ATI LPN
PN Comprehensive Predictor 2020 Questions
Extract:
Question 1 of 5
A nurse is reinforcing teaching with a client who has osteoporosis and a new prescription for alendronate. Which of the following statements should the nurse include?
Correct Answer: B
Rationale: Remaining upright for 30 minutes prevents esophageal irritation from alendronate. It's taken in the morning, rash isn't common, and milk interferes with absorption.
Question 2 of 5
A nurse is assisting with the care of a client who is postoperative following a craniotomy. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Increased intracranial pressure is a risk post-craniotomy, requiring monitoring (e.g., pupil changes). Elevation, not flat positioning, gentle coughing, and no heat are standard.
Question 3 of 5
A nurse is assisting with the care of a client who is receiving a continuous IV infusion of nitroprusside. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Nitroprusside, a vasodilator, requires hourly BP monitoring to prevent hypotension. Site changes are less frequent, rate depends on orders, and heparin isn't routine.
Question 4 of 5
A nurse is reinforcing teaching with a client who has a new prescription for oxycodone. Which of the following statements should the nurse include?
Correct Answer: C
Rationale: Oxycodone commonly causes constipation, requiring monitoring or prophylaxis. Grapefruit isn't relevant, respiration decreases, and driving caution is true but not the focus here.
Question 5 of 5
A nurse is assisting with the care of a client who is receiving total parenteral nutrition (TPN). Which of the following actions should the nurse take?
Correct Answer: A
Rationale: TPN's high glucose content requires frequent blood sugar checks (e.g., every 4-6 hr, but 12 hr is minimum). Tubing changes are every 24 hr, weight is daily, and it's given at room temp.