ATI PN Comprehensive Predictor 2023 - Exam 1

Extract:

Question 1 of 5

A nurse is reinforcing teaching with a client who has a new prescription for lisinopril. Which of the following statements by the client indicates an understanding of the teaching?

A. I might develop a dry coughB. I should take this medication with an antacidC. I should expect my blood pressure to increaseD. I can stop this medication if I feel dizzy

Correct Answer: A

Rationale: Lisinopril causes dry cough (ACE inhibitor effect). Antacids aren't needed, BP decreases, and stopping risks rebound.

Question 2 of 5

A nurse is reviewing client confidentiality with other staff members. The nurse should identify that which of the following actions is an example of protecting client confidentiality?

A. Giving change-of-shift report to a nurse outside the client's roomB. Discussing a client's prognosis with an assistive personnel who is caring for the clientC. Writing a client's diagnosis on the message board in the client's roomD. Discarding worksheets containing client information in a wastebasket

Correct Answer: A

Rationale: Giving report outside the room minimizes overhearing, protecting confidentiality. Discussing prognosis with AP may breach need-to-know, writing on a board exposes info, and discarding without shredding risks access.

Question 3 of 5

A nurse is assisting with the care of a client who is receiving a continuous tube feeding. The nurse notes residuals of 210 mL. Which of the following actions should the nurse take?

A. Increase the rate of the feedingB. Hold the feeding and notify the providerC. Continue the feeding and check residual again in 2 hrD. Flush the tube with 60 mL of water

Correct Answer: B

Rationale: A residual of 210 mL exceeds typical thresholds (e.g., 200 mL), indicating possible intolerance; holding and notifying the provider is prudent.

Question 4 of 5

A nurse is assisting with the care of a client who is postoperative following a total hip arthroplasty. Which of the following actions should the nurse take?

A. Place an abduction pillow between the client's legsB. Encourage the client to ambulate without assistive devicesC. Position the client with the affected leg flexedD. Instruct the client to bear weight fully on the affected leg

Correct Answer: A

Rationale: An abduction pillow prevents dislocation. Flexion, no devices, and full weight-bearing risk injury.

Question 5 of 5

A nurse is reinforcing teaching with a client who has a new prescription for propranolol. Which of the following statements by the client indicates an understanding of the teaching?

A. I should take this medication with grapefruit juiceB. I might experience fatigueC. I should expect my heart rate to increaseD. I can stop this medication if I feel better

Correct Answer: B

Rationale: Propranolol, a beta-blocker, causes fatigue. Grapefruit isn't an issue, HR decreases, and stopping risks rebound.

ATI PN Comprehensive Predictor 2023 - Exam 1 | Nurselytic

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