ATI LPN Comprehensive Predictor 2023 Retake

Extract:

Question 1 of 5

A nurse is collecting data from a 9-year-old child during a well-child visit. Which of the following findings should the nurse expect?

A. Expresses conflict over independence and control B. Demonstrates self-centered thinking C. Displays emotional detachment from parents D. Grasps concept of cause-and-effect

Correct Answer: D

Rationale: Grasping the concept of cause-and-effect is correct. At this stage, children develop logical thinking and an understanding of consequences, allowing them to recognize how actions lead to specific outcomes.

Question 2 of 5

A nurse is caring for a client who has a prescription for acetaminophen 300 mg with codeine 30 mg, 1 tablet every 3 to 4 hr. PRN for pain. The nurse inadvertently administers 2 tablets to the client. In which of the following locations should the nurse document this client care incident?

A. Nursing care plan B. Controlled substance inventory record C. Incident report D. Provider's progress notes

Correct Answer: C

Rationale: Completing an incident report is correct. An incident report is used to document medication errors, allowing for review and quality improvement measures to prevent future occurrences.

Question 3 of 5

A nurse in an acute care facility is assisting with the development of an in-service about reducing environmental stressors to improve clients' sleep. Which of the following instructions should the nurse include?

A. Turn on overhead lights briefly when checking IV lines. B. Open curtains between clients in semiprivate rooms. C. Wear shoes with rubber soles. D. Conduct change-of-shift report near the clients' rooms.

Correct Answer: C

Rationale: Wearing shoes with rubber soles is correct. Rubber-soled shoes reduce noise from footsteps, minimizing disturbances in client rooms and creating a quieter environment that promotes sleep.

Question 4 of 5

A nurse is reinforcing teaching about toilet training with the guardians of a toddler who has a cognitive impairment. Which of the following instructions should the nurse include?

A. Encourage the toddler to flush the toilet while still seated. B. Have the toddler remain on the toilet for a minimum of 20 min. C. Wake the toddler every 2 hr. in the night to prevent bed-wetting. D. Give the toddler a sticker after each successful toileting attempt.

Correct Answer: D

Rationale: Giving the toddler a sticker after each successful toileting attempt is correct. Positive reinforcement, such as stickers or praise, encourages consistency and motivation, which is particularly beneficial for children with cognitive impairments.

Question 5 of 5

A nurse in a long-term care facility is contributing to the plan of care for a client who has a new prescription for propranolol. The nurse should plan to monitor the client for which of the following adverse effects of the medication?

A. Ringing in the ears B. Bradycardia C. Hypertension D. Headache

Correct Answer: B

Rationale: Bradycardia is correct. Propranolol is a beta-blocker that reduces heart rate and blood pressure by blocking beta-adrenergic receptors. One of its primary adverse effects is bradycardia (slow heart rate), which can lead to dizziness, fatigue, or hypotension.

ATI LPN Comprehensive Predictor 2023 Retake | Nurselytic

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