ATI LPN
LPN Comprehensive Predictor 2023 Questions
Extract:
Question 1 of 5
A nurse is reinforcing teaching with a client who has a new prescription for escitalopram. Which of the following instructions should the nurse include?
Correct Answer: A
Rationale: Report suicidal thoughts immediately: Escitalopram, an SSRI, carries a risk of increased suicidal ideation, especially early in treatment. Generated rationale: Early reporting of suicidal thoughts ensures timely intervention, critical for patient safety during antidepressant initiation.
Question 2 of 5
A nurse is caring for a client who is postoperative following a cholecystectomy. Which of the following findings should the nurse report immediately?
Correct Answer: D
Rationale: Clay-colored stools: This may indicate bile duct obstruction, a serious complication requiring immediate evaluation. Generated rationale: Absence of bile in the stool suggests a blockage post-cholecystectomy, which could lead to jaundice or pancreatitis if untreated.
Extract:
1230:
0.9% sodium chloride 500 mL bolus then 100 mL/hr.
Type and cross match for 2 units of packed RBCs.
Repeat WBC, hemoglobin, and hematocrit STAT.
Delay endoscopy.
2 L/min O2 via nasal cannula.
1330:
2 units packed RBCs IV over 4 hr.
Repeat WBC, hemoglobin, and hematocrit at transfusion
completion STAT.
The nurse is reviewing the client's medical record.
The nurse is assisting with the care the client prior to a blood transfusion
Question 3 of 5
The nurse is assisting with the care the client prior to a blood transfusion. Which of the following actions should the nurse take? Select all that apply.
Correct Answer: B,C,D
Rationale: Ensure two nurses confirm the information on the blood label: Before initiating a blood transfusion, two nurses must verify the client's identity, blood type, and compatibility with the donor blood. Obtain a large-bore IV catheter: A large-bore IV catheter (18 20 gauge) is necessary to facilitate the transfusion of packed red blood cells. Witness the client signing a consent for transfusion: A blood transfusion is an invasive procedure requiring informed consent.
Extract:
Question 4 of 5
A nurse is caring for a client who has HIV and is neutropenic. Which of the following findings should the nurse identify as increasing the risk for the client to develop an infection?
Correct Answer: A
Rationale: The client's meal tray includes ice cream with fresh fruit: Fresh fruit poses a risk to a neutropenic client because it may harbor harmful bacteria or fungi, which could lead to an infection. Neutropenic clients have a weakened immune system and are more vulnerable to infections, so it is essential to avoid raw or unwashed fruits that can carry harmful pathogens.
Question 5 of 5
A nurse is reviewing laboratory findings for three clients. Which of the following laboratory results should the nurse expect for a client has pancreatitis?
Correct Answer: B
Rationale: Elevated lipase: This is the most characteristic lab finding in pancreatitis. Lipase is an enzyme produced by the pancreas, and its levels rise significantly when the pancreas is inflamed.