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 insulin glargine. Which of the following instructions should the nurse include?
Correct Answer: B,D
Rationale: Administer the insulin at the same time each day: Consistency ensures stable blood glucose control. Store unopened vials in a cool, dark place: Proper storage maintains insulin potency. Generated rationale: Glargine requires daily timing for steady-state coverage and proper storage to prevent degradation, ensuring effective diabetes management.
Question 2 of 5
A nurse is reinforcing teaching with a client who has a new prescription for tamsulosin. Which of the following instructions should the nurse include?
Correct Answer: A
Rationale: Report dizziness when standing: Tamsulosin can cause orthostatic hypotension, leading to dizziness that should be reported. Generated rationale: Dizziness indicates a drop in blood pressure, requiring monitoring to prevent falls or adjust treatment.
Question 3 of 5
A nurse is assisting with the care of a client who is receiving peritoneal dialysis. Which of the following findings should the nurse report immediately?
Correct Answer: A
Rationale: Cloudy dialysate outflow: Cloudy effluent suggests infection, such as peritonitis, requiring urgent evaluation. Generated rationale: Peritonitis is a serious complication of peritoneal dialysis, and cloudy dialysate is a key indicator needing immediate intervention.
Question 4 of 5
A nurse is assisting with the care of a client who is postoperative following a thyroidectomy. Which of the following findings should the nurse report immediately?
Correct Answer: D
Rationale: Neck swelling: Significant swelling post-thyroidectomy could indicate hematoma or airway compromise, requiring urgent intervention. Generated rationale: Neck swelling may compress the airway or vessels, posing an immediate threat to the client's safety.
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 5 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.