ATI LPN Comprehensive Predictor 2023 Exam 3

Extract:

Question 1 of 5

A nurse is caring for a client who is postoperative following a lumbar laminectomy. Which of the following actions should the nurse take?

A. Encourage the client to ambulate with a straight back.B. Instruct the client to avoid turning at the waist.C. Allow the client to sit in a chair for 2 hr at a time.D. Apply a heating pad to the surgical site.

Correct Answer: B

Rationale: Avoiding waist turning prevents strain on the surgical site. Ambulation should allow natural posture, prolonged sitting risks stiffness, and heating pads may increase swelling.

Question 2 of 5

A nurse is caring for a client who is receiving oxygen at 2 L/min via nasal cannula. Which of the following actions should the nurse take?

A. Apply petroleum jelly to the client's nares.B. Secure the cannula tubing behind the client's ears.C. Change the nasal cannula every 24 hr.D. Ensure the oxygen tubing is free of kinks.

Correct Answer: D

Rationale: Kink-free tubing ensures proper oxygen delivery. Petroleum jelly risks aspiration, securing tubing varies, and cannula changes aren't daily.

Question 3 of 5

A nurse is reinforcing teaching with a client who has a new prescription for fluoxetine. Which of the following statements should the nurse include?

A. You should take this medication at bedtime.B. You might experience weight loss while taking this medication.C. You need to avoid tyramine-rich foods while taking this medication.D. You can expect symptom improvement within 24 hours.

Correct Answer: A

Rationale: Fluoxetine is often taken at bedtime to minimize daytime side effects like agitation. Weight changes vary, tyramine isn't a concern, and effects take weeks.

Question 4 of 5

A nurse is reinforcing teaching with a client who has a new prescription for esomeprazole. Which of the following statements should the nurse include?

A. You should take this medication at bedtime.B. You might experience headache while taking this medication.C. You need to avoid dairy products while taking this medication.D. You can take this medication with an antacid for best results.

Correct Answer: B

Rationale: Esomeprazole can cause headaches, a side effect to monitor. It's taken before meals, dairy isn't restricted, and antacids don't enhance efficacy.

Question 5 of 5

A nurse is collecting data from a client who has thrombocytopenia. The nurse should identify which of the following findings increases the client's risk for injury.

A. Wears a face mask around othersB. Sleeps 8 to 10 hr per nightC. Uses a firm bristled toothbrushD. Increased intake of green, leafy vegetables

Correct Answer: C

Rationale: A firm-bristled toothbrush risks gum bleeding in thrombocytopenia. Masks, sleep, or vegetables don't increase injury risk.

ATI LPN Comprehensive Predictor 2023 Exam 3 | Nurselytic

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