ATI LPN
PN Comprehensive Predictor 2023 Questions
Extract:
Question 1 of 5
A nurse is preparing to perform a wet-to-dry dressing change for a client who has an infected abdominal wound. Which of the following techniques should nurse use when performing this dressing change?
Correct Answer: D
Rationale: Cleaning from the center outward prevents spreading bacteria from contaminated areas into the wound.
Question 2 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.
Question 3 of 5
A nurse is reinforcing teaching with a client who is at 34 weeks of gestation and has a prescription for nifedipine. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: C
Rationale: Dizziness is a side effect of nifedipine, and reporting it ensures timely management.
Question 4 of 5
A nurse is assisting with the care of a client who is receiving mechanical ventilation. Which of the following actions should the nurse take to prevent ventilator-associated pneumonia?
Correct Answer: A
Rationale: Regular oral care reduces bacterial growth, lowering the risk of ventilator-associated pneumonia.
Extract:
History and Physical
Vital signs
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 5 of 5
Which of the following findings indicate the need for further evaluation?
| Respiratory complaint |
| Temperature |
| Sputum characteristics |
| Weight |
| Blood pressure |
| Oxygen saturation |
| Travel history |
Correct Answer: A,B,C,D,G
Rationale: Cough, fever, blood-tinged sputum, weight loss, and travel history suggest possible tuberculosis.