ATI LPN
PN Comprehensive Predictor 2020 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who reports acute pain following a surgical procedure. Which of the following actions should the nurse take first?
Correct Answer: C
Rationale: Assessing pain level first guides appropriate intervention. Medication, compresses, or repositioning follow based on the assessment.
Extract:
Nurses' Notes
Day 1, 12:00:
Transferred to medical-surgical unit from emergency department (ED) for continued care following a closed reduction and immobilization of a fracture of the right arm. Accompanied by adult child.
Client in visibly soiled night clothes with multiple stains, including what appears to be dried blood. Hair, teeth, and fingernails unclean. Strong body odor noted. Bruising of various stages noted around upper arms, back, shoulders, and neck area.
Client is soft-spoken, speaks almost in a whisper, does not make eye contact with nurse.
Client looks at their child before answering the nurse's questions and, when asked how the injury occurred, mumbles "I don't know. Ask them." Client's child states, "He gets confused sometimes. I can answer your questions."
Question 2 of 5
A nurse is caring for a newly admitted older adult client. Nurses' Notes Day 1, 12:00: Transferred to medical-surgical unit from emergency department (ED) for continued care following a closed reduction and immobilization of a fracture of the right arm. Accompanied by adult child. Client in visibly soiled night clothes with multiple stains, including what appears to be dried blood. Hair, teeth, and fingernails unclean. Strong body odor noted. Bruising of various stages noted around upper arms, back, shoulders, and neck area. Client is soft-spoken, speaks almost in a whisper, does not make eye contact with nurse. Client looks at their child before answering the nurse's questions and, when asked how the injury occurred, mumbles 'I don't know. Ask them.' Client's child states, 'He gets confused sometimes. I can answer your questions.' Which of the following interventions should the nurse recommend to include in the client's plan of care? Select all that apply.
Correct Answer: B,C,D
Rationale: Asking for details about the fracture gathers information, discussing respite care supports the caregiver, and speaking privately assesses for abuse safely. Threatening reporting lacks evidence, and legal advice is outside nursing scope.
Extract:
Question 3 of 5
A nurse is reviewing information about advance directives with a newly admitted client. Which of the following statements by the client indicates an understanding of the information?
Correct Answer: C
Rationale: Advance directives include a living will, outlining treatment preferences. They don't cover finances, federal law supports but doesn't dictate specifics, and records should include them.
Question 4 of 5
A nurse is assisting with the care of a client who is postoperative following a cholecystectomy. Which of the following findings should the nurse report to the provider?
Correct Answer: B
Rationale: Yellowish drainage suggests infection or bile leakage, requiring reporting. Mild fever, moderate pain, and normal heart rate are less urgent post-cholecystectomy.
Question 5 of 5
A nurse is caring for a client who has a new prescription for sumatriptan. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Sumatriptan can cause chest pain (vasoconstriction), requiring monitoring. It's PRN for migraines, taken without regard to meals, and respiratory rate isn't primary.