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 bupropion. Which of the following instructions should the nurse include?
Correct Answer: A
Rationale: Report insomnia to the provider: Bupropion can cause insomnia as a common side effect, and this should be monitored and reported if significant. Generated rationale: Insomnia may require dose adjustment or timing changes, ensuring effective management of the client's condition.
Question 2 of 5
A nurse is providing change-of-shift report for a client. Which of the following information should the nurse include in the report?
Correct Answer: B,C
Rationale: The client reports pain is reduced when he is positioned on his side: This is relevant clinical information that affects the client's comfort and care plan. Client received the prescribed antibiotic every 8 hours: This confirms adherence to the treatment plan and is critical for continuity of care. Generated rationale: Including relevant clinical data such as pain management strategies and medication administration ensures the oncoming nurse can maintain effective care, while social or historical details like visitors or past family history are less critical unless directly impacting current care.
Extract:
0100:
Client's skin warm to touch. Crackles auscultated in lower lung lobes bilaterally. Mucous membranes show color expected for client's skin tone and dry. Client reports productive cough with yellow sputum
Pedal pulses 2+
Client reports mild penicillin allergy.
A nurse is assisting with the care of a client who has pneumonia.
Question 3 of 5
A nurse is assisting with the care of a client who has pneumonia. For each potential nursing action, click to specify if the potential action is anticipated or contraindicated for the client.
| Options | Anticipated | Contraindicated |
|---|---|---|
| Administer phytonadione (Vitamin K) | ||
| Apply cool compress to the extremity | ||
| Elevate extremity | ||
| Suggest irrigating the IV catheter | ||
| Assist in inserting a new IV catheter in a site distal to the infiltration site | ||
| Send the catheter tip for culture |
Correct Answer: B,C,F
Rationale: Apply cool compress to the extremity: A cool compress helps reduce pain and swelling associated with IV infiltration. Elevate extremity: Elevation promotes venous return and reduces edema. Send the catheter tip for culture: Given the client's edema, pain, and potential IV infiltration, infection is a concern.
Extract:
Question 4 of 5
A nurse is caring for a client who has a new prescription for fluconazole. Which of the following instructions should the nurse include?
Correct Answer: A
Rationale: Report yellowing of the skin: Fluconazole can cause hepatotoxicity, and jaundice (yellowing) is a serious sign to report. Generated rationale: Liver dysfunction is a rare but critical adverse effect, requiring immediate evaluation to prevent further damage.
Question 5 of 5
A nurse is reinforcing teaching with a client who has a new prescription for pregabalin. Which of the following instructions should the nurse include?
Correct Answer: A,D
Rationale: Report dizziness to the provider: Pregabalin can cause dizziness, a side effect that may require monitoring or adjustment. Avoid driving until effects are known: Dizziness and drowsiness from pregabalin can impair driving safety. Generated rationale: These instructions manage common side effects, ensuring safety and effective therapy.