ATI LPN
PN Comprehensive Predictor 2020 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has a prescription for gentamicin IV. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Gentamicin can cause kidney damage (nephrotoxicity), requiring monitoring (e.g., creatinine). It's given over 30-60 minutes, diluted in saline, and BP isn't directly related.
Question 2 of 5
A nurse is assisting with the development of an education program for a group of older adults. Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: Determining literacy level first ensures the program is tailored to participants' comprehension, guiding outcomes, scheduling, and handouts effectively.
Question 3 of 5
A nurse is reinforcing teaching with a client who has a new prescription for atorvastatin. For which of the following adverse effects should the nurse instruct the client to monitor and report to the provider?
Correct Answer: D
Rationale: Atorvastatin can cause myopathy, characterized by muscle pain, which may progress to severe rhabdomyolysis. This requires immediate reporting, unlike hypoglycemia, palpitations, or drowsiness, which aren't typical side effects.
Question 4 of 5
A nurse is caring for a client who has a new prescription for heparin therapy. Which of the following laboratory values should the nurse plan to monitor?
Correct Answer: B
Rationale: Heparin affects clotting via aPTT, which monitors its therapeutic effect. PT/INR is for warfarin, and platelets are checked for thrombocytopenia risk.
Question 5 of 5
A nurse is caring for a client who has a new prescription for topiramate. Which of the following actions should the nurse take?
Correct Answer: B
Rationale:
Topiramate can cause confusion or cognitive slowing, requiring monitoring. It's taken without regard to meals, oral only, and glucose isn't primary.