ATI LPN
PN Comprehensive Predictor 2023 Questions
Extract:
Question 1 of 5
A nurse is collecting data from a client who has a closed head injury. Which of the following findings should the nurse identify as an indication of increasing intracranial pressure?
Correct Answer: A
Rationale: Restlessness can indicate increasing intracranial pressure due to cerebral irritation.
Question 2 of 5
A nurse is reinforcing teaching with a client who has a new prescription for citalopram. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: B
Rationale: Unusual mood changes should be reported, as they may indicate adverse effects of citalopram.
Question 3 of 5
A nurse is reinforcing teaching with the guardian of a 2-month-old infant about immunizations. Which of the following statements by a guardian indicates an understanding of the teaching?
Correct Answer: A
Rationale: The rotavirus vaccine is administered orally, which is correct and indicates understanding of the immunization process.
Extract:
History and Physical
Vital signs
Screenings
Diagnostic results
Laboratory results
Client reports, “I have a cough”
History of present illness: 38-year-old client presents to the ED with a 4 day history of cough, often productive. Client reports fatigue, night sweats and a low-grade fever. Client reports “blood-tinged sputum”. Client also reports, “I used to weigh 167 pounds. Now I weigh 162 pounds.” Client reports a decreased appetite along with the 2.26kg (5lb) weight loss over the past week. Client states they have been trying to stay hydrated.
Family history: Child has asthma. All other family members healthy.
Social history: Heavy alcohol use (4 to 5 drinks per day), denies tobacco or illicit drug use. Recently traveled to visit their family in South Africa and stayed for 3 weeks
Question 4 of 5
For each potential provider's prescription, click to specify if the potential prescription is anticipated or contraindicated for the client.
| Options | Anticipated | Contraindicated |
|---|---|---|
| Airborne precautions | ||
| Rifampin | ||
| Contact precautions | ||
| Isoniazid | ||
| Monthly TB skin test for 1 year | ||
| Pyrazinamide | ||
| Ethambutol |
Correct Answer: A,B,D,F,G
Rationale: Airborne precautions and TB medications (rifampin, isoniazid, pyrazinamide, ethambutol) are appropriate; contact precautions and repeat skin tests are not.
Extract:
Question 5 of 5
A nurse is providing change-of-shift report for a client. Which of the following information should the nurse include in the report?
Correct Answer: B,C
Rationale: Pain management and medication administration are critical for continuity of care.