcing teaching with a client who has type 2 diabetes mellitus and a new prescription for glipizide. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: B
Rationale: Alcohol can enhance glipizide's hypoglycemic effect, risking low blood sugar. It's taken before meals, doesn't increase urine output, and BP monitoring isn't specific to it.
Question 4 of 5
A nurse is planning to obtain a 12-lead ECG for a client who has a history of cardiac dysrhythmias. Which of the following actions should the nurse plan to take?
Correct Answer: B
Rationale: Remaining still ensures an accurate ECG reading of heart activity. Orthopneic position aids breathing, BP cuffs aren't needed, and no stinging occurs.
Question 5 of 5
A nurse is assisting with the care of a client who is receiving a continuous IV infusion of nitroprusside. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Nitroprusside, a vasodilator, requires hourly BP monitoring to prevent hypotension. Site changes are less frequent, rate depends on orders, and heparin isn't routine.