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 propranolol. Which of the following statements should the nurse include?
Correct Answer: B
Rationale: Propranolol, a beta-blocker, lowers heart rate, a key effect to monitor. It's taken without regard to meals, may cause fatigue, and dizziness needs reporting, not stopping.
Question 2 of 5
A nurse is assisting with the care of a client who is receiving a continuous IV infusion of propofol. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Propofol, a sedative, risks respiratory depression, requiring hourly monitoring. Site changes are less frequent, rate depends on orders, and heparin isn't routine.
Question 3 of 5
A nurse is caring for a client who has a new prescription for clonazepam. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Clonazepam causes drowsiness, requiring monitoring. It's as prescribed (not always daily), taken without regard to meals, and respiratory checks aren't primary.
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 4 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 5 of 5
A nurse is reinforcing teaching with a client who has a new prescription for loratadine. Which of the following statements should the nurse include?
Correct Answer: A
Rationale: Loratadine may cause mild drowsiness, so bedtime dosing is an option if needed. Appetite and skin color aren't affected, and stopping depends on symptom duration.