ATI LPN
ATI LPN Comprehensive Predictor 2023 Retake Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is receiving IV fluids and develops dyspnea. Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: Elevating the head of the bed is the first action to improve breathing in a client with dyspnea, facilitating lung expansion.
Question 2 of 5
A nurse is monitoring a client who is receiving a blood transfusion. The nurse identifies that the client has urticaria and is wheezing. Which of the following types of transfusion reactions should the nurse suspect?
Correct Answer: A
Rationale: An anaphylactic reaction is correct. Symptoms such as urticaria (hives) and wheezing indicate a severe allergic reaction, which can progress to anaphylaxis. This reaction is caused by a hypersensitivity to plasma proteins in the transfused blood and requires immediate intervention, including stopping the transfusion and administering epinephrine.
Question 3 of 5
A nurse is caring for a client who has a new diagnosis of shingles. Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: A painful rash, often unilateral and following a dermatomal pattern, is a hallmark symptom of shingles.
Question 4 of 5
A nurse is caring for a client who has a new diagnosis of gout. Which of the following dietary recommendations should the nurse make?
Correct Answer: A
Rationale: Limiting purine-rich foods, like red meat and shellfish, reduces uric acid production, helping manage gout.
Question 5 of 5
A nurse is caring for a client who has a new prescription for fluoxetine. Which of the following adverse effects should the nurse monitor for?
Correct Answer: D
Rationale: Fluoxetine, an SSRI, can cause insomnia due to its stimulatory effect on the central nervous system.