ATI LPN Comprehensive Predictor 2023 Exam 3

Extract:

Question 1 of 5

A nurse is caring for a client who is receiving IV gentamicin. Which of the following findings should the nurse report to the provider?

A. The client reports mild nausea.B. The client's urine output is 30 mL/hr.C. The client's hearing has decreased.D. The client's blood pressure is 120/78 mm Hg.

Correct Answer: C

Rationale: Decreased hearing suggests ototoxicity, a serious gentamicin side effect requiring reporting. Nausea, low urine output, and normal BP are less urgent.

Question 2 of 5

A nurse is assisting with the admission of a client who has varicella zoster. Which of the following interventions should the nurse plan to implement?

A. Administer aspirin if the client develops a fever.B. Initiate contact precautions for the client.C. Assign the client to a negative-pressure airflow room.D. Have visitors remain at least 0.91 m (3 feet. away from the client.

Correct Answer: C

Rationale: Varicella requires airborne precautions, including a negative-pressure room, to prevent spread. Aspirin risks Reye's syndrome, contact precautions alone are insufficient, and distance doesn't replace airborne measures.

Question 3 of 5

A nurse on a medical surgical unit is caring for a group of clients. Which of the following clients should the nurse see first?

A. A client who is scheduled for surgery in 2 hrB. A client whose blood pressure is 160/90 mm Hg and reports a headacheC. A client who is postoperative and reports intermittent nauseaD. A client who is postoperative and has a Jackson Pratt drain

Correct Answer: B

Rationale: Elevated blood pressure with a headache suggests a hypertensive crisis, requiring immediate assessment to prevent complications like stroke. Other conditions are less urgent.

Question 4 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 5 of 5

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

A. Encourage the client to perform arm exercises on the affected side.B. Instruct the client to keep the affected arm dependent.C. Apply a cold pack to the surgical site every 2 hr.D. Administer a diuretic to reduce arm swelling.

Correct Answer: A

Rationale: Arm exercises prevent lymphedema and promote mobility. Dependent positioning worsens swelling, cold packs aren't standard, and diuretics aren't routine.

ATI LPN Comprehensive Predictor 2023 Exam 3 | Nurselytic

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