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 pancreatitis. Which of the following dietary instructions should the nurse include?
Correct Answer: A,D
Rationale: Eat a low-fat diet: High-fat foods can exacerbate pancreatitis by stimulating pancreatic enzyme release. Avoid alcohol consumption: Alcohol is a common cause of pancreatitis and must be avoided to prevent recurrence. Generated rationale: These dietary changes reduce pancreatic workload and prevent further inflammation.
Question 2 of 5
A nurse is assisting with the care of a client who is receiving a continuous bladder irrigation following a TURP. Which of the following findings should the nurse report immediately?
Correct Answer: A
Rationale: Cloudy urine output: Cloudy urine during continuous bladder irrigation could indicate infection or significant debris, requiring immediate evaluation. Generated rationale: Cloudiness may suggest a complication like infection or clot retention, necessitating prompt intervention post-TURP.
Question 3 of 5
A nurse is reinforcing teaching with a client who has a new prescription for budesonide. Which of the following instructions should the nurse include?
Correct Answer: A
Rationale: Rinse mouth after inhalation: Budesonide, an inhaled corticosteroid, can cause oral thrush if not rinsed. Generated rationale: Rinsing removes residual medication, preventing fungal infections in the oral cavity.
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 1hr 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
Gastrointestinal: epigastric tenderness to palpation, no rebound tenderness
Question 4 of 5
The nurse anticipates the client will likely require ____ as evidenced by the client's ____ and ____.
| proton pump inhibitor therapy |
| blood transfusion |
| antibiotic therapy |
| surgical intervention |
| intravenous fluid resuscitation |
| low hemoglobin |
| low hematocrit |
Correct Answer: B,F,G
Rationale: The nurse anticipates the client will likely require blood transfusion as evidenced by the client's low hemoglobin and low hematocrit.
Extract:
Question 5 of 5
A nurse is reinforcing teaching with a client who has a new prescription for escitalopram. Which of the following instructions should the nurse include?
Correct Answer: A
Rationale: Report suicidal thoughts immediately: Escitalopram, an SSRI, carries a risk of increased suicidal ideation, especially early in treatment. Generated rationale: Early reporting of suicidal thoughts ensures timely intervention, critical for patient safety during antidepressant initiation.