ATI LPN
LPN Comprehensive Predictor 2023 Questions
Extract:
Question 1 of 5
A nurse is reinforcing teaching with a client who is to start taking metformin. Which of the following instructions should the nurse include?
Correct Answer: A
Rationale: Take the medication with meals: Metformin should be taken with food to reduce gastrointestinal side effects like nausea and diarrhea. Generated rationale: Administering metformin with meals minimizes stomach upset and improves medication tolerance.
Question 2 of 5
A nurse is reinforcing teaching with a client who has a new prescription for enoxaparin. The nurse should identify which of the following over-the-counter products as unsafe for use with enoxaparin.
Correct Answer: D
Rationale: Naproxen: Naproxen is a nonsteroidal anti-inflammatory drug (NSAI
D) that increases the risk of bleeding.
Question 3 of 5
A nurse is assisting with the care of a client who is postoperative following a lumbar laminectomy. Which of the following instructions should the nurse include?
Correct Answer: A,C
Rationale: Log-roll when changing positions: Log-rolling maintains spinal alignment, reducing strain on the surgical site. Ambulate only with assistance initially: Assistance ensures safety while mobility is limited post-surgery. Generated rationale: These measures protect the surgical site and promote safe recovery by minimizing spinal stress and fall risk.
Question 4 of 5
A nurse is reinforcing teaching with a client who has a new prescription for pantoprazole. Which of the following instructions should the nurse include?
Correct Answer: C
Rationale: Swallow the tablet whole: Pantoprazole's delayed-release formulation requires swallowing whole to ensure proper absorption. Generated rationale: Crushing or chewing disrupts the enteric coating, reducing efficacy and increasing gastric irritation.
Question 5 of 5
A nurse is caring for a client who has a new prescription for fluconazole. Which of the following instructions should the nurse include?
Correct Answer: A
Rationale: Report yellowing of the skin: Fluconazole can cause hepatotoxicity, and jaundice (yellowing) is a serious sign to report. Generated rationale: Liver dysfunction is a rare but critical adverse effect, requiring immediate evaluation to prevent further damage.