ATI LPN
PN Comprehensive Predictor 2020 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has a prescription for warfarin. Which of the following laboratory tests should the nurse monitor?
Correct Answer: D
Rationale: Warfarin affects clotting via vitamin K, so prothrombin time (PT) monitors its efficacy and safety. Other tests assess thyroid, kidney, or respiratory function, not anticoagulation.
Question 2 of 5
A nurse is assisting with the admission of an adolescent client who is suspected to have bacterial meningitis. Which of the following findings should the nurse expect?
Correct Answer: C
Rationale: Nuchal rigidity (neck stiffness) is a classic sign of bacterial meningitis due to meningeal inflammation. Edema, jaundice, and hematuria suggest other conditions.
Question 3 of 5
A nurse is reinforcing teaching with a client who has type 2 diabetes mellitus and a new prescription for glipizide. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: B
Rationale: Alcohol can enhance glipizide's hypoglycemic effect, risking low blood sugar. It's taken before meals, doesn't increase urine output, and BP monitoring isn't specific to it.
Question 4 of 5
A nurse is caring for a client who has a new prescription for diltiazem. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Diltiazem, a calcium channel blocker, can cause bradycardia, requiring monitoring. Grapefruit increases levels, it's given slowly IV, and glucose isn't affected.
Question 5 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.