ATI LPN
LPN Comprehensive Predictor 2023 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has a new prescription for metoprolol. Which of the following findings should the nurse monitor as an adverse effect?
Correct Answer: A
Rationale: Bradycardia: Metoprolol, a beta-blocker, can slow heart rate, requiring monitoring for excessive bradycardia. Generated rationale: Beta-blockade reduces sympathetic stimulation, potentially causing bradycardia that may need dose adjustment.
Question 2 of 5
A nurse is reinforcing teaching with the parents of a child who has ADHD and is taking methylphenidate. Which of the following statements by the parents indicates that the medication is effective?
Correct Answer: D
Rationale: Our child is able to complete his homework on time: This statement is a clear indicator that methylphenidate is working effectively. One of the main goals of treating ADHD is to improve the child's ability to focus and complete tasks.
Question 3 of 5
A nurse is collecting data from a client who is receiving IV therapy. Which of the following findings indicates fluid volume overload?
Correct Answer: A,B
Rationale: Crackles in the lungs: Crackles indicate fluid accumulation in the alveoli, a sign of fluid overload. Distended neck veins: This reflects increased venous pressure due to excess fluid volume. Generated rationale: Fluid volume overload leads to systemic congestion, manifesting as pulmonary edema (crackles) and increased central venous pressure (distended neck veins), requiring immediate intervention.
Question 4 of 5
A nurse is caring for a client who has a new prescription for duloxetine. Which of the following findings should the nurse monitor as an adverse effect?
Correct Answer: A
Rationale: Nausea: Duloxetine, an SNRI, commonly causes nausea, especially early in treatment. Generated rationale: Nausea can affect adherence and comfort, requiring monitoring to assess severity and need for intervention.
Question 5 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.