ATI LPN
LPN Comprehensive Predictor 2023 Questions
Extract:
Question 1 of 5
A nurse is reinforcing teaching with client who has diabetes mellitus and is taking insulin lispro and insulin glargine. Which the following instructions should the nurse include in the teaching?
Correct Answer: A
Rationale: Draw up the insulin lispro and insulin glargine in separate syringes: Insulin lispro (a rapid-acting insulin) and insulin glargine (a long-acting insulin) should be administered separately, as they have different properties and mechanisms of action. Mixing them in one syringe can affect their effectiveness and may cause inaccurate dosing.
Extract:
0800:
Client transported to emergency department by emergency medical services. Client found in a bathroom at a bar unresponsive and without a pulse. Report by emergency medical services states that a needle was in the client’s left antecubital space. Naloxone was administered at the scene. EMS relayed that someone saw the client have one beer and then go to the bathroom
Client drowsy, arouses noxious stimuli, but falls back asleep quickly.
Eyes: Pupils reactive, miotic
Heart: Normal rate and rhythm
Lungs: Equal bilateral, clear to auscultation
Abdomen: Decreased bowel sounds
Skin: Marks in left antecubital space
Review of medical record 2 weeks prior:
Discharge note:
At 0600, Client transported to the emergency department by emergency medical services. Client was found in the park by runners. Client presented with manifestations of sedation, miosis, hypokinesis and mood alteration. Supportive care provided. At 1000, client stated, “I am going to throw up. I’ve never used this drug before.’’ Assessment revealed mydriasis, hyperrflexia, diaphoresis, piloerection. Supportive care provided. Medications included buprenorphine/naloxone taper x 4 days. Client stabilizied and dischargd back to shelter after completing the 4-day buprenorphine/naloxone taper
Question 2 of 5
The client likely suffered from ____ as evidenced by ____.
| Opioid withdrawal |
| Opioid intoxication |
| Alcohol withdrawal |
| Hallucinogen intoxication |
| Alcohol intoxication |
| Pupil characteristics |
Correct Answer: B,F
Rationale: Condition: Opioid intoxication The client's presentation of unresponsiveness, respiratory depression (RR 10/min), and miosis (pinpoint pupils) is consistent with opioid intoxication. Finding: Pupil characteristics Opioid intoxication commonly causes miosis (pinpoint pupils).
Extract:
Question 3 of 5
A nurse is providing change-of-shift report for a client. Which of the following information should the nurse include in the report?
Correct Answer: B,C
Rationale: The client reports pain is reduced when he is positioned on his side: This is relevant clinical information that affects the client's comfort and care plan. Client received the prescribed antibiotic every 8 hours: This confirms adherence to the treatment plan and is critical for continuity of care. Generated rationale: Including relevant clinical data such as pain management strategies and medication administration ensures the oncoming nurse can maintain effective care, while social or historical details like visitors or past family history are less critical unless directly impacting current care.
Question 4 of 5
A nurse is reinforcing teaching with client who has diabetes mellitus and is taking insulin lispro and insulin glargine. Which the following instructions should the nurse include in the teaching?
Correct Answer: A
Rationale: Draw up the insulin lispro and insulin glargine in separate syringes: Insulin lispro (a rapid-acting insulin) and insulin glargine (a long-acting insulin) should be administered separately, as they have different properties and mechanisms of action. Mixing them in one syringe can affect their effectiveness and may cause inaccurate dosing.
Question 5 of 5
A nurse is reinforcing teaching with a client who has a new prescription for methotrexate. Which of the following instructions should the nurse include?
Correct Answer: A
Rationale: Avoid alcohol consumption: Methotrexate is hepatotoxic, and alcohol can exacerbate liver damage. Generated rationale: Combining methotrexate with alcohol increases the risk of liver toxicity, necessitating strict avoidance to ensure safety.