ATI LPN
LPN Comprehensive Predictor 2023 Questions
Extract:
Question 1 of 5
A nurse is collecting data from a client who is receiving IV therapy. Which of the following findings indicates fluid volume overload?
Correct Answer: A,B
Rationale: Crackles in the lungs: Crackles indicate fluid accumulation in the alveoli, a sign of fluid overload. Distended neck veins: This reflects increased venous pressure due to excess fluid volume. Generated rationale: Fluid volume overload leads to systemic congestion, manifesting as pulmonary edema (crackles) and increased central venous pressure (distended neck veins), requiring immediate intervention.
Question 2 of 5
A nurse is reinforcing teaching with a parent of a child who has asthma about the administration of montelukast. Which of the following statements by the parent indicates an understanding of the teaching?
Correct Answer: C
Rationale: I will give this medication to my child once daily in the evening: Montelukast is typically taken once daily in the evening. It helps to reduce inflammation and prevent asthma symptoms, and taking it in the evening aligns with the medication's intended use for long-term control of asthma.
Question 3 of 5
A nurse is reinforcing teaching with a client who has a new prescription for sertraline. Which of the following instructions should the nurse include?
Correct Answer: A
Rationale: Report suicidal thoughts immediately: Sertraline, an SSRI, carries a risk of increased suicidal ideation, especially early in treatment. Generated rationale: Early monitoring for suicidal thoughts is critical to ensure patient safety during antidepressant initiation.
Extract:
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
Select the 3 client statements that indicate an understanding of the teaching.
| I can expect my contact lenses to turn red or orange. |
| I should notify my provider if I start taking new over-the-counter or prescription medications. |
| I will need to have someone observe me when I take my medication. |
| I will need to have a repeat Mantoux test in 4 weeks. |
| I am no longer contagious. |
| I will need to take my medications for a total of 6 weeks. |
| I can continue my current alcohol intake. |
Correct Answer: A,B,C
Rationale: I can expect my contact lenses to turn red or orange: Rifampin causes discoloration. I should notify my provider if I start taking new medications: Rifampin affects drug metabolism. I will need to have someone observe me: Directly observed therapy ensures adherence.
Extract:
Question 5 of 5
A nurse is reinforcing teaching with a client who is starting to use a transdermal nitroglycerin patch. Which of the following instructions should the nurse include?
Correct Answer: A
Rationale: Apply the patch to a hairless area: Hairless skin ensures proper adhesion and absorption of nitroglycerin. Generated rationale: Proper patch application maximizes drug delivery, ensuring effective angina prevention.