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 IV fluids. Which of the following findings should the nurse report immediately?
Correct Answer: A
Rationale: Swelling at the IV site: Swelling indicates possible infiltration or extravasation, requiring immediate cessation of the infusion. Generated rationale: IV infiltration can cause tissue damage or infection if not addressed promptly, necessitating urgent reporting.
Question 2 of 5
A nurse is assisting with the care of a client who is postoperative following a mastectomy. Which of the following actions should the nurse take?
Correct Answer: A,B
Rationale: Encourage arm exercises on the affected side: Promotes mobility and prevents lymphedema. Keep the arm elevated when at rest: Reduces swelling. Generated rationale: These interventions support recovery by improving circulation and preventing complications like lymphedema.
Extract:
Day of admission
1300
The client is accompanied by a patient who reports that the
client has become more aggressive and has been acting out at home. Few superficial cut marks on the wrist noted. The client has borderline personality disorder and alcohol use disorder.
Day 2
1000:
The client is angry and tells the nurse, "You are a horrible person’’
Client initiated a fight with other peers in the unit
1300:
The client is encouraged to encourage to share their feelings. The client tells
the nurse, "You are the best. Much better than the other nurses."
A nurse is assisting with the care of a client.
The nurse is collecting data from the client.
Question 3 of 5
The nurse should identify that ____ and ____ indicate manifestations of borderline personality disorder.
| Elevated body temperature |
| Emotional stability |
| Tactile hallucinations |
| Increased heart rate |
| Fear of abandonment |
| Tactile hallucinations |
| Increased heart rate |
Correct Answer: B,E
Rationale: Fear of abandonment: Clients with borderline personality disorder (BP
D) often have an intense fear of abandonment. Emotional instability: BPD is characterized by rapid mood changes and intense emotional reactions.
Extract:
Question 4 of 5
A nurse is reinforcing teaching with a client who has a new prescription for warfarin. Which of the following instructions should the nurse include?
Correct Answer: A
Rationale: Avoid eating spinach or cabbage: Warfarin is an anticoagulant, and foods high in vitamin K, such as spinach and cabbage, can interfere with its effectiveness. Generated rationale: Warfarin's anticoagulant effect can be reduced by high vitamin K intake, making dietary instructions critical to maintain therapeutic levels.
Question 5 of 5
A nurse is reinforcing teaching with a client who has a new prescription for sertraline. Which of the following instructions should the nurse include?
Correct Answer: A
Rationale: Report suicidal thoughts immediately: Sertraline, an SSRI, carries a risk of increased suicidal ideation, especially early in treatment. Generated rationale: Early monitoring for suicidal thoughts is critical to ensure patient safety during antidepressant initiation.