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 warfarin. Which of the following laboratory tests should the nurse monitor?
Correct Answer: D
Rationale: Warfarin affects clotting via vitamin K, so prothrombin time (PT) monitors its efficacy and safety. Other tests assess thyroid, kidney, or respiratory function, not anticoagulation.
Extract:
Admission Assessment
12:00:
58-year-old client reporting chest pain is admited to the emergency department. Client states chest pain began this morning after breakfast and pain radiates to left arm. Client rates pain as 4 on a scale of 0 to 10. Client has medical history of hypertension, type 2 diabetes mellitus, and hyperlipidemia. Social history: denies alcohol use, smokes 1 pack per day for 35 years.
Current medications.
Lisinopril 20 mg PO daily.
Glucophage 500 mg PO BID.
Simvastatin 20 mg PO daily
Question 3 of 5
Admission Assessment 12:00: 58-year-old client reporting chest pain is admitted to the emergency department. Client states chest pain began this morning after breakfast and pain radiates to left arm. Client rates pain as 4 on a scale of 0 to 10. Client has medical history of hypertension, type 2 diabetes mellitus, and hyperlipidemia. Social history: denies alcohol use, smokes 1 pack per day for 35 years. Current medications: Lisinopril 20 mg PO daily, Glucophage 500 mg PO BID, Simvastatin 20 mg PO daily. A nurse is assisting with the care of a client. Complete the following sentence. After notifying the provider, the nurse should first [dropdown group 1] and then [dropdown group 2].
| apply ice packs to the chest |
| assess for signs of stroke |
| administer nitroglycerin |
| provide a high-fat meal |
| obtain an electrocardiogram (ECG) |
| perform a throat culture |
| check blood glucose levels |
Correct Answer: C,E
Rationale: Chest pain radiating to the arm suggests angina or myocardial infarction. Nitroglycerin relieves cardiac pain, and an ECG confirms ischemia, both urgent steps in this scenario.
Extract:
A nurse is assisting with the care of a client.
Laboratory Results
Abdominal ultrasound: mass present in small intestine proximal to ileocecal valve. Size of mass is 6 cm x 7 cm (2.4 in x 2.8 in).
Question 4 of 5
A nurse is assisting with the care of a client. Laboratory Results Abdominal ultrasound: mass present in small intestine proximal to ileocecal valve. Size of mass is 6 cm x 7 cm (2.4 in x 2.8 in). Select the 4 responsibilities the nurse has in relation to the client's advance directives.
Correct Answer: C,D,E,F
Rationale: Nurses document DNR discussions, provide written info, communicate status, and explain legal honoring of directives. Discontinuing care is false, and initiating POA is a legal task.
Extract:
Vital Signs
05:00
Temperature 36.6 C (97.9 F)
Heart rate 100/min
Respiratory rate 22/min
Blood pressure 160/98 mm Hg
Oxygen saturation 96% on oxygen 2 L/min via nasal cannula
14:00
Temperature 36.8 C (98.3 F)
Heart rate 90/min
Respiratory rate 18/min
Blood pressure 138/88 mm Hg
Oxygen saturation 97% on oxygen 2 L/min via nasal cannula
Question 5 of 5
A nurse is assisting with the care of a client in a medical-surgical unit. Vital Signs 05:00 Temperature 36.6 C (97.9 F) Heart rate 100/min Respiratory rate 22/min Blood pressure 160/98 mm Hg Oxygen saturation 96% on oxygen 2 L/min via nasal cannula 14:00 Temperature 36.8 C (98.3 F) Heart rate 90/min Respiratory rate 18/min Blood pressure 138/88 mm Hg Oxygen saturation 97% on oxygen 2 L/min via nasal cannula Which of the following actions should the nurse take to decrease the risks for a urinary tract infection for this client? Select all that apply.
Correct Answer: A,D,E,F
Rationale: High fluid intake flushes bacteria, frequent emptying prevents growth, daily review minimizes catheter use, and soap/water cleaning reduces infection risk. Tubing changes and bag placement increase risk.