ATI LPN Comprehensive Predictor 2023 Exam 3

Extract:

Question 1 of 5

A nurse is caring for a client who is receiving a continuous IV infusion. The nurse notes that the skin around the catheter's insertion site is edematous and cool. Which of the following actions should the nurse take first?

A. Elevate the arm. B. Document the infiltration. C. Stop the infusion. D. Apply a warm compress.

Correct Answer: C

Rationale: Stopping the infusion is the priority to prevent further fluid infiltration, which can cause tissue damage. Elevation, documentation, and compresses follow after halting the infusion.

Question 2 of 5

A nurse is reviewing client confidentiality with other staff members. The nurse should identify which of the following actions is an example of protecting client confidentiality.

A. Discarding worksheets containing client information in a wastebasket B. Writing a client's diagnosis on the message board in the client's room C. Giving change of shift report to a nurse outside the client's room D. Discussing a client's prognosis with an assistive personnel who is caring for the client

Correct Answer: C

Rationale: Giving a shift report in a private setting prevents unauthorized individuals from overhearing, protecting confidentiality. Discarding worksheets improperly, writing diagnoses publicly, or discussing prognosis openly risks breaches.

Question 3 of 5

A nurse is contributing to the plan of care for a client who has a chest tube set to continuous suction to relieve a pneumothorax. Which of the following interventions should the nurse include?

A. Place the client in a supine position. B. Ensure the device is kept below the level of the client's chest. C. Empty the collection chamber every 8 hr. D. Clamp the chest tube every 4 hr.

Correct Answer: B

Rationale: Keeping the drainage system below chest level ensures proper drainage and prevents backflow. Supine positioning may hinder drainage, routine emptying isn't needed, and clamping can interfere with suction.

Question 4 of 5

A nurse is reinforcing teaching with new parents about car seat safety. Which of the following instructions should the nurse include?

A. Keep the airbag on if the car seat is in the front seat. B. Position the car seat at a 90Â° angle. C. Put a small cushion under the newborn's head for support. D. Place the shoulder harnesses at the level of the infant's shoulders.

Correct Answer: D

Rationale: Shoulder harnesses at shoulder level ensure a secure fit, enhancing safety. Airbags should be off for front-seat car seats, the angle should be 45Â°, and cushions can disrupt proper positioning.

Question 5 of 5

A nurse is reinforcing teaching with a female client who is taking phenytoin. Which of the following statements should the nurse include in the teaching?

A. You can safely take this medication if you become pregnant. B. You can skip a dose of this medication if you are nauseated. C. You should expect to have blood work every 6 months while taking this medication. D. You might experience swollen gums while taking this medication.

Correct Answer: D

Rationale: Phenytoin can cause gingival hyperplasia, leading to swollen gums, a common side effect clients should monitor. It's teratogenic, skipping doses risks seizures, and blood work frequency varies.

ATI LPN Comprehensive Predictor 2023 Exam 3 | Nurselytic

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