ATI LPN
PN Comprehensive Predictor 2020 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who follows a kosher diet. Which of the following menu items should the nurse include on the tray?
Correct Answer: C
Rationale: Kosher dietary laws prohibit shellfish (clams, shrimp) and pork, but allow fish with fins and scales like salmon. Roasted salmon is the only compliant option.
Question 2 of 5
A nurse is caring for a client who has end-stage kidney disease. The client has decided to stop dialysis treatment. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The nurse must respect the client's autonomy to refuse treatment, supporting their decision and providing end-of-life care resources. Suggesting family discussion, chaplain visits, or alternatives oversteps unless requested by the client.
Question 3 of 5
A nurse is reinforcing teaching with a client who is about to start using an albuterol metered-dose inhaler. Which of the following instructions should the nurse include in the teaching?
Correct Answer: C
Rationale: Proper inhaler technique requires closing the mouth around the mouthpiece to ensure medication reaches the lungs. Tilting the head forward, taking quick breaths, or exhaling immediately disrupts effective delivery.
Question 4 of 5
A nurse is reinforcing teaching with a new parent about bathing her newborn. Which of the following statements should the nurse include?
Correct Answer: C
Rationale: Sponge baths are recommended until the umbilical cord falls off to prevent infection or irritation. Talcum powder poses a respiratory risk, alkaline soap irritates skin, and water should be around 98°F, not 96°F.
Question 5 of 5
A nurse is reinforcing teaching with a client who has a new prescription for atorvastatin. For which of the following adverse effects should the nurse instruct the client to monitor and report to the provider?
Correct Answer: D
Rationale: Atorvastatin can cause myopathy, characterized by muscle pain, which may progress to severe rhabdomyolysis. This requires immediate reporting, unlike hypoglycemia, palpitations, or drowsiness, which aren't typical side effects.