ATI LPN
PN Comprehensive Predictor 2020 Questions
Extract:
Question 1 of 5
A nurse is reinforcing teaching with a client who has type 2 diabetes mellitus and a new prescription for glipizide. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: B
Rationale: Alcohol can enhance glipizide's hypoglycemic effect, risking low blood sugar. It's taken before meals, doesn't increase urine output, and BP monitoring isn't specific to it.
Question 2 of 5
A nurse is assisting with the care of a client who is postoperative following a thyroidectomy. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Hypocalcemia (e.g., tetany) is a risk post-thyroidectomy due to parathyroid damage, requiring monitoring. Supine isn't needed, diet adjusts later, and speaking isn't restricted.
Extract:
Admission Assessment
12:00:
58-year-old client reporting chest pain is admited to the emergency department. Client states chest pain began this morning after breakfast and pain radiates to left arm. Client rates pain as 4 on a scale of 0 to 10. Client has medical history of hypertension, type 2 diabetes mellitus, and hyperlipidemia. Social history: denies alcohol use, smokes 1 pack per day for 35 years.
Current medications.
Lisinopril 20 mg PO daily.
Glucophage 500 mg PO BID.
Simvastatin 20 mg PO daily
Question 3 of 5
Admission Assessment 12:00: 58-year-old client reporting chest pain is admitted to the emergency department. Client states chest pain began this morning after breakfast and pain radiates to left arm. Client rates pain as 4 on a scale of 0 to 10. Client has medical history of hypertension, type 2 diabetes mellitus, and hyperlipidemia. Social history: denies alcohol use, smokes 1 pack per day for 35 years. Current medications: Lisinopril 20 mg PO daily, Glucophage 500 mg PO BID, Simvastatin 20 mg PO daily. A nurse is assisting with the care of a client. Complete the following sentence. After notifying the provider, the nurse should first [dropdown group 1] and then [dropdown group 2].
| apply ice packs to the chest |
| assess for signs of stroke |
| administer nitroglycerin |
| provide a high-fat meal |
| obtain an electrocardiogram (ECG) |
| perform a throat culture |
| check blood glucose levels |
Correct Answer: C,E
Rationale: Chest pain radiating to the arm suggests angina or myocardial infarction. Nitroglycerin relieves cardiac pain, and an ECG confirms ischemia, both urgent steps in this scenario.
Extract:
Question 4 of 5
A nurse is caring for a client who has a new prescription for amitriptyline. Which of the following findings should the nurse identify as an adverse effect of the medication?
Correct Answer: B
Rationale: Amitriptyline, a tricyclic antidepressant, commonly causes dry mouth due to anticholinergic effects. Energy may decrease, mood improves over time, and weight gain is more likely.
Question 5 of 5
A nurse is administering a client's morning oral medications. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The 'three checks'—verifying medication with the record three times—prevents errors. Documentation occurs after administration, time-critical meds need tighter timing, and two identifiers are standard.