ATI LPN
PN Comprehensive Predictor 2020 Questions
Extract:
Question 1 of 5
A nurse is contributing to an in-service for newly licensed nurses about situations requiring an incident report. Which of the following examples should the nurse include?
Correct Answer: C
Rationale: An IV pump error delivering double the fluid is a serious medication error requiring an incident report. Vomiting is a side effect, restraint removal may not need reporting, and PCA misuse needs clarification.
Question 2 of 5
A nurse is assisting with the care of a client who is receiving a continuous IV infusion of dopamine. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Dopamine extravasation can cause tissue necrosis, requiring hourly checks. Site changes are less frequent, rate depends on orders, and heparin isn't routine.
Question 3 of 5
A nurse is caring for a client who has a new prescription for diltiazem. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Diltiazem, a calcium channel blocker, can cause bradycardia, requiring monitoring. Grapefruit increases levels, it's given slowly IV, and glucose isn't affected.
Question 4 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 5 of 5
A nurse is caring for a client who has a prescription for acetaminophen 300 mg with codeine 30 mg, 1 tablet every 3 to 4 hours PRN for pain. The nurse inadvertently administers 2 tablets to the client. In which of the following locations should the nurse document this alert care incident?
Correct Answer: A
Rationale: Medication errors like administering an incorrect dose must be documented in an incident report for quality improvement and risk management, kept separate from the client's medical record. Other options are for care planning, controlled substance tracking, or provider updates, not incident reporting.