ATI LPN
LPN Comprehensive Predictor 2023 Questions
Extract:
Question 1 of 5
A nurse is reinforcing teaching with a client who has a new prescription for rivaroxaban. Which of the following instructions should the nurse include?
Correct Answer: A
Rationale: Report unusual bleeding: Rivaroxaban, a direct oral anticoagulant, increases bleeding risk, and any unusual bleeding should be reported. Generated rationale: Bleeding is a serious adverse effect of rivaroxaban, requiring prompt reporting to prevent hemorrhage.
Question 2 of 5
A nurse is reinforcing teaching with a client who has a new prescription for tamsulosin. Which of the following instructions should the nurse include?
Correct Answer: A
Rationale: Report dizziness when standing: Tamsulosin can cause orthostatic hypotension, leading to dizziness that should be reported. Generated rationale: Dizziness indicates a drop in blood pressure, requiring monitoring to prevent falls or adjust treatment.
Question 3 of 5
A nurse is reinforcing teaching with a client who has a new prescription for levodopa/carbidopa for Parkinson's disease. Which of the following instructions should the nurse include?
Correct Answer: B
Rationale: Avoid high-protein meals: High-protein meals can interfere with levodopa absorption, reducing its effectiveness. Generated rationale: Amino acids in protein compete with levodopa for absorption in the gut, necessitating dietary adjustments to optimize therapy.
Question 4 of 5
A nurse is caring for a client who has a new prescription for lithium. Which of the following laboratory values should the nurse monitor?
Correct Answer: A
Rationale: Sodium: Lithium can cause hyponatremia, and monitoring sodium levels is essential to prevent toxicity. Generated rationale: Lithium's renal effects can disrupt sodium balance, requiring close monitoring to avoid adverse effects like confusion or seizures.
Question 5 of 5
A nurse is assisting with the care of a client who is receiving a continuous IV infusion of heparin. Which of the following laboratory values should the nurse monitor?
Correct Answer: A,D
Rationale: Activated partial thromboplastin time (aPTT): aPTT monitors heparin's anticoagulant effect. Platelet count: Heparin can cause thrombocytopenia. Generated rationale: aPTT ensures therapeutic anticoagulation, while platelet monitoring detects heparin-induced thrombocytopenia, both critical for safe therapy.