ATI LPN
PN Comprehensive Predictor 2020 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has a new prescription for sumatriptan. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Sumatriptan can cause chest pain (vasoconstriction), requiring monitoring. It's PRN for migraines, taken without regard to meals, and respiratory rate isn't primary.
Question 2 of 5
A nurse is caring for a client who has a prescription for lidocaine IV. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Lidocaine IV, used for arrhythmias, can cause seizures if toxic, requiring monitoring. It's given per protocol (not 5 min), diluted in saline, and respiratory rate isn't primary.
Question 3 of 5
A nurse is caring for a client who has paranoid schizophrenia and believes that they are being followed by FBI agents who are pretending to be psychiatric staff. Which of the following responses should the nurse make?
Correct Answer: B
Rationale: Acknowledging the client's fears with empathy ('This must be very frightening for you') validates their feelings and builds trust, encouraging further discussion. Denying beliefs outright or questioning them confrontationally can increase distrust and defensiveness.
Question 4 of 5
A nurse is caring for a client who follows a kosher diet. Which of the following menu items should the nurse include on the tray?
Correct Answer: C
Rationale: Kosher dietary laws prohibit shellfish (clams, shrimp) and pork, but allow fish with fins and scales like salmon. Roasted salmon is the only compliant option.
Question 5 of 5
A nurse is reinforcing teaching with a client who has a new prescription for warfarin. Which of the following statements should the nurse include?
Correct Answer: B
Rationale: Warfarin increases bleeding risk, so unusual bleeding must be reported. Potassium isn't restricted, urine color change isn't typical, and appetite isn't affected.