ATI LPN
LPN Comprehensive Predictor 2023 Questions
Extract:
Question 1 of 5
A nurse is reinforcing teaching with a client who is starting to use a transdermal nitroglycerin patch. Which of the following instructions should the nurse include?
Correct Answer: A
Rationale: Apply the patch to a hairless area: Hairless skin ensures proper adhesion and absorption of nitroglycerin. Generated rationale: Proper patch application maximizes drug delivery, ensuring effective angina prevention.
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 caring for a client who has a new diagnosis of hyperthyroidism. Which of the following findings should the nurse expect?
Correct Answer: C
Rationale: Heat intolerance: Hyperthyroidism increases metabolism, causing sensitivity to heat and excessive sweating. Generated rationale: Elevated thyroid hormone levels accelerate metabolic rate, leading to heat intolerance as a hallmark symptom.
Question 4 of 5
A nurse is assisting with the care of a client who has a new prescription for prednisone. Which of the following instructions should the nurse include?
Correct Answer: A
Rationale: Monitor for signs of infection: Prednisone suppresses the immune system, increasing infection risk. Generated rationale: Corticosteroids like prednisone impair immune response, necessitating vigilance for signs of infection to ensure timely intervention.
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 5 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.