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 atorvastatin. For which of the following adverse effects should the nurse instruct the client to monitor and report to the provider?
Correct Answer: D
Rationale: Atorvastatin can cause myopathy, characterized by muscle pain, which may progress to severe rhabdomyolysis. This requires immediate reporting, unlike hypoglycemia, palpitations, or drowsiness, which aren't typical side effects.
Question 2 of 5
A nurse is reinforcing teaching with a client who has a new prescription for trazodone. Which of the following statements should the nurse include?
Correct Answer: C
Rationale: Trazodone causes drowsiness, often used at bedtime for sleep. Morning dosing isn't ideal, energy decreases, and alcohol worsens sedation (also true but not the focus).
Question 3 of 5
A nurse is reinforcing teaching with a client who has a new prescription for omeprazole. Which of the following statements should the nurse include?
Correct Answer: D
Rationale: Abdominal pain could signal a serious side effect (e.g., ulcer perforation) with omeprazole, requiring reporting. It's taken before meals, doesn't increase stools, and urine color isn't affected.
Question 4 of 5
A nurse is caring for a client who has a new prescription for phenytoin. Which of the following findings should the nurse identify as an adverse effect of the medication?
Correct Answer: B
Rationale: Phenytoin commonly causes gingival hyperplasia, a notable side effect. Appetite and weight aren't typically affected, and seizure control is the goal, not an adverse effect.
Question 5 of 5
A nurse is caring for a client who has a chest tube to manage a hemothorax. Which of the following actions should the nurse take? Select all that apply.
Correct Answer: A,D,E
Rationale: Keeping the tube below chest level aids drainage, reinforcing dressings maintains a seal, and monitoring for emphysema detects complications. Stripping is outdated, shallow breathing hinders recovery, and drainage reporting varies by protocol.