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 assisting with the care of a client who is receiving a continuous IV infusion of furosemide. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Furosemide causes electrolyte loss (e.g., potassium), requiring daily monitoring. Site changes are less frequent, rate depends on orders, and heparin isn't routine.
Question 3 of 5
A nurse is assisting with the care of a client who is postoperative following a pancreaticoduodenectomy (Whipple procedure). Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Post-Whipple, pancreatic function may decrease, risking hyperglycemia, requiring monitoring. Ambulation, low-fat diet, and supported coughing are standard.
Question 4 of 5
A nurse is reinforcing teaching with a client who has a new prescription for warfarin. Which of the following statements should the nurse include?
Correct Answer: B
Rationale: Warfarin increases bleeding risk, so unusual bleeding must be reported. Potassium isn't restricted, urine color change isn't typical, and appetite isn't affected.
Question 5 of 5
A nurse is reinforcing teaching with a client who has a new prescription for a metered-dose inhaler. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: B
Rationale: Rinsing the mouth prevents irritation or infection from residual medication. Waiting time is typically 30-60 seconds, one depression per puff, and breath-holding aids absorption.