ATI LPN
LPN Comprehensive Predictor 2023 Questions
Extract:
Question 1 of 5
A nurse is collecting data from a client who has heart failure. Which of the following findings should the nurse report immediately?
Correct Answer: A
Rationale: Weight gain of 1 kg (2.2 lb) in 24 hours: Rapid weight gain in heart failure indicates fluid retention, a sign of worsening condition requiring immediate intervention. Generated rationale: Sudden weight gain suggests fluid overload, which can exacerbate heart failure and lead to pulmonary edema if not addressed promptly.
Question 2 of 5
A nurse is assisting with the care of a client who has a new diagnosis of diverticulitis. Which of the following dietary instructions should the nurse include?
Correct Answer: A,D
Rationale: Increase fiber intake gradually: Long-term high-fiber diets prevent diverticulitis recurrence. Eat a low-residue diet during acute phase: Low-fiber foods reduce bowel irritation during inflammation. Generated rationale: Dietary adjustments balance symptom relief during acute phases and prevention of future episodes.
Question 3 of 5
A nurse is reinforcing teaching with client who has diabetes mellitus and is taking insulin lispro and insulin glargine. Which the following instructions should the nurse include in the teaching?
Correct Answer: A
Rationale: Draw up the insulin lispro and insulin glargine in separate syringes: Insulin lispro (a rapid-acting insulin) and insulin glargine (a long-acting insulin) should be administered separately, as they have different properties and mechanisms of action. Mixing them in one syringe can affect their effectiveness and may cause inaccurate dosing.
Question 4 of 5
A nurse is reinforcing teaching with a client who has a new prescription for pregabalin. Which of the following instructions should the nurse include?
Correct Answer: A,D
Rationale: Report dizziness to the provider: Pregabalin can cause dizziness, a side effect that may require monitoring or adjustment. Avoid driving until effects are known: Dizziness and drowsiness from pregabalin can impair driving safety. Generated rationale: These instructions manage common side effects, ensuring safety and effective therapy.
Question 5 of 5
A nurse is reinforcing teaching with a client who has a new prescription for levodopa/carbidopa for Parkinson's disease. Which of the following instructions should the nurse include?
Correct Answer: B
Rationale: Avoid high-protein meals: High-protein meals can interfere with levodopa absorption, reducing its effectiveness. Generated rationale: Amino acids in protein compete with levodopa for absorption in the gut, necessitating dietary adjustments to optimize therapy.