ATI LPN
LPN Comprehensive Predictor 2023 Questions
Extract:
Question 1 of 5
A nurse is caring for a child who has terminal cancer. Which of the following responses by the child's school-age brother should the nurse expect?
Correct Answer: D
Rationale: Believes his bad behavior is causing his brother's death: This response is the most typical for a school-age child. At this stage, children often have a sense of responsibility for events around them and may develop feelings of guilt or magical thinking, where they believe their actions or behavior contributed to the illness or death of a loved one.
Question 2 of 5
A nurse is reinforcing teaching with a client who has a new prescription for pregabalin. Which of the following instructions should the nurse include?
Correct Answer: A,D
Rationale: Report dizziness to the provider: Pregabalin can cause dizziness, a side effect that may require monitoring or adjustment. Avoid driving until effects are known: Dizziness and drowsiness from pregabalin can impair driving safety. Generated rationale: These instructions manage common side effects, ensuring safety and effective therapy.
Extract:
Client reports, “I have a cough”
History of present illness: 38-year-old client presents to the ED with a 4 day history of cough, often productive. Client reports fatigue, night sweats and a low-grade fever. Client reports “blood-tinged sputum”. Client also reports, “I used to weigh 167 pounds. Now I weigh 162 pounds.” Client reports a decreased appetite along with the 2.26kg (5lb) weight loss over the past week. Client states they have been trying to stay hydrated.
Family history: Child has asthma. All other family members healthy.
Social history: Heavy alcohol use (4 to 5 drinks per day), denies tobacco or illicit drug use. Recently traveled to visit their family in South Africa and stayed for 3 weeks
Question 3 of 5
To further evaluate the client, the nurse anticipates the client will need ____ and ____.
| A pulmonary function test |
| A chest x-ray |
| A nasopharyngeal swab |
| Blood cultures |
| A montoux test |
Correct Answer: B,E
Rationale: A chest X-ray: Key diagnostic tool for lung abnormalities like TB. A Mantoux test: Screens for tuberculosis infection, crucial given travel history.
Extract:
Question 4 of 5
A nurse is reinforcing teaching with a client who has a new prescription for venlafaxine. Which of the following instructions should the nurse include?
Correct Answer: A
Rationale: Report increased anxiety: Venlafaxine, an SNRI, can initially worsen anxiety, requiring close monitoring. Generated rationale: Early side effects like anxiety may indicate the need for dose adjustment or additional support.
Question 5 of 5
A nurse is collecting data from a client who has placenta previa. Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: Bright red vaginal bleeding: Bright red vaginal bleeding is the most characteristic finding in placenta previa.