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 caring for a client who has a new prescription for heparin therapy. Which of the following laboratory values should the nurse plan to monitor?
Correct Answer: B
Rationale: Heparin affects clotting via aPTT, which monitors its therapeutic effect. PT/INR is for warfarin, and platelets are checked for thrombocytopenia risk.
Question 3 of 5
A male nurse is assigned to care for an older adult female client. The client tells the nurse that she wants a female nurse to care for her. Which of the following statements should the nurse make?
Correct Answer: C
Rationale: Offering to reassign to a female nurse respects the client's preference and autonomy, addressing her comfort without confrontation or delegation.
Question 4 of 5
A nurse is caring for a client who has a prescription for warfarin. Which of the following laboratory tests should the nurse monitor?
Correct Answer: D
Rationale: Warfarin affects clotting via vitamin K, so prothrombin time (PT) monitors its efficacy and safety. Other tests assess thyroid, kidney, or respiratory function, not anticoagulation.
Question 5 of 5
A nurse is caring for an older adult client who reports dry, itchy skin. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: A humidifier adds moisture to the air, relieving dry, itchy skin common in older adults. Frequent bathing or powder dries skin further, and bath oil is less effective long-term.