ATI LPN
LPN Comprehensive Predictor 2023 Questions
Extract:
Question 1 of 5
A nurse is reinforcing teaching about healthy lifestyle changes with a female client who has mild hypertension. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: A
Rationale: I should decrease my salt intake to 2 grams per day: For clients with hypertension, a reduced salt intake is essential in managing blood pressure. The general recommendation is to limit sodium intake to less than 2,300 milligrams per day (about 2.3 grams), with an ideal target of 1,500 milligrams per day for individuals with hypertension or those at risk.
Extract:
Postoperative Day 3
0900:
Client reports pain at surgical incision site as 5 on a scale of 0 to 10. Client reports bladder fullness. Perineal dressing Intact with minimal serosanguinous drainage. Client transferring out of bed to chair independently. Extremities cool and dry with 2+peripheral pulses.
1300:
Client reports abdominal cramping and small, hard, painful bowel movement after lunch. Ambulating independently in hallway. Reports pain as 8 on a scale of 0 to 10. Urinary catheter intact with 100 mL/hr of pink urine.
Question 2 of 5
Select the 2 actions the nurse should prepare to take for the client.
| Encourage prolonged dangling before ambulation. |
| Administer an enema. |
| Encourage oral fluid intake. |
| Irrigate indwelling catheter with 500 mL of fluid. |
| Assist the client with a sitz bath. |
Correct Answer: C,E
Rationale: Encourage oral fluid intake: Hydration softens stool and prevents constipation. Assist the client with a sitz bath: Promotes perineal relaxation and healing.
Extract:
Day 1
0800:
Client reports increasing pain their right knee and left wrist over the last 2 years.
Crepitus of the right knee and left wrist. Client denies pain to other joints.
No rashes noted on face
Capillary refill +2 bilaterally upper and lower extremities
Family history of hypertension and gout
Question 3 of 5
Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing, 2 actions the nurse should take to address that condition, and 2 parameters the nurse should monitor to assess the client's progress.
| Action to take | Potential condition | Parameter to monitor |
|---|---|---|
| Action to take: A. Instruct the client to apply heat B. Instruct the client to avoid large crowds C. Instruct the client to avoid foods high in purines D. Instruct the client to apply topical analgesics E. Instruct the client to use mild soaps for cleansing skin | ||
| Potential condition: A. Rheumatoid arthritis B. Osteoarthritis C. Systemic lupus erythematosus D. Gout | ||
| Parameter to monitor: A. Mobility B. Uric acid levels C. Joint deformities D. ANA E. Lymphadenopathy |
Correct Answer: D,B,C,B,F
Rationale: Condition: Gout Elevated uric acid and joint pain with family history. Actions: Avoid purine-rich foods, apply topical analgesics. Parameters: Uric acid levels, joint deformities.
Extract:
Question 4 of 5
A nurse is reinforcing teaching with a client who has a new prescription for atorvastatin. Which of the following instructions should the nurse include?
Correct Answer: A
Rationale: Report muscle pain to the provider: Muscle pain can indicate myopathy, a serious side effect of statins like atorvastatin. Generated rationale: Myopathy or rhabdomyolysis is a rare but severe complication of statins, requiring prompt reporting to prevent further harm.
Extract:
2000:
Client presents to emergency department and states, “I have been assaulted." Client was immediately placed in a treatment room.
2015:
"Client states they were out with friends this evening and had " little too much to drink." Client states that they fell asleep at their friend's house and when they woke up all of their clothes were off and their genitals were sore. The client states, "I think someone had sex with me, but I don't remember anything.
Client reports history of depression. Client is a full-time college student who lives with roommates. Client admits to drinking socially but denies illicit drug use and tobacco use
Question 5 of 5
A nurse is assisting in the care of a client. Which of the following interventions should the nurse plan to implement? Select all that apply.
Correct Answer: A,B,E,F
Rationale: Maintain a safe and private environment for the client: Providing a secure and private setting helps support the client emotionally. Request a consult for case management: Case management can coordinate follow-up care and resources. Provide resources for local support services: Connecting the client with crisis centers and counseling services is essential. Administer sexually transmitted infection prophylaxis: Post-exposure prophylaxis (PEP) for STIs should be administered.