ATI LPN
PN Comprehensive Predictor 2020 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has a prescription for ondansetron. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Ondansetron, an antiemetic, can cause constipation, requiring monitoring. It's given slowly IV, diluted in saline, and dosed as needed, not weekly.
Question 2 of 5
A nurse is reinforcing teaching with a client who has a new prescription for loratadine. Which of the following statements should the nurse include?
Correct Answer: A
Rationale: Loratadine may cause mild drowsiness, so bedtime dosing is an option if needed. Appetite and skin color aren't affected, and stopping depends on symptom duration.
Question 3 of 5
A nurse is assisting with the care of a client who is receiving a continuous IV infusion of midazolam. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Midazolam, a sedative, risks respiratory depression, requiring hourly monitoring. Site changes are less frequent, rate depends on orders, and heparin isn't routine.
Question 4 of 5
A nurse is caring for a client who has a new diagnosis of hyperthyroidism. Which of the following findings should the nurse expect?
Correct Answer: C
Rationale: Hyperthyroidism increases metabolism, causing heat intolerance. Weight loss, tachycardia, and diarrhea are more typical than gain, bradycardia, or constipation.
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 5 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.