ATI LPN
PN Comprehensive Predictor 2020 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has end-stage kidney disease. The client has decided to stop dialysis treatment. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The nurse must respect the client's autonomy to refuse treatment, supporting their decision and providing end-of-life care resources. Suggesting family discussion, chaplain visits, or alternatives oversteps unless requested by the client.
Question 2 of 5
A nurse in an adult day care facility is contributing to the plan of care for a client whose family reports recent confusion and memory loss. Which of the following strategies should the nurse include in the plan?
Correct Answer: D
Rationale: Symbols on signage aid navigation for clients with memory loss who may struggle with written language, enhancing orientation and independence. Low lighting increases confusion, multiple meal options can overwhelm, and confrontation may heighten agitation.
Question 3 of 5
A nurse is caring for a client who has a prescription for ertapenem. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Ertapenem risks allergic reactions (e.g., rash), requiring monitoring. It's given over 30 minutes, diluted in saline, and dosed daily, not weekly.
Question 4 of 5
A nurse is caring for a client who has an indwelling catheter with a urinary drainage system. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Securing tubing to the abdomen prevents tugging and maintains flow, reducing infection risk. Coiling above the bag, holding at waist, or sampling from the bag increase infection risk.
Question 5 of 5
A nurse is caring for a client who has end-stage kidney disease. The client has decided to stop dialysis treatment. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The nurse must respect the client's autonomy to refuse treatment, supporting their decision and providing end-of-life care resources. Suggesting family discussion, chaplain visits, or alternatives oversteps unless requested by the client.