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 ceftriaxone. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Monitoring for allergic reactions (e.g., rash, anaphylaxis) is critical with antibiotics like ceftriaxone. It's given slowly, diluted in saline, and typically daily, not weekly.
Question 2 of 5
A nurse is caring for a client who has a new prescription for enoxaparin. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Enoxaparin is injected into subcutaneous tissue (e.g., abdomen), not muscle. Massaging increases bleeding risk, and red stools aren't expected—bruising is more common.
Question 3 of 5
A nurse is caring for a client who has end-stage kidney disease. The client has decided to stop dialysis treatment. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The nurse must respect the client's autonomy to refuse treatment, supporting their decision and providing end-of-life care resources. Suggesting family discussion, chaplain visits, or alternatives oversteps unless requested by the client.
Extract:
Vital Signs
05:00
Temperature 36.6 C (97.9 F)
Heart rate 100/min
Respiratory rate 22/min
Blood pressure 160/98 mm Hg
Oxygen saturation 96% on oxygen 2 L/min via nasal cannula
14:00
Temperature 36.8 C (98.3 F)
Heart rate 90/min
Respiratory rate 18/min
Blood pressure 138/88 mm Hg
Oxygen saturation 97% on oxygen 2 L/min via nasal cannula
Question 4 of 5
A nurse is assisting with the care of a client in a medical-surgical unit. Vital Signs 05:00 Temperature 36.6 C (97.9 F) Heart rate 100/min Respiratory rate 22/min Blood pressure 160/98 mm Hg Oxygen saturation 96% on oxygen 2 L/min via nasal cannula 14:00 Temperature 36.8 C (98.3 F) Heart rate 90/min Respiratory rate 18/min Blood pressure 138/88 mm Hg Oxygen saturation 97% on oxygen 2 L/min via nasal cannula Which of the following actions should the nurse take to decrease the risks for a urinary tract infection for this client? Select all that apply.
Correct Answer: A,D,E,F
Rationale: High fluid intake flushes bacteria, frequent emptying prevents growth, daily review minimizes catheter use, and soap/water cleaning reduces infection risk. Tubing changes and bag placement increase risk.
Extract:
Question 5 of 5
A nurse is collecting data from a client who has heart failure and is taking furosemide. Which of the following findings should indicate to the nurse that the medication is effective?
Correct Answer: B
Rationale: Furosemide, a diuretic, is effective if it increases urinary output, reducing fluid overload in heart failure. Hemoglobin, BUN, and weight changes aren't direct indicators of its efficacy here.