ATI LPN
LPN Comprehensive Predictor 2023 Questions
Extract:
Question 1 of 5
A nurse is reinforcing teaching with a client who is starting chemotherapy. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: A
Rationale: I should avoid contact with people who have infections: Chemotherapy suppresses the immune system, increasing infection risk. Generated rationale: Neutropenia from chemotherapy necessitates precautions to minimize exposure to pathogens, ensuring patient safety.
Question 2 of 5
A nurse is caring for a client who has a new prescription for clonidine. Which of the following findings should the nurse monitor as an adverse effect?
Correct Answer: A
Rationale: Dry mouth: Clonidine, an alpha-2 agonist, commonly causes dry mouth as a side effect. Generated rationale: Clonidine's anticholinergic effects reduce salivary flow, requiring monitoring to manage patient comfort.
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 collecting data from a client who is 2 days postpartum. The client tells the nurse she cannot afford to pay for baby formula. The nurse should refer the client to which of the following members of the interprofessional team?
Correct Answer: B
Rationale: Case manager: The case manager is the most appropriate team member to refer to in this situation. A case manager is responsible for assessing the client's needs and connecting them with resources such as financial assistance, community support programs, or social services.
Question 5 of 5
A nurse is caring for a client who is postoperative following a cholecystectomy. Which of the following findings should the nurse report immediately?
Correct Answer: D
Rationale: Clay-colored stools: This may indicate bile duct obstruction, a serious complication requiring immediate evaluation. Generated rationale: Absence of bile in the stool suggests a blockage post-cholecystectomy, which could lead to jaundice or pancreatitis if untreated.