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 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 3 of 5
A nurse is reinforcing teaching with a client who has diabetes mellitus about a 24-hour creatinine clearance test. Which of the following statements should the nurse include in the teaching?
Correct Answer: C
Rationale: For a 24-hour creatinine clearance test, the client discards the first morning void and collects all urine for the next 24 hours to measure kidney function accurately. Protein-rich diets can skew results, glucose levels aren't relevant, and antiseptics may contaminate the sample.
Question 4 of 5
A nurse in a mental health facility is caring for a client who reports palpitations and a sense of impending doom. Which of the following actions should the nurse take first?
Correct Answer: C
Rationale: Minimizing stimuli first calms the environment, reducing anxiety or panic attack triggers. Medication, past behaviors, and explanations follow as needed.
Question 5 of 5
A nurse is assisting with the care of a client who is receiving a continuous IV infusion of lactated Ringer's solution. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Fluid overload (e.g., dyspnea) is a risk with IV fluids, requiring monitoring. Site changes are every 72-96 hr, heparin isn't routine, and rate depends on orders.