ATI LPN
PN Comprehensive Predictor 2020 Questions
Extract:
Question 1 of 5
A nurse is collecting data from a client who has a long leg cast on his left leg. Which of the following findings is the priority?
Correct Answer: C
Rationale: Diminished pulses indicate potential circulatory compromise, a priority requiring immediate intervention. Ecchymosis may resolve, space is normal, and spasms are less urgent.
Question 2 of 5
A nurse is caring for a client who has a prescription for gentamicin IV. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Gentamicin can cause kidney damage (nephrotoxicity), requiring monitoring (e.g., creatinine). It's given over 30-60 minutes, diluted in saline, and BP isn't directly related.
Question 3 of 5
A nurse is caring for an older adult client who reports dry, itchy skin. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: A humidifier adds moisture to the air, relieving dry, itchy skin common in older adults. Frequent bathing or powder dries skin further, and bath oil is less effective long-term.
Question 4 of 5
A nurse is caring for a 3-year-old child immediately following a tonic-clonic seizure. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: After a tonic-clonic seizure, the nurse should first check the child for any injuries, particularly in the oral cavity, as the child may have bitten their tongue or sustained other oral injuries during the seizure. Offering fluids is not a priority due to disorientation and choking risk, a supine position may hinder breathing, and medication should only be given if prescribed.
Question 5 of 5
A nurse is reinforcing teaching with a client who has gout and a new prescription for allopurinol. Which of the following statements should the nurse include?
Correct Answer: B
Rationale: Allopurinol can initially increase uric acid mobilization, worsening pain temporarily. It's taken with food (not high-fat), doesn't change urine color, and hydration is encouraged.