ATI LPN
LPN Comprehensive Predictor 2023 Questions
Extract:
Question 1 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.
Question 2 of 5
A nurse is caring for a client who has a new prescription for bupropion. Which of the following instructions should the nurse include?
Correct Answer: A
Rationale: Report insomnia to the provider: Bupropion can cause insomnia as a common side effect, and this should be monitored and reported if significant. Generated rationale: Insomnia may require dose adjustment or timing changes, ensuring effective management of the client's condition.
Question 3 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 4 of 5
A nurse is collecting data from a client who is receiving IV therapy. Which of the following findings indicates fluid volume overload?
Correct Answer: A,B
Rationale: Crackles in the lungs: Crackles indicate fluid accumulation in the alveoli, a sign of fluid overload. Distended neck veins: This reflects increased venous pressure due to excess fluid volume. Generated rationale: Fluid volume overload leads to systemic congestion, manifesting as pulmonary edema (crackles) and increased central venous pressure (distended neck veins), requiring immediate intervention.
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 5 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).