ATI LPN
LPN Comprehensive Predictor 2023 Questions
Extract:
Question 1 of 5
A nurse is providing care to a client who is immunocompromised. Which of the following should the nurse identify as possible source of infection?
Correct Answer: C
Rationale: Soiled linens are placed on the floor: Placing soiled linens on the floor is a significant source of potential infection for immunocompromised clients.
Question 2 of 5
A nurse is assisting with the care of a client who has a chest tube in place. Which of the following findings should the nurse report immediately?
Correct Answer: A
Rationale: Continuous bubbling in the water seal chamber: Continuous bubbling indicates an air leak, which could compromise the effectiveness of the chest tube and requires immediate attention. Generated rationale: An air leak suggests a breach in the pleural space or system, potentially leading to pneumothorax if not corrected promptly.
Question 3 of 5
A nurse on a pediatric unit is caring for a toddler who has poor dietary intake. Which of the following actions should the nurse take first?
Correct Answer: B
Rationale: Obtain the child's dietary history: The first step should be to gather information about the child's dietary habits and challenges in order to create a more targeted and effective approach.
Question 4 of 5
A nurse is assigned to care for several clients on a mental health unit. One of the clients who has suicidal ideation starts to verbalize clear intent to self harm. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Notify the supervisor that the client requires one-to-one nursing observation: This is the most appropriate and immediate action when a client verbalizes a clear intent to self-harm.
Extract:
0900:
Client reports, "I'm bloated and my stomach hurts."
History of prior illness:
Client reports a 3-week history of gnawing abdominal pain. Client states, "It's a burning sensation that radiates to my back. I think I've lost a little weight too." Reports one episode of dark, tarry stool. No vomiting. Client reports pain is worse about 1hr after eating a meal and pain is worsened by eating.
Past Medical History: osteoarthritis
Social History: recently divorced, drinks in moderation (3 to 4 drinks per week), smokes tobacco
Current Medications: Ibuprofen 800 mg three times daily PRN arthritis pain
General: client appears uncomfortable, diaphoretic head, ears, eyes, nose, and throat (HEENT): oropharynx clear, mucous membranes moist and pale
Respiratory: bilateral breath sounds clear
Gastrointestinal: epigastric tenderness to palpation, no rebound tenderness
Question 5 of 5
The nurse anticipates the client will likely require ____ as evidenced by the client's ____ and ____.
| proton pump inhibitor therapy |
| blood transfusion |
| antibiotic therapy |
| surgical intervention |
| intravenous fluid resuscitation |
| low hemoglobin |
| low hematocrit |
Correct Answer: B,F,G
Rationale: The nurse anticipates the client will likely require blood transfusion as evidenced by the client's low hemoglobin and low hematocrit.