ATI LPN
PN Comprehensive Predictor 2020 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has paranoid schizophrenia and believes that they are being followed by FBI agents who are pretending to be psychiatric staff. Which of the following responses should the nurse make?
Correct Answer: B
Rationale: Acknowledging the client's fears with empathy ('This must be very frightening for you') validates their feelings and builds trust, encouraging further discussion. Denying beliefs outright or questioning them confrontationally can increase distrust and defensiveness.
Question 2 of 5
A nurse is reinforcing teaching about advance directives with a client who has end-stage heart failure. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: A
Rationale: Discussing advance directives with family ensures they understand the client's wishes, which is a key aspect of the process. The client can change their mind anytime, notarization requirements vary by state and aren't universal, and a partner's presence isn't required.
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 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 5 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.