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 ipratropium. Which of the following instructions should the nurse include?
Correct Answer: A,D
Rationale: Rinse mouth after use: Prevents oral candidiasis from inhaled ipratropium. Avoid using during an acute asthma attack: Ipratropium is not a rescue medication. Generated rationale: These instructions ensure safe use and clarify ipratropium's role in maintenance therapy.
Question 2 of 5
A nurse is caring for a client who has a new diagnosis of rheumatoid arthritis. Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: Morning stiffness: Rheumatoid arthritis causes prolonged joint stiffness, especially in the morning, due to inflammation. Generated rationale: Synovial inflammation in rheumatoid arthritis leads to stiffness, a hallmark symptom impacting daily function.
Question 3 of 5
A nurse is reinforcing teaching with a parent of a child who has asthma about the administration of montelukast. Which of the following statements by the parent indicates an understanding of the teaching?
Correct Answer: C
Rationale: I will give this medication to my child once daily in the evening: Montelukast is typically taken once daily in the evening. It helps to reduce inflammation and prevent asthma symptoms, and taking it in the evening aligns with the medication's intended use for long-term control of asthma.
Question 4 of 5
A nurse is assisting with the care of a client who is postoperative following a mastectomy. Which of the following actions should the nurse take?
Correct Answer: A,B
Rationale: Encourage arm exercises on the affected side: Promotes mobility and prevents lymphedema. Keep the arm elevated when at rest: Reduces swelling. Generated rationale: These interventions support recovery by improving circulation and preventing complications like lymphedema.
Extract:
1230:
0.9% sodium chloride 500 mL bolus then 100 mL/hr.
Type and cross match for 2 units of packed RBCs.
Repeat WBC, hemoglobin, and hematocrit STAT.
Delay endoscopy.
2 L/min O2 via nasal cannula.
1330:
2 units packed RBCs IV over 4 hr.
Repeat WBC, hemoglobin, and hematocrit at transfusion
completion STAT.
The nurse is reviewing the client's medical record.
The nurse is assisting with the care the client prior to a blood transfusion
Question 5 of 5
The nurse is assisting with the care the client prior to a blood transfusion. Which of the following actions should the nurse take? Select all that apply.
Correct Answer: B,C,D
Rationale: Ensure two nurses confirm the information on the blood label: Before initiating a blood transfusion, two nurses must verify the client's identity, blood type, and compatibility with the donor blood. Obtain a large-bore IV catheter: A large-bore IV catheter (18 20 gauge) is necessary to facilitate the transfusion of packed red blood cells. Witness the client signing a consent for transfusion: A blood transfusion is an invasive procedure requiring informed consent.