ATI LPN
PN Comprehensive Predictor 2020 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has a prescription for acetaminophen 300 mg with codeine 30 mg, 1 tablet every 3 to 4 hours PRN for pain. The nurse inadvertently administers 2 tablets to the client. In which of the following locations should the nurse document this alert care incident?
Correct Answer: A
Rationale: Medication errors like administering an incorrect dose must be documented in an incident report for quality improvement and risk management, kept separate from the client's medical record. Other options are for care planning, controlled substance tracking, or provider updates, not incident reporting.
Question 2 of 5
A nurse is caring for a client who has a prescription for digoxin. Which of the following findings should the nurse recognize as an adverse effect of the medication?
Correct Answer: B
Rationale: Digoxin toxicity can cause blurred vision, a key adverse effect to monitor. It doesn't typically increase urine output, reflexes, or cause weight gain.
Question 3 of 5
A nurse is caring for an older adult client who reports dry, itchy skin. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: A humidifier adds moisture to the air, relieving dry, itchy skin common in older adults. Frequent bathing or powder dries skin further, and bath oil is less effective long-term.
Question 4 of 5
A nurse is administering a client's morning oral medications. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The 'three checks'—verifying medication with the record three times—prevents errors. Documentation occurs after administration, time-critical meds need tighter timing, and two identifiers are standard.
Question 5 of 5
A nurse is reinforcing teaching with a client who has a new prescription for levothyroxine. Which of the following statements should the nurse include?
Correct Answer: D
Rationale: Levothyroxine can cause palpitations if over-dosed, requiring reporting. It's taken on an empty stomach, boosts energy, and typically causes weight loss.