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 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 2 of 5
A nurse is reinforcing teaching with a client who has a new prescription for enoxaparin. The nurse should identify which of the following over-the-counter products as unsafe for use with enoxaparin.
Correct Answer: D
Rationale: Naproxen: Naproxen is a nonsteroidal anti-inflammatory drug (NSAI
D) that increases the risk of bleeding.
Extract:
0900:
Client reports, "I'm bloated and my stomach hurts."
History of prior illness:
Client reports a 3-week history of gnawing abdominal pain. Client states, "It's a burning sensation that radiates to my back. I think I've lost a little weight too." Reports one episode of dark, tarry stool. No vomiting. Client reports pain is worse about 1hr after eating a meal and pain is worsened by eating.
Past Medical History: osteoarthritis
Social History: recently divorced, drinks in moderation (3 to 4 drinks per week), smokes tobacco
Current Medications: Ibuprofen 800 mg three times daily PRN arthritis pain
General: client appears uncomfortable, diaphoretic head, ears, eyes, nose, and throat (HEENT): oropharynx clear, mucous membranes moist and pale
Respiratory: bilateral breath sounds clear
Gastrointestinal: epigastric tenderness to palpation, no rebound tenderness
Question 3 of 5
The nurse anticipates the client will likely require ____ as evidenced by the client's ____ and ____.
| proton pump inhibitor therapy |
| blood transfusion |
| antibiotic therapy |
| surgical intervention |
| intravenous fluid resuscitation |
| low hemoglobin |
| low hematocrit |
Correct Answer: B,F,G
Rationale: The nurse anticipates the client will likely require blood transfusion as evidenced by the client's low hemoglobin and low hematocrit.
Extract:
Day 1
0800:
Client admitted for epigastric abdominal pain. Client rates pain
as 8 on a 0 to 10 scale. Client states pain began 24 hr after
drinking alcohol and eating, a large meal. Client has history of
alcohol use disorder. Client indicated no relief of pain after
taking cimetidine. Client is alert and oriented to person, place and time. Lung sounds diminished in the bases bilaterally. Bowel sounds hypoactive in all four quadrants, abdomen distended. Client reports nausea and vomiting for the past 24 hr
Question 4 of 5
A nurse is assisting in the care of a newly admitted client. Which of the following findings should the nurse report immediately to the provider? Select all that apply.
Correct Answer: A,B,E,F
Rationale: Temperature: The client's temperature increased to 38.9°C (102°F), indicating possible infection. Blood pressure: Hypotension (92/48 mmHg) suggests volume depletion. Heart rate: Tachycardia (132/min) indicates compensatory shock. Respiratory status: Respiratory rate of 32/min and SpO2 of 88% suggest distress. Mental confusion: Disorientation indicates worsening condition. Cold, clammy skin: Suggests poor perfusion and shock.
Extract:
Question 5 of 5
A nurse is assisting with the care of a client who is receiving hospice care. Which of the following interventions should the nurse prioritize?
Correct Answer: B
Rationale: Provide emotional support to the family: Hospice care focuses on comfort and support for both the client and family during end-of-life care. Generated rationale: Emotional support addresses the psychological needs of the family, aligning with hospice's holistic care approach.