ATI LPN
PN Comprehensive Predictor 2020 Questions
Extract:
Question 1 of 5
A nurse is collecting data from a client who has pyelonephritis and is receiving gentamicin via IV infusion. Which of the following manifestations should the nurse identify as an adverse effect of the treatment?
Correct Answer: C
Rationale: Gentamicin can cause ototoxicity, leading to hearing loss, a serious adverse effect requiring monitoring. Slurred speech, hypotension, and hyperthermia aren't typical gentamicin side effects.
Question 2 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 3 of 5
A nurse is reinforcing teaching with a client who is postoperative following an appendectomy and is being discharged home. Which of the following statements should the nurse include?
Correct Answer: B
Rationale: Avoiding heavy lifting prevents strain on the surgical site for healing. A gradual diet, minimal bleeding, and more frequent dressing changes are expected.
Question 4 of 5
A nurse is assisting with the care of a client who is postoperative following a craniotomy. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Increased intracranial pressure is a risk post-craniotomy, requiring monitoring (e.g., pupil changes). Elevation, not flat positioning, gentle coughing, and no heat are standard.
Extract:
Nurses Notes
Day 1, 12:00:
Transferred to medical-surgical unit from emergency department (ED) for continued care following a closed reduction and immobilization of a fracture of the right arm. Accompanied by adult child.
Client in visibly soiled night clothes with multiple stains, including what appears to be dried blood. Hair, teeth, and fingernails unclean. Strong body odor noted. Bruising of various stages noted around upper arms, back, shoulders, and neck area.
Client is soft-spoken, speaks almost in a whisper, does not make eye contact with nurse.
Client looks at their child before answering the nurse's questions and, when asked how the injury occurred, mumbles, "I don't know. Ask them." Client's child states, "He gets confused sometimes. I can answer your questions."
Question 5 of 5
Nurses Notes Day 1, 12:00: Transferred to medical-surgical unit from emergency department (ED) for continued care following a closed reduction and immobilization of a fracture of the right arm. Accompanied by adult child. Client in visibly soiled night clothes with multiple stains, including what appears to be dried blood. Hair, teeth, and fingernails unclean. Strong body odor noted. Bruising of various stages noted around upper arms, back, shoulders, and neck area. Client is soft-spoken, speaks almost in a whisper, does not make eye contact with nurse. Client looks at their child before answering the nurse's questions and, when asked how the injury occurred, mumbles, 'I don't know. Ask them.' Client's child states, 'He gets confused sometimes. I can answer your questions.' The nurse is identifying tertiary prevention strategies to implement for this client. Select the three actions the nurse should take.
Correct Answer: C,E,F
Rationale: Reporting suspected abuse, asking about the fracture, and interviewing privately are tertiary prevention steps to address and mitigate harm. Insisting, informing, or confronting may escalate without evidence.