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 hypothyroidism. Which of the following findings should the nurse expect?
Correct Answer: C
Rationale: Dry skin: Hypothyroidism slows metabolism, leading to dry, coarse skin. Generated rationale: Reduced thyroid hormone levels impair skin hydration and turnover, causing dryness as a common symptom.
Question 2 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.
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
A nurse is assisting in the care of a client who presents to the emergency department
Question 3 of 5
A nurse is reviewing the client's medical record. Which of the following findings indicate the need for further evaluation? Select all that apply.
Correct Answer: A,B,C,D,G
Rationale: Respiratory complaint: A 4-day productive cough with fatigue raises concern for infection. Temperature: Low-grade fever (38.1°
C) suggests infection. Sputum characteristics: Blood-tinged sputum indicates possible TB or malignancy. Weight: Unintentional 5 lb loss signals systemic illness. Travel history: Recent travel to South Africa increases TB risk.
Extract:
Question 4 of 5
A nurse is reinforcing teaching with a client who is postoperative following a TURP procedure. Which of the following instructions should the nurse include?
Correct Answer: C
Rationale: Avoid lifting objects heavier than 10 lb: Heavy lifting can strain the surgical site after a transurethral resection of the prostate (TURP), increasing the risk of bleeding or complications. Generated rationale: Restricting lifting protects the healing prostate and bladder neck, preventing hemorrhage or delayed recovery.
Question 5 of 5
A nurse is reinforcing teaching with a client who has a new prescription for omeprazole. Which of the following instructions should the nurse include?
Correct Answer: D
Rationale: Swallow the capsule whole: Omeprazole capsules should not be crushed or chewed to ensure proper delayed-release action in the stomach. Generated rationale: Swallowing the capsule whole protects the medication from premature degradation, ensuring effective acid suppression.