ATI LPN
PN Comprehensive Predictor 2020 Questions
Extract:
Question 1 of 5
A nurse is reinforcing teaching about advance directives with a client who has end-stage heart failure. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: A
Rationale: Discussing advance directives with family ensures they understand the client's wishes, which is a key aspect of the process. The client can change their mind anytime, notarization requirements vary by state and aren't universal, and a partner's presence isn't required.
Question 2 of 5
A nurse in a mental health facility is caring for a client who reports palpitations and a sense of impending doom. Which of the following actions should the nurse take first?
Correct Answer: C
Rationale: Minimizing stimuli first calms the environment, reducing anxiety or panic attack triggers. Medication, past behaviors, and explanations follow as needed.
Question 3 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 4 of 5
A nurse is assisting with the care of a client who is postoperative following a TURP. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Post-TURP, hourly urine output monitoring ensures patency and detects bleeding. Ambulation, gradual diet, and breathing exercises are standard.
Question 5 of 5
A nurse is reinforcing teaching with a client who has a new prescription for methotrexate. Which of the following statements should the nurse include?
Correct Answer: C
Rationale: Methotrexate can cause mouth sores, a side effect to monitor. Milk isn't required, energy may decrease, and alcohol avoidance is true but not the focus here.