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 gabapentin. Which of the following statements should the nurse include?
Correct Answer: C
Rationale: Gabapentin often causes drowsiness, a key side effect. Milk isn't required, energy may decrease, and stopping abruptly risks withdrawal or seizures.
Extract:
Nurses Notes
Day 1, 12:00:
Transferred to medical-surgical unit from emergency department (ED) for continued care following a closed reduction and immobilization of a fracture of the right arm. Accompanied by adult child.
Client in visibly soiled night clothes with multiple stains, including what appears to be dried blood. Hair, teeth, and fingernails unclean. Strong body odor noted. Bruising of various stages noted around upper arms, back, shoulders, and neck area.
Client is soft-spoken, speaks almost in a whisper, does not make eye contact with nurse.
Client looks at their child before answering the nurse's questions and, when asked how the injury occurred, mumbles, "I don't know. Ask them." Client's child states, "He gets confused sometimes. I can answer your questions."
Question 2 of 5
Nurses Notes Day 1, 12:00: Transferred to medical-surgical unit from emergency department (ED) for continued care following a closed reduction and immobilization of a fracture of the right arm. Accompanied by adult child. Client in visibly soiled night clothes with multiple stains, including what appears to be dried blood. Hair, teeth, and fingernails unclean. Strong body odor noted. Bruising of various stages noted around upper arms, back, shoulders, and neck area. Client is soft-spoken, speaks almost in a whisper, does not make eye contact with nurse. Client looks at their child before answering the nurse's questions and, when asked how the injury occurred, mumbles, 'I don't know. Ask them.' Client's child states, 'He gets confused sometimes. I can answer your questions.' The nurse is identifying tertiary prevention strategies to implement for this client. Select the three actions the nurse should take.
Correct Answer: C,E,F
Rationale: Reporting suspected abuse, asking about the fracture, and interviewing privately are tertiary prevention steps to address and mitigate harm. Insisting, informing, or confronting may escalate without evidence.
Extract:
Question 3 of 5
A nurse is caring for a client who has a new prescription for sumatriptan. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Sumatriptan can cause chest pain (vasoconstriction), requiring monitoring. It's PRN for migraines, taken without regard to meals, and respiratory rate isn't primary.
Question 4 of 5
A nurse is assisting with the care of a client who is postoperative following a hysterectomy. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Vaginal bleeding post-hysterectomy signals hemorrhage, requiring monitoring. Ambulation is encouraged, coughing is supported, and cold compresses are as needed.
Extract:
A nurse is assisting with the care of a client in a PACU. Provider Prescriptions
1100:
Oxygen 2 to 5 L/min via nasal cannula to maintain oxygen saturation greater than 92%.
Question 5 of 5
A nurse is assisting with the care of a client in a PACU. Provider Prescriptions 1100: Oxygen 2 to 5 L/min via nasal cannula to maintain oxygen saturation greater than 92%. Which of the following actions should the nurse take during the management of oxygenation for this client? Select all that apply.
Correct Answer: C,D,E
Rationale: Adding a humidifier prevents nasal dryness, deep breathing enhances oxygenation, and checking nail beds detects cyanosis. Supine positioning isn't ideal for oxygenation, and a Venturi mask isn't prescribed here.