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 ipratropium via metered-dose inhaler. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Ipratropium can cause tachycardia, a side effect to monitor. Breath-holding is 10 seconds, dosing is typically 4-6 hr, and O2 sat isn't directly related.
Question 2 of 5
A nurse is assisting with the care of a client who is receiving a continuous IV infusion of dopamine. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Dopamine extravasation can cause tissue necrosis, requiring hourly checks. Site changes are less frequent, rate depends on orders, and heparin isn't routine.
Question 3 of 5
A nurse is reinforcing teaching with a client who has a new prescription for risedronate. Which of the following statements should the nurse include?
Correct Answer: B
Rationale: Remaining upright for 30 minutes prevents esophageal irritation from risedronate. It's taken in the morning, rash isn't common, and milk interferes with absorption.
Extract:
Nurses' Notes
Day 1, 12:00:
Transferred to medical-surgical unit from emergency department (ED) for continued care following a closed reduction and immobilization of a fracture of the right arm. Accompanied by adult child.
Client in visibly soiled night clothes with multiple stains, including what appears to be dried blood. Hair, teeth, and fingernails unclean. Strong body odor noted. Bruising of various stages noted around upper arms, back, shoulders, and neck area.
Client is soft-spoken, speaks almost in a whisper, does not make eye contact with nurse.
Client looks at their child before answering the nurse's questions and, when asked how the injury occurred, mumbles "I don't know. Ask them." Client's child states, "He gets confused sometimes. I can answer your questions."
Question 4 of 5
A nurse is caring for a newly admitted older adult client. Nurses' Notes Day 1, 12:00: Transferred to medical-surgical unit from emergency department (ED) for continued care following a closed reduction and immobilization of a fracture of the right arm. Accompanied by adult child. Client in visibly soiled night clothes with multiple stains, including what appears to be dried blood. Hair, teeth, and fingernails unclean. Strong body odor noted. Bruising of various stages noted around upper arms, back, shoulders, and neck area. Client is soft-spoken, speaks almost in a whisper, does not make eye contact with nurse. Client looks at their child before answering the nurse's questions and, when asked how the injury occurred, mumbles 'I don't know. Ask them.' Client's child states, 'He gets confused sometimes. I can answer your questions.' Which of the following interventions should the nurse recommend to include in the client's plan of care? Select all that apply.
Correct Answer: B,C,D
Rationale: Asking for details about the fracture gathers information, discussing respite care supports the caregiver, and speaking privately assesses for abuse safely. Threatening reporting lacks evidence, and legal advice is outside nursing scope.
Extract:
Question 5 of 5
A nurse is caring for a client who has a prescription for fluconazole. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Fluconazole can cause liver damage (hepatotoxicity), requiring monitoring (e.g., LFTs). It's oral or slow IV, diluted in saline, and dosing varies by condition.