ATI LPN
PN Comprehensive Predictor 2023 Questions
Extract:
Question 1 of 5
A nurse is collecting data from a client who has pyelonephritis and receiving gentamicin via IV infusion. Which of the following manifestation should the nurse identify as an adverse effect of the treatment?
Correct Answer: D
Rationale: Gentamicin, an aminoglycoside, can cause ototoxicity, with hearing loss being a significant adverse effect requiring monitoring.
Question 2 of 5
A nurse is reinforcing teaching with a client who has a new prescription for lisinopril. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: B
Rationale: A persistent cough is a known side effect of lisinopril, warranting provider notification.
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 3 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 4 of 5
A nurse is caring for a client who is taking multiple medications and asks about possible interactions. To which of the following members of the interdisciplinary team should the nurse make a referral?
Correct Answer: D
Rationale: An advanced practice nurse can assess and manage medication interactions effectively.
Question 5 of 5
A nurse is assisting with the care of a client who is postoperative following a thyroidectomy. Which of the following findings should the nurse monitor for as an indication of hypocalcemia?
Correct Answer: B
Rationale: Muscle twitching can indicate hypocalcemia, a risk post-thyroidectomy due to parathyroid gland disruption.