ATI LPN
LPN Comprehensive Predictor 2023 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has a new diagnosis of hyperthyroidism. Which of the following findings should the nurse expect?
Correct Answer: C
Rationale: Heat intolerance: Hyperthyroidism increases metabolism, causing sensitivity to heat and excessive sweating. Generated rationale: Elevated thyroid hormone levels accelerate metabolic rate, leading to heat intolerance as a hallmark symptom.
Extract:
0900:
Client reports, "I'm bloated and my stomach hurts."
History of prior illness: Client reports a 3-week history of gnawing abdominal pain. Client states, "It's a burning sensation that radiates to my back. I think I've lost a little weight too. Reports one episode of dark, tarry stool. No vomiting. Client reports pain is worse about 1 hr after eating a meal and pain is worsened by eating.
Past Medical History: osteoarthritis
Social History: recently divorced, drinks in moderation (3 to 4 drinks per week), smokes tobacco
Current Medications: Ibuprofen 800 mg three times daily PRN arthritis pain
General: client appears uncomfortable, diaphoretic
Head, ears, eyes, nose, and throat (HEENT): oropharynx clear, mucous membranes moist and pale
Respiratory: bilateral breath sounds clear
A nurse assisting with the care of a client who is admitted to the medical-surgical unit.
The nurse is reviewing the client's laboratory findings and vital signs.
Question 2 of 5
A nurse is assisting with the care of a client who is admitted to the medical-surgical unit. The nurse is reviewing the client's laboratory findings and vital signs. Select the 5 findings that require immediate follow-up.
| Respiratory rate |
| Stool results |
| Heart rate |
| Temperature |
| WBC count |
| Blood pressure |
| Hemoglobin and hematocrit |
Correct Answer: B,C,F,G
Rationale: Stool results: A positive hemoccult test indicates gastrointestinal bleeding, likely due to a peptic ulcer. Heart rate: The tachycardia (118/min) suggests a compensatory response to hypovolemia. Blood pressure: Hypotension (90/50 mm Hg) is concerning for volume depletion. Hemoglobin and hematocrit: A hemoglobin of 9.1 g/dL and hematocrit of 27% indicate anemia. Current medications: Ibuprofen use is a major risk factor for gastrointestinal bleeding.
Extract:
Question 3 of 5
A nurse is preparing to perform a wet-to-dry dressing change for a client who has an infected abdominal wound. Which of the following techniques should nurse use when performing this dressing change?
Correct Answer: D
Rationale: Clean the wound from the center to the outer edges: When cleaning a wound, the nurse should always clean from the center of the wound to the outer edges in a circular motion.
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 4 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 5 of 5
A nurse is assisting with the care of a client who has a new prescription for albuterol. Which of the following findings should the nurse monitor as an adverse effect?
Correct Answer: A
Rationale: Tremors: Albuterol, a beta-agonist, can cause tremors as a side effect due to its stimulatory effects on the nervous system. Generated rationale: Tremors result from albuterol's activation of beta-2 receptors, which can cause muscle overstimulation, requiring monitoring to assess severity.