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 furosemide. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: A
Rationale: Furosemide can cause hypokalemia, so a potassium-rich diet is recommended.
Question 2 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 3 of 5
A nurse is reviewing laboratory findings for three clients. Which of the following laboratory results should the nurse expect for a client has pancreatitis?
Correct Answer: B
Rationale: Elevated lipase is a hallmark of pancreatitis, confirming inflammation of the pancreas.
Extract:
History and Physical
Vital signs
Screenings
Diagnostic results
Laboratory results
Provider Prescription
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 4 of 5
Select the 3 client statements that indicate an understanding of the teaching.
| I can expect my contact lenses to turn red or orange. |
| I should notify my provider if I start taking new over-the-counter or prescription medications. |
| I will need to have someone observe me when I take my medication. |
| I will need to have a repeat Mantoux test in 4 weeks. |
| I am no longer contagious. |
| I will need to take my medications for a total of 6 weeks. |
| I can continue my current alcohol intake. |
Correct Answer: A,B,C
Rationale: Red-orange discoloration, notifying about new medications, and observed therapy reflect TB treatment understanding.
Extract:
Admission Assessment
Laboratory Results
Vital signs
Day 1
0800:
Client reports increasing pain their right knee and left wrist over the last 2 years.
Crepitus of the right knee and left wrist. Client denies pain to other joints.
No rashes noted on face
Capillary refill +2 bilaterally upper and lower extremities
Family history of hypertension and gout
Question 5 of 5
Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing, 2 actions the nurse should take to address that condition, and 2 parameters the nurse should monitor to assess the client's progress.
| Action to take A. Instruct the client to apply heat B. Instruct the client to avoid large crowds C. Instruct the client to avoid foods high in purines D. Instruct the client to apply topical analgesics E. Instruct the client to use mild soaps for cleansing skin |
| Potential condition A. Rheumatoid arthritis B. Osteoarthritis C. Systemic lupus erythematosus D. Gout |
| Parameter to monitor A. Mobility B. Uric acid levels C. Joint deformities D. ANA E. Lymphadenopathy |
| Gout |
Correct Answer: D,C,D,B,C
Rationale: Gout is indicated by joint pain and elevated uric acid; avoiding purines, using analgesics, and monitoring uric acid and deformities manage and track progress.