ATI LPN
PN Comprehensive Predictor 2023 Questions
Extract:
Question 1 of 5
A nurse is collecting data from a client who has a history of seizures. Which of the following medications should the nurse expect the client to be taking?
Correct Answer: B
Rationale: Phenytoin is an anticonvulsant commonly used to manage seizures.
Question 2 of 5
A charge nurse is reinforcing teaching with a newly licensed nurse about infection control measures. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?
Correct Answer: D
Rationale: Soiled dressings, particularly those contaminated with blood or pathogens, should be disposed of in a biohazard trash receptacle to prevent the spread of infection.
Extract:
Nurses’ Notes
Vital Signs
0800:
Client transported to emergency department by emergency medical services. Client found in a bathroom at a bar unresponsive and without a pulse. Report by emergency medical services states that a needle was in the client’s left antecubital space. Naloxone was administered at the scene. EMS relayed that someone saw the client have one beer and then go to the bathroom
Client drowsy, arouses noxious stimuli, but falls back asleep quickly.
Eyes: Pupils reactive, miotic
Heart: Normal rate and rhythm
Lungs: Equal bilateral, clear to auscultation
Abdomen: Decreased bowel sounds
Skin: Marks in left antecubital space
Review of medical record 2 weeks prior:
Discharge note:
At 0600, Client transported to the emergency department by emergency medical services. Client was found in the park by runners. Client presented with manifestations of sedation, miosis, hypokinesis and mood alteration. Supportive care provided. At 1000, client stated, “I am going to throw up. I’ve never used this drug before.’’ Assessment revealed mydriasis, hyperrflexia, diaphoresis, piloerection. Supportive care provided. Medications included buprenorphine/naloxone taper x 4 days. Client stabilizied and dischargd back to shelter after completing the 4-day buprenorphine/naloxone taper
Question 3 of 5
The client likely suffered from [dropdown] as evidenced by [dropdown].
Correct Answer: B
Rationale: Opioid intoxication is indicated by miosis and unresponsiveness, consistent with needle use.
Extract:
Question 4 of 5
A nurse is assisting with the care of a client who is receiving a blood transfusion. Which of the following actions should the nurse take if a transfusion reaction is suspected?
Correct Answer: C
Rationale: Stopping the transfusion prevents further exposure to potential allergens or mismatched blood.
Question 5 of 5
A nurse is reinforcing teaching with a client who is postoperative following a laparoscopic cholecystectomy. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: D
Rationale: Leaving steri-strips on until they fall off supports proper incision healing.