PN Comprehensive Predictor 2020

Extract:

Question 1 of 5

A nurse is reinforcing teaching with a client who has gout and a new prescription for allopurinol. Which of the following statements should the nurse include?

A. You should take this medication with a high-fat meal. B. You might notice an increase in your joint pain initially. C. This medication might cause your urine to turn blue. D. You should avoid drinking water while taking this medication.

Correct Answer: B

Rationale: Allopurinol can initially increase uric acid mobilization, worsening pain temporarily. It's taken with food (not high-fat), doesn't change urine color, and hydration is encouraged.

Question 2 of 5

A nurse is caring for a client who is receiving mechanical ventilation via an endotracheal tube. Which of the following actions should the nurse take?

A. Suction the client's airway every 4 hr. B. Secure the endotracheal tube to the client's lower jaw. C. Monitor the client's cuff pressure every 8 hr. D. Place the client in a prone position.

Correct Answer: C

Rationale: Monitoring cuff pressure every 8 hours prevents tracheal damage from overinflation. Suctioning is as needed, securing isn't to the jaw, and prone positioning depends on condition.

Question 3 of 5

A nurse is assisting with the care of a client who is at risk for falls. Which of the following actions should the nurse take?

A. Keep the client's bed in the highest position. B. Ensure the client wears socks while ambulating. C. Place a fall risk identification band on the client's wrist. D. Instruct the client to call for assistance before getting out of bed.

Correct Answer: D

Rationale: Calling for assistance reduces fall risk by ensuring support. High beds, socks only, and no band alone increase risk without addressing immediate safety.

Question 4 of 5

A nurse is reinforcing teaching with a client who has a new prescription for levothyroxine. Which of the following statements should the nurse include?

A. You should take this medication with a full meal. B. You might notice a decrease in your energy level initially. C. This medication might cause you to gain weight. D. You should report palpitations to your provider.

Correct Answer: D

Rationale: Levothyroxine can cause palpitations if over-dosed, requiring reporting. It's taken on an empty stomach, boosts energy, and typically causes weight loss.

Question 5 of 5

A nurse is caring for a client who has a new prescription for enoxaparin. Which of the following actions should the nurse take?

A. Administer the medication into the client's deltoid muscle. B. Massage the injection site after administration. C. Instruct the client to expect bright red blood in their stools. D. Administer the medication into subcutaneous tissue.

Correct Answer: D

Rationale: Enoxaparin is injected into subcutaneous tissue (e.g., abdomen), not muscle. Massaging increases bleeding risk, and red stools aren't expectedâ€”bruising is more common.

PN Comprehensive Predictor 2020 | Nurselytic

Nurselytic

ATI LPN

ATI LPN