ATI LPN
PN Comprehensive Predictor 2020 Questions
Extract:
Question 1 of 5
A nurse is caring for a 3-year-old child immediately following a tonic-clonic seizure. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: After a tonic-clonic seizure, the nurse should first check the child for any injuries, particularly in the oral cavity, as the child may have bitten their tongue or sustained other oral injuries during the seizure. Offering fluids is not a priority due to disorientation and choking risk, a supine position may hinder breathing, and medication should only be given if prescribed.
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 2 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 3 of 5
A nurse is reinforcing teaching with a client who has a new prescription for insulin detemir. Which of the following statements should the nurse include?
Correct Answer: B
Rationale: Insulin detemir requires consistent timing for stable glucose control. Shaking clouds it, hypoglycemia isn't typical at night, and it shouldn't be mixed.
Question 4 of 5
A nurse is collecting a health history from the guardian of a 4-year-old child. Which of the following statements by the guardian is the priority for the nurse to address?
Correct Answer: B
Rationale: Withdrawal after a daycare change suggests emotional distress, a priority over bedwetting, picky eating, or repetitive questions, which are less urgent.
Question 5 of 5
A nurse is reinforcing teaching to a newly licensed nurse about bowel sounds. Which of the following characteristics should the nurse use to describe hyperactive bowel sounds?
Correct Answer: A
Rationale: Hyperactive bowel sounds are loud, high-pitched, and frequent, indicating increased motility, not decreased. They aren't linked to paralytic ileus or soft, infrequent sounds.