ATI LPN
LPN Comprehensive Predictor 2023 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is postoperative following a total hip arthroplasty. Which of the following actions should the nurse take to prevent dislocation?
Correct Answer: A
Rationale: Keep the hip in abduction: Maintaining abduction prevents the hip from adducting, which could dislocate the new joint. Generated rationale: Abduction positioning stabilizes the hip prosthesis, reducing the risk of dislocation during the early postoperative period.
Question 2 of 5
A nurse is reinforcing teaching with a client who has a new prescription for pantoprazole. Which of the following instructions should the nurse include?
Correct Answer: C
Rationale: Swallow the tablet whole: Pantoprazole's delayed-release formulation requires swallowing whole to ensure proper absorption. Generated rationale: Crushing or chewing disrupts the enteric coating, reducing efficacy and increasing gastric irritation.
Question 3 of 5
A nurse is reinforcing teaching with a client who has a new prescription for fluoxetine. Which of the following instructions should the nurse include?
Correct Answer: B
Rationale: Take the medication at bedtime: Fluoxetine can cause insomnia, so taking it at night may minimize sleep disturbances. Generated rationale: Timing fluoxetine to avoid peak activity periods helps manage side effects, improving adherence and comfort.
Extract:
Client reports, “I have a cough”
History of present illness: 38-year-old client presents to the ED with a 4 day history of cough, often productive. Client reports fatigue, night sweats and a low-grade fever. Client reports “blood-tinged sputum”. Client also reports, “I used to weigh 167 pounds. Now I weigh 162 pounds.” Client reports a decreased appetite along with the 2.26kg (5lb) weight loss over the past week. Client states they have been trying to stay hydrated.
Family history: Child has asthma. All other family members healthy.
Social history: Heavy alcohol use (4 to 5 drinks per day), denies tobacco or illicit drug use. Recently traveled to visit their family in South Africa and stayed for 3 weeks
A nurse is assisting in the care of a client who presents to the emergency department
Question 4 of 5
A nurse is reviewing the client's medical record. Which of the following findings indicate the need for further evaluation? Select all that apply.
Correct Answer: A,B,C,D,G
Rationale: Respiratory complaint: A 4-day productive cough with fatigue raises concern for infection. Temperature: Low-grade fever (38.1°
C) suggests infection. Sputum characteristics: Blood-tinged sputum indicates possible TB or malignancy. Weight: Unintentional 5 lb loss signals systemic illness. Travel history: Recent travel to South Africa increases TB risk.
Extract:
Question 5 of 5
A nurse is reinforcing teaching with a client who has a new prescription for pregabalin. Which of the following instructions should the nurse include?
Correct Answer: A,D
Rationale: Report dizziness to the provider: Pregabalin can cause dizziness, a side effect that may require monitoring or adjustment. Avoid driving until effects are known: Dizziness and drowsiness from pregabalin can impair driving safety. Generated rationale: These instructions manage common side effects, ensuring safety and effective therapy.