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 budesonide. Which of the following instructions should the nurse include?
Correct Answer: A
Rationale: Rinse mouth after inhalation: Budesonide, an inhaled corticosteroid, can cause oral thrush if not rinsed. Generated rationale: Rinsing removes residual medication, preventing fungal infections in the oral cavity.
Question 2 of 5
A nurse is caring for a client who has a new prescription for amlodipine. Which of the following findings should the nurse monitor as an adverse effect?
Correct Answer: A
Rationale: Peripheral edema: Amlodipine, a calcium channel blocker, commonly causes edema due to vasodilation. Generated rationale: Vasodilation from amlodipine can lead to fluid accumulation in extremities, requiring monitoring to manage discomfort.
Question 3 of 5
A nurse is collecting data from a client who is receiving IV therapy. Which of the following findings indicates fluid volume overload?
Correct Answer: A,B
Rationale: Crackles in the lungs: Crackles indicate fluid accumulation in the alveoli, a sign of fluid overload. Distended neck veins: This reflects increased venous pressure due to excess fluid volume. Generated rationale: Fluid volume overload leads to systemic congestion, manifesting as pulmonary edema (crackles) and increased central venous pressure (distended neck veins), requiring immediate intervention.
Question 4 of 5
A nurse is receiving a telephone prescription from a client's provider. Which of the following actions should the nurse take? Select all that apply
Correct Answer: C,D,E
Rationale: Ask the provider to spell out the name of the medication: When receiving a telephone prescription, the nurse should ask the provider to spell out the name of the medication to avoid errors. Record the date and time of the telephone prescription: Recording the date and time is essential for accurate documentation. Request that the provider confirm the read-back of the prescription: The read-back process verifies accuracy and reduces errors.
Extract:
Client reports, “I have a cough”
History of present illness: 38-year-old client presents to the ED with a 4 day history of cough, often productive. Client reports fatigue, night sweats and a low-grade fever. Client reports “blood-tinged sputum”. Client also reports, “I used to weigh 167 pounds. Now I weigh 162 pounds.” Client reports a decreased appetite along with the 2.26kg (5lb) weight loss over the past week. Client states they have been trying to stay hydrated.
Family history: Child has asthma. All other family members healthy.
Social history: Heavy alcohol use (4 to 5 drinks per day), denies tobacco or illicit drug use. Recently traveled to visit their family in South Africa and stayed for 3 weeks
Question 5 of 5
To further evaluate the client, the nurse anticipates the client will need ____ and ____.
| A pulmonary function test |
| A chest x-ray |
| A nasopharyngeal swab |
| Blood cultures |
| A montoux test |
Correct Answer: B,E
Rationale: A chest X-ray: Key diagnostic tool for lung abnormalities like TB. A Mantoux test: Screens for tuberculosis infection, crucial given travel history.