ATI LPN
PN Comprehensive Predictor 2023 Questions
Extract:
Question 1 of 5
A nurse is reinforcing teaching with a client who has a new prescription for metformin. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: B
Rationale: Unusual muscle pain may indicate lactic acidosis, a rare but serious side effect of metformin.
Question 2 of 5
A nurse is collecting data from a client who has a history of alcohol use disorder and is experiencing withdrawal symptoms. Which of the following findings should the nurse expect?
Correct Answer: C
Rationale: Tremors are a common symptom of alcohol withdrawal due to nervous system irritability.
Question 3 of 5
A nurse is discussing home care concerns with the son of a client who has Alzheimer's disease. The son states, "I am so tired all the time, but Mom needs me." Which of the following responses should nurse make?
Correct Answer: C
Rationale: Respite care provides temporary relief for caregivers, addressing the son's exhaustion while supporting continued care for the client.
Question 4 of 5
A nurse is collecting data from a client who has a new diagnosis of hyperthyroidism. Which of the following findings should the nurse expect?
Correct Answer: C
Rationale: Heat intolerance is common in hyperthyroidism due to increased metabolic rate.
Extract:
History and Physical
Vital signs
Screenings
Diagnostic results
Laboratory results
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 5 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 and TB medications (rifampin, isoniazid, pyrazinamide, ethambutol) are appropriate; contact precautions and repeat skin tests are not.