ATI LPN
LPN Comprehensive Predictor 2023 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is postoperative following a cholecystectomy. Which of the following findings should the nurse report immediately?
Correct Answer: D
Rationale: Clay-colored stools: This may indicate bile duct obstruction, a serious complication requiring immediate evaluation. Generated rationale: Absence of bile in the stool suggests a blockage post-cholecystectomy, which could lead to jaundice or pancreatitis if untreated.
Question 2 of 5
A nurse is assisting with the care of a client who is postoperative following a cesarean birth. Which of the following findings should the nurse report immediately?
Correct Answer: D
Rationale: Temperature 38.2°C (100.8°F): A fever post-cesarean could indicate infection, such as endometritis, requiring prompt evaluation. Generated rationale: Postoperative fever suggests possible infection, necessitating immediate investigation to prevent complications.
Question 3 of 5
A nurse is caring for a client who has a new diagnosis of bipolar disorder and is prescribed lithium. Which of the following laboratory values should the nurse monitor?
Correct Answer: A
Rationale: Sodium: Lithium can cause hyponatremia, and sodium levels must be monitored to prevent toxicity. Generated rationale: Lithium's renal effects can disrupt sodium balance, requiring close monitoring to avoid adverse effects like confusion or seizures.
Extract:
Preoperative
0730:
Client is scheduled for a left stapedectomy.
Pupils 3.5 mm, equal, round, and reactive to light.
Smile symmetrical.
Mucous membranes show color expected for client's skin tone and moist.
Speech clear.
Skin warm and dry.
Lungs clear bilaterally.
Apical heart rate regular at 78/min.
Postoperative
1230:
Pupils 3 mm, equal, and reactive to light.
Smile asymmetrical.
Mucous membranes pink.
Speech hoarse.
Client with left facial droop.
Skin warm and dry.
Client reports vertigo and nausea.
Bilateral breath sounds clear and present throughout
Question 4 of 5
A client presents to the medical surgical unit. Which of the following findings requires further action by the nurse? Select all that apply.
Correct Answer: D,E
Rationale: Facial nerve assessment: Left facial droop suggests potential facial nerve injury. Vertigo: Persistent vertigo may indicate inner ear trauma.
Extract:
Question 5 of 5
A nurse is caring for a client who has a new prescription for metoprolol. Which of the following findings should the nurse monitor as an adverse effect?
Correct Answer: A
Rationale: Bradycardia: Metoprolol, a beta-blocker, can slow heart rate, requiring monitoring for excessive bradycardia. Generated rationale: Beta-blockade reduces sympathetic stimulation, potentially causing bradycardia that may need dose adjustment.