ATI LPN
LPN Comprehensive Predictor 2023 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is 12 hr postpartum and has deep-vein thrombosis of the left leg. The client is receiving anticoagulant therapy. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Apply an ice pack to the affected extremity for 20 min every 2 hr: Applying an ice pack is an appropriate intervention for reducing swelling and providing comfort in the case of a DVT.
Question 2 of 5
A nurse is assisting with the care of a client who is receiving a continuous IV infusion of heparin. Which of the following laboratory values should the nurse monitor?
Correct Answer: A,D
Rationale: Activated partial thromboplastin time (aPTT): aPTT monitors heparin's anticoagulant effect. Platelet count: Heparin can cause thrombocytopenia. Generated rationale: aPTT ensures therapeutic anticoagulation, while platelet monitoring detects heparin-induced thrombocytopenia, both critical for safe therapy.
Question 3 of 5
A nurse is caring for a client who has a new prescription for allopurinol. Which of the following instructions should the nurse include?
Correct Answer: A
Rationale: Increase fluid intake: Allopurinol can cause kidney stones, and increased fluids help prevent this complication. Generated rationale: Adequate hydration supports uric acid excretion, reducing the risk of renal complications during allopurinol therapy.
Question 4 of 5
A nurse is receiving a telephone prescription from a client's provider. Which of the following actions should the nurse take? Select all that apply
Correct Answer: C,D,E
Rationale: Ask the provider to spell out the name of the medication: When receiving a telephone prescription, the nurse should ask the provider to spell out the name of the medication to avoid errors. Record the date and time of the telephone prescription: Recording the date and time is essential for accurate documentation. Request that the provider confirm the read-back of the prescription: The read-back process verifies accuracy and reduces errors.
Question 5 of 5
A nurse is assisting with the care of a client who is postoperative following a mastectomy. Which of the following actions should the nurse take?
Correct Answer: A,B
Rationale: Encourage arm exercises on the affected side: Promotes mobility and prevents lymphedema. Keep the arm elevated when at rest: Reduces swelling. Generated rationale: These interventions support recovery by improving circulation and preventing complications like lymphedema.