ATI LPN
PN Comprehensive Predictor 2020 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has a prescription for amoxicillin. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Amoxicillin risks allergic reactions (e.g., rash, anaphylaxis), requiring monitoring. It's oral or slow IV, diluted in saline, and full course completion is needed.
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 reinforcing teaching with a client who has a new prescription for apixaban. Which of the following statements should the nurse include?
Correct Answer: B
Rationale: Apixaban, an anticoagulant, increases bleeding risk, leading to bruising. It's taken with or without food, urine color isn't affected, and alcohol isn't contraindicated but should be limited.
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
Rationale: Arm exercises prevent lymphedema and stiffness post-mastectomy. Elevation, frequent infection checks, and sling use are standard.
Question 5 of 5
A nurse is reinforcing teaching with a client who has a new prescription for methotrexate. Which of the following statements should the nurse include?
Correct Answer: C
Rationale: Methotrexate can cause mouth sores, a side effect to monitor. Milk isn't required, energy may decrease, and alcohol avoidance is true but not the focus here.