ATI LPN
PN Comprehensive Predictor 2023 Questions
Extract:
Admission Assessment
Laboratory Results
Vital Signs
0900:
Client reports, "I'm bloated and my stomach hurts."
History of prior illness: Client reports a 3-week history of gnawing abdominal pain. Client states, "It's a burning sensation that radiates to my back. I think I've lost a little weight too. Reports one episode of dark, tarry stool. No vomiting. Client reports pain is worse about 1 hr after eating a meal and pain is worsened by eating.
Past Medical History: osteoarthritis
Social History: recently divorced, drinks in moderation (3 to 4 drinks per week), smokes tobacco
Current Medications: Ibuprofen 800 mg three times daily PRN arthritis pain
General: client appears uncomfortable, diaphoretic
Head, ears, eyes, nose, and throat (HEENT): oropharynx clear, mucous membranes moist and pale
Respiratory: bilateral breath sounds clear
A nurse assisting with the care of a client who is admitted to the medical-surgical unit.
The nurse is reviewing the client's laboratory findings and vital signs.
Question 1 of 5
A nurse is reviewing the client's laboratory findings and vital signs. Select the 5 findings that require immediate follow-up.
| Respiratory rate |
| Stool results |
| Heart rate |
| Temperature |
| WBC count |
| Blood pressure |
| Hemoglobin and hematocrit |
Correct Answer: B,C,F,G
Rationale: Stool results, heart rate, blood pressure, hemoglobin/hematocrit, and ibuprofen use indicate gastrointestinal bleeding and hemodynamic instability, requiring urgent intervention.
Extract:
Question 2 of 5
A nurse is assisting with the care of a client who is postoperative following a craniotomy. Which of the following positions should the nurse place the client in?
Correct Answer: C
Rationale: Semi-Fowler's position reduces intracranial pressure while promoting comfort post-craniotomy.
Question 3 of 5
A nurse is assisting with the care of a client who is receiving chemotherapy. Which of the following laboratory values should the nurse monitor to assess for myelosuppression?
Correct Answer: A
Rationale: White blood cell count monitors for myelosuppression, a chemotherapy side effect.
Question 4 of 5
A nurse is reinforcing teaching with a client who has a new prescription for doxycycline. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: B
Rationale: Avoiding lying down for 30 minutes prevents esophageal irritation from doxycycline.
Question 5 of 5
A nurse is receiving a telephone prescription from a client's provider. Which of the following actions should the nurse take?
Correct Answer: C,D,E
Rationale: Asking the provider to spell the medication, recording the date and time, and confirming the read-back ensure accuracy and safety in telephone prescriptions.