ATI LPN
PN Comprehensive Predictor 2020 Questions
Extract:
Question 1 of 5
A nurse is reinforcing teaching with a client who has a new prescription for citalopram. Which of the following statements should the nurse include?
Correct Answer: A
Rationale: Citalopram can cause drowsiness, so bedtime dosing is an option if needed. Appetite changes take time, jaundice isn't a side effect, and stopping abruptly risks relapse.
Question 2 of 5
A nurse is reinforcing teaching with a client who has a new prescription for atorvastatin. For which of the following adverse effects should the nurse instruct the client to monitor and report to the provider?
Correct Answer: D
Rationale: Atorvastatin can cause myopathy, characterized by muscle pain, which may progress to severe rhabdomyolysis. This requires immediate reporting, unlike hypoglycemia, palpitations, or drowsiness, which aren't typical side effects.
Question 3 of 5
A nurse is assisting with the care of a client who is receiving a continuous IV infusion of lactated Ringer's solution. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Fluid overload (e.g., dyspnea) is a risk with IV fluids, requiring monitoring. Site changes are every 72-96 hr, heparin isn't routine, and rate depends on orders.
Question 4 of 5
A nurse is reinforcing teaching with a client who has a new prescription for esomeprazole. Which of the following statements should the nurse include?
Correct Answer: D
Rationale: Abdominal pain could signal a serious issue (e.g., ulcer complication) with esomeprazole, requiring reporting. It's taken before meals, doesn't affect appetite, and drowsiness isn't typical.
Question 5 of 5
A nurse is reinforcing teaching with a client who has osteoporosis and a new prescription for alendronate. Which of the following statements should the nurse include?
Correct Answer: B
Rationale: Remaining upright for 30 minutes prevents esophageal irritation from alendronate. It's taken in the morning, rash isn't common, and milk interferes with absorption.