ATI LPN
PN Comprehensive Predictor 2020 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has a prescription for vancomycin IV. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Vancomycin can cause ototoxicity (hearing loss), requiring monitoring. It's given over 60+ minutes, diluted in saline, and temp checks aren't specific to it.
Question 2 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 3 of 5
A nurse is assisting with the care of a client who is postoperative following a nephrectomy. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Post-nephrectomy, monitoring urinary output from the remaining kidney ensures function. Supine isn't required, diet adjusts gradually, and deep breathing prevents complications.
Question 4 of 5
A nurse is reinforcing teaching with a client who has a new prescription for fluticasone via inhaler. Which of the following statements should the nurse include?
Correct Answer: A
Rationale: Rinsing the mouth after fluticasone prevents oral thrush, a common side effect. Energy and urine color aren't affected, and it's dosed daily or as prescribed.
Question 5 of 5
A nurse is assisting with the care of a client who is receiving a continuous IV infusion of normal saline. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Phlebitis (e.g., redness, pain) is a risk with IV infusions, requiring monitoring. Site changes are every 72-96 hr, heparin isn't routine, and rate depends on orders.