ATI LPN
LPN Comprehensive Predictor 2023 Questions
Extract:
Question 1 of 5
A nurse is reinforcing teaching with a client who is postoperative following a TURP procedure. Which of the following instructions should the nurse include?
Correct Answer: C
Rationale: Avoid lifting objects heavier than 10 lb: Heavy lifting can strain the surgical site after a transurethral resection of the prostate (TURP), increasing the risk of bleeding or complications. Generated rationale: Restricting lifting protects the healing prostate and bladder neck, preventing hemorrhage or delayed recovery.
Extract:
Preoperative
0730:
Client is scheduled for a left stapedectomy.
Pupils 3.5 mm, equal, round, and reactive to light.
Smile symmetrical.
Mucous membranes show color expected for client's skin tone and moist.
Speech clear.
Skin warm and dry.
Lungs clear bilaterally.
Apical heart rate regular at 78/min.
Postoperative
1230:
Pupils 3 mm, equal, and reactive to light.
Smile asymmetrical.
Mucous membranes pink.
Speech hoarse.
Client with left facial droop.
Skin warm and dry.
Client reports vertigo and nausea.
Bilateral breath sounds clear and present throughout
Question 2 of 5
A client presents to the medical surgical unit. Which of the following findings requires further action by the nurse? Select all that apply.
Correct Answer: D,E
Rationale: Facial nerve assessment: Left facial droop suggests potential facial nerve injury. Vertigo: Persistent vertigo may indicate inner ear trauma.
Extract:
Question 3 of 5
A nurse is caring for a client who has a urinary tract infection and is prescribed ciprofloxacin. Which of the following instructions should the nurse include?
Correct Answer: A
Rationale: Avoid taking with calcium-rich foods: Calcium can bind to ciprofloxacin, reducing its absorption and effectiveness. Generated rationale: Calcium-rich foods like dairy products can chelate ciprofloxacin, decreasing its bioavailability and therapeutic effect.
Question 4 of 5
A nurse is reinforcing teaching with a client who is starting chemotherapy. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: A
Rationale: I should avoid contact with people who have infections: Chemotherapy suppresses the immune system, increasing infection risk. Generated rationale: Neutropenia from chemotherapy necessitates precautions to minimize exposure to pathogens, ensuring patient safety.
Question 5 of 5
A nurse is caring for a client who has a new prescription for fluconazole. Which of the following instructions should the nurse include?
Correct Answer: A
Rationale: Report yellowing of the skin: Fluconazole can cause hepatotoxicity, and jaundice (yellowing) is a serious sign to report. Generated rationale: Liver dysfunction is a rare but critical adverse effect, requiring immediate evaluation to prevent further damage.