ATI LPN
PN Comprehensive Predictor 2020 Questions
Extract:
Question 1 of 5
A nurse is reinforcing teaching with a client who has a new prescription for captopril. Which of the following statements should the nurse include?
Correct Answer: D
Rationale: Captopril, an ACE inhibitor, commonly causes a dry cough, requiring reporting if persistent. It's taken with food, angioedema is possible but less emphasized here, and urine color isn't affected.
Question 2 of 5
A nurse is caring for a 3-year-old child immediately following a tonic-clonic seizure. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: After a tonic-clonic seizure, the nurse should first check the child for any injuries, particularly in the oral cavity, as the child may have bitten their tongue or sustained other oral injuries during the seizure. Offering fluids is not a priority due to disorientation and choking risk, a supine position may hinder breathing, and medication should only be given if prescribed.
Question 3 of 5
A nurse is caring for a client who has paranoid schizophrenia and believes that they are being followed by FBI agents who are pretending to be psychiatric staff. Which of the following responses should the nurse make?
Correct Answer: B
Rationale: Acknowledging the client's fears with empathy ('This must be very frightening for you') validates their feelings and builds trust, encouraging further discussion. Denying beliefs outright or questioning them confrontationally can increase distrust and defensiveness.
Question 4 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 5 of 5
A nurse is reinforcing teaching with a client who has diabetes mellitus about a 24-hour creatinine clearance test. Which of the following statements should the nurse include in the teaching?
Correct Answer: C
Rationale: For a 24-hour creatinine clearance test, the client discards the first morning void and collects all urine for the next 24 hours to measure kidney function accurately. Protein-rich diets can skew results, glucose levels aren't relevant, and antiseptics may contaminate the sample.