ATI LPN
LPN Comprehensive Predictor 2023 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is 2 days postoperative following an above-the-knee amputation. Which of the following actions should the nurse take to promote progression toward independence and mobility for the client?
Correct Answer: A
Rationale: Encourage the client to use overbed trapeze: Encouraging the client to use an overbed trapeze is an appropriate intervention to promote independence and mobility after an above-the-knee amputation.
Question 2 of 5
A nurse is assisting with the care of a client who is postoperative following a thyroidectomy. Which of the following findings should the nurse report immediately?
Correct Answer: D
Rationale: Neck swelling: Significant swelling post-thyroidectomy could indicate hematoma or airway compromise, requiring urgent intervention. Generated rationale: Neck swelling may compress the airway or vessels, posing an immediate threat to the client's safety.
Question 3 of 5
A nurse is caring for a client who has HIV and is neutropenic. Which of the following findings should the nurse identify as increasing the risk for the client to develop an infection?
Correct Answer: A
Rationale: The client's meal tray includes ice cream with fresh fruit: Fresh fruit poses a risk to a neutropenic client because it may harbor harmful bacteria or fungi, which could lead to an infection. Neutropenic clients have a weakened immune system and are more vulnerable to infections, so it is essential to avoid raw or unwashed fruits that can carry harmful pathogens.
Question 4 of 5
A nurse is reinforcing teaching with a client who has a new diagnosis of gastroesophageal reflux disease (GERD). Which of the following instructions should the nurse include?
Correct Answer: B
Rationale: Avoid lying down for 2 hours after eating: Lying down soon after eating can exacerbate reflux by allowing stomach acid to flow into the esophagus. Generated rationale: Preventing acid reflux involves maintaining an upright position post-meals to reduce esophageal irritation and promote gastric emptying.
Question 5 of 5
A nurse is caring for a client who has a new prescription for digoxin. Which of the following findings should the nurse recognize as an adverse effect?
Correct Answer: A
Rationale: Blurred vision: Digoxin toxicity can cause visual disturbances, including blurred vision, a critical adverse effect to monitor. Generated rationale: Digoxin's narrow therapeutic range makes toxicity a concern, with visual changes indicating potential overdose needing immediate evaluation.