ATI LPN
LPN Comprehensive Predictor 2023 Questions
Extract:
Question 1 of 5
A nurse is reinforcing teaching with a client who has a new diagnosis of gastroesophageal reflux disease (GERD). Which of the following instructions should the nurse include?
Correct Answer: B
Rationale: Avoid lying down for 2 hours after eating: Lying down soon after eating can exacerbate reflux by allowing stomach acid to flow into the esophagus. Generated rationale: Preventing acid reflux involves maintaining an upright position post-meals to reduce esophageal irritation and promote gastric emptying.
Question 2 of 5
A nurse is caring for a client who has a new prescription for oxycodone. Which of the following instructions should the nurse include?
Correct Answer: A,D
Rationale: Monitor for constipation: Oxycodone, an opioid, commonly causes constipation due to slowed gastrointestinal motility. Avoid driving while taking this medication: Oxycodone can cause drowsiness, impairing driving ability. Generated rationale: These precautions address common opioid side effects, ensuring safety and comfort.
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 1 hr 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
A nurse assisting with the care of a client who is admitted to the medical-surgical unit.
The nurse is reviewing the client's laboratory findings and vital signs.
Question 3 of 5
A nurse is assisting with the care of a client who is admitted to the medical-surgical unit. The nurse is reviewing the client's laboratory findings and vital signs. Select the 5 findings that require immediate follow-up.
| Respiratory rate |
| Stool results |
| Heart rate |
| Temperature |
| WBC count |
| Blood pressure |
| Hemoglobin and hematocrit |
Correct Answer: B,C,F,G
Rationale: Stool results: A positive hemoccult test indicates gastrointestinal bleeding, likely due to a peptic ulcer. Heart rate: The tachycardia (118/min) suggests a compensatory response to hypovolemia. Blood pressure: Hypotension (90/50 mm Hg) is concerning for volume depletion. Hemoglobin and hematocrit: A hemoglobin of 9.1 g/dL and hematocrit of 27% indicate anemia. Current medications: Ibuprofen use is a major risk factor for gastrointestinal bleeding.
Extract:
Question 4 of 5
A nurse is reinforcing teaching with a client who has a new prescription for levodopa/carbidopa for Parkinson's disease. Which of the following instructions should the nurse include?
Correct Answer: B
Rationale: Avoid high-protein meals: High-protein meals can interfere with levodopa absorption, reducing its effectiveness. Generated rationale: Amino acids in protein compete with levodopa for absorption in the gut, necessitating dietary adjustments to optimize therapy.
Question 5 of 5
A charge nurse is reinforcing teaching with a newly licensed nurse about infection control measures. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?
Correct Answer: D
Rationale: Soiled dressings should be placed in a biohazard trash receptacle: Soiled dressings, particularly those that are contaminated with blood, bodily fluids, or pathogens, should always be disposed of in a biohazard trash receptacle. This ensures the safe and appropriate handling of potentially infectious materials and helps prevent the spread of infection.