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 type 1 diabetes mellitus. Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: Increased thirst: Polydipsia is a classic symptom of type 1 diabetes due to hyperglycemia-induced dehydration. Generated rationale: Osmotic diuresis from high glucose levels causes excessive thirst, a hallmark of uncontrolled diabetes.
Question 2 of 5
A nurse is reinforcing teaching with a client who has a new prescription for methotrexate. Which of the following instructions should the nurse include?
Correct Answer: A
Rationale: Avoid alcohol consumption: Methotrexate is hepatotoxic, and alcohol can exacerbate liver damage. Generated rationale: Combining methotrexate with alcohol increases the risk of liver toxicity, necessitating strict avoidance to ensure safety.
Question 3 of 5
A nurse is reinforcing teaching with a client who has a new diagnosis of gastroesophageal reflux disease (GERD). Which of the following instructions should the nurse include?
Correct Answer: B
Rationale: Avoid lying down for 2 hours after eating: Lying down soon after eating can exacerbate reflux by allowing stomach acid to flow into the esophagus. Generated rationale: Preventing acid reflux involves maintaining an upright position post-meals to reduce esophageal irritation and promote gastric emptying.
Question 4 of 5
A nurse is caring for a client who has a new diagnosis of deep vein thrombosis and is prescribed warfarin. Which of the following instructions should the nurse include?
Correct Answer: A
Rationale: Avoid foods high in vitamin K: Vitamin K can counteract warfarin's anticoagulant effect, and intake should be consistent and limited. Generated rationale: Warfarin's efficacy depends on stable vitamin K levels, making dietary instructions critical to maintain therapeutic anticoagulation.
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.