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 enalapril. Which of the following findings should the nurse monitor as an adverse effect?
Correct Answer: A
Rationale: Dry cough: Enalapril, an ACE inhibitor, commonly causes a persistent dry cough due to bradykinin accumulation. Generated rationale: Cough is a frequent side effect that may require switching to another medication class if intolerable.
Extract:
Day 1
0800:
Client admitted for epigastric abdominal pain. Client rates pain
as 8 on a 0 to 10 scale. Client states pain began 24 hr after
drinking alcohol and eating, a large meal. Client has history of
alcohol use disorder. Client indicated no relief of pain after
taking cimetidine. Client is alert and oriented to person, place and time. Lung sounds diminished in the bases bilaterally. Bowel sounds hypoactive in all four quadrants, abdomen distended. Client reports nausea and vomiting for the past 24 hr
Question 2 of 5
A nurse is assisting in the care of a newly admitted client. Which of the following findings should the nurse report immediately to the provider? Select all that apply.
Correct Answer: A,B,E,F
Rationale: Temperature: The client's temperature increased to 38.9°C (102°F), indicating possible infection. Blood pressure: Hypotension (92/48 mmHg) suggests volume depletion. Heart rate: Tachycardia (132/min) indicates compensatory shock. Respiratory status: Respiratory rate of 32/min and SpO2 of 88% suggest distress. Mental confusion: Disorientation indicates worsening condition. Cold, clammy skin: Suggests poor perfusion and shock.
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
Question 3 of 5
To further evaluate the client, the nurse anticipates the client will need ____ and ____.
| A pulmonary function test |
| A chest x-ray |
| A nasopharyngeal swab |
| Blood cultures |
| A montoux test |
Correct Answer: B,E
Rationale: A chest X-ray: Key diagnostic tool for lung abnormalities like TB. A Mantoux test: Screens for tuberculosis infection, crucial given travel history.
Extract:
Question 4 of 5
A nurse is assisting with the care of a client who is receiving oxygen therapy via nasal cannula. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Check the nares for skin breakdown: Prolonged oxygen use can cause irritation or breakdown, requiring regular assessment. Generated rationale: Monitoring skin integrity prevents complications from pressure or dryness caused by the cannula.
Question 5 of 5
A nurse is collecting data from a client who has heart failure. Which of the following findings should the nurse report immediately?
Correct Answer: A
Rationale: Weight gain of 1 kg (2.2 lb) in 24 hours: Rapid weight gain in heart failure indicates fluid retention, a sign of worsening condition requiring immediate intervention. Generated rationale: Sudden weight gain suggests fluid overload, which can exacerbate heart failure and lead to pulmonary edema if not addressed promptly.