ATI LPN
PN Comprehensive Predictor 2023 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is taking multiple medications and asks about possible interactions. To which of the following members of the interdisciplinary team should the nurse make a referral?
Correct Answer: D
Rationale: An advanced practice nurse can assess and manage medication interactions effectively.
Question 2 of 5
A nurse is assisting with the care of a client who is receiving total parenteral nutrition (TPN). Which of the following laboratory values should the nurse monitor?
Correct Answer: A
Rationale: Blood glucose monitoring is essential with TPN due to the risk of hyperglycemia.
Extract:
Provider Prescriptions
1230:
0.9% sodium chloride 500 mL bolus then 100 mL/hr.
Type and cross match for 2 units of packed RBCs.
Repeat WBC, hemoglobin, and hematocrit STAT.
Delay endoscopy.
2 L/min O2 via nasal cannula.
1330:
2 units packed RBCs IV over 4 hr.
Repeat WBC, hemoglobin, and hematocrit at transfusion
completion STAT.
The nurse is reviewing the client's medical record.
The nurse is assisting with the care the client prior to a blood transfusion
Question 3 of 5
The nurse is assisting with the care the client prior to a blood transfusion. Which of the following actions should the nurse take?
Correct Answer: B,C,D
Rationale: Two-nurse verification, large-bore IV, and consent ensure safe transfusion administration.
Extract:
Question 4 of 5
A nurse is collecting data from a client who has a history of chronic kidney disease. Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: Edema is common in chronic kidney disease due to impaired fluid excretion.
Extract:
History and Physical
Vital signs
Client reports, “I have a cough”
History of present illness: 38-year-old client presents to the ED with a 4 day history of cough, often productive. Client reports fatigue, night sweats and a low-grade fever. Client reports “blood-tinged sputum”. Client also reports, “I used to weigh 167 pounds. Now I weigh 162 pounds.” Client reports a decreased appetite along with the 2.26kg (5lb) weight loss over the past week. Client states they have been trying to stay hydrated.
Family history: Child has asthma. All other family members healthy.
Social history: Heavy alcohol use (4 to 5 drinks per day), denies tobacco or illicit drug use. Recently traveled to visit their family in South Africa and stayed for 3 weeks
Question 5 of 5
To further evaluate the client, the nurse anticipates the client will need [dropdown] and [dropdown].
| A pulmonary function test |
| A chest x-ray |
| A nasopharyngeal swab |
| Blood cultures |
| A montoux test |
Correct Answer: B,D
Rationale: A chest X-ray and Mantoux test are key to evaluating suspected tuberculosis.