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.
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 2 of 5
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.' The nurse is identifying tertiary prevention strategies to implement for this client. Select the three actions the nurse should take.
Correct Answer: C,E,F
Rationale: Reporting suspected abuse, asking about the fracture, and interviewing privately are tertiary prevention steps to address and mitigate harm. Insisting, informing, or confronting may escalate without evidence.
Extract:
Question 3 of 5
A nurse is caring for a client who has a prescription for linezolid. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Linezolid risks serotonin syndrome (e.g., agitation), especially with other serotonergic drugs, requiring monitoring. It's given slowly IV, diluted in saline, and dosed daily.
Question 4 of 5
A nurse is caring for a client who has a new prescription for zolpidem. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Zolpidem can cause confusion, especially in older adults, requiring monitoring. It's PRN, taken without food, and respiratory checks aren't primary.
Question 5 of 5
A nurse is caring for a client who has a prescription for isoniazid. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Isoniazid risks liver damage (hepatotoxicity), requiring monitoring (e.g., LFTs). It's oral, not IV, and taken daily for TB treatment.