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 spironolactone. Which of the following instructions should the nurse include?
Correct Answer: A,B
Rationale: Monitor for signs of hyperkalemia: Spironolactone is a potassium-sparing diuretic that can cause hyperkalemia. Avoid low-sodium salt substitutes: These contain potassium, increasing hyperkalemia risk. Generated rationale: Spironolactone's potassium retention necessitates monitoring and dietary precautions to prevent dangerous electrolyte imbalances.
Question 2 of 5
A nurse is caring for a client who has a new prescription for furosemide. Which of the following laboratory values should the nurse monitor?
Correct Answer: A
Rationale: Potassium: Furosemide is a loop diuretic that can cause hypokalemia due to increased potassium excretion. Generated rationale: Monitoring potassium levels is critical to prevent arrhythmias and muscle weakness associated with furosemide-induced electrolyte imbalances.
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 3 of 5
For each potential provider's prescription, click to specify if the potential prescription is anticipated or contraindicated for the client:
| Options | Anticipated | Contraindicated |
|---|---|---|
| Airborne precautions | ||
| Rifampin | ||
| Contact precautions | ||
| Isoniazid | ||
| Monthly TB skin test for 1 year | ||
| Pyrazinamide | ||
| Ethambutol |
Correct Answer: A,B,D,F,G
Rationale: Airborne precautions: TB requires negative pressure isolation. Rifampin, Isoniazid, Pyrazinamide, Ethambutol: Standard TB treatment regimen.
Extract:
Question 4 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 5 of 5
A nurse is reinforcing teaching with client who has diabetes mellitus and is taking insulin lispro and insulin glargine. Which the following instructions should the nurse include in the teaching?
Correct Answer: A
Rationale: Draw up the insulin lispro and insulin glargine in separate syringes: Insulin lispro (a rapid-acting insulin) and insulin glargine (a long-acting insulin) should be administered separately, as they have different properties and mechanisms of action. Mixing them in one syringe can affect their effectiveness and may cause inaccurate dosing.