ATI LPN Comprehensive Predictor 2023 Exam 3

Extract:

Question 1 of 5

A nurse on a medical surgical unit is caring for a group of clients. Which of the following clients should the nurse see first?

A. A client who is scheduled for surgery in 2 hr B. A client whose blood pressure is 160/90 mm Hg and reports a headache C. A client who is postoperative and reports intermittent nausea D. A client who is postoperative and has a Jackson Pratt drain

Correct Answer: B

Rationale: Elevated blood pressure with a headache suggests a hypertensive crisis, requiring immediate assessment to prevent complications like stroke. Other conditions are less urgent.

Question 2 of 5

A nurse is contributing to the plan of care for a client who is experiencing delirium. Which of the following interventions should the nurse recommend?

A. Remind the client of the day and time often. B. Offer the client several choices at mealtimes. C. Avoid discussing the client's fears. D. Alternate daily caregivers.

Correct Answer: A

Rationale: Frequent orientation to time and place reduces confusion in delirium. Multiple choices can overwhelm, discussing fears supports emotional needs, and consistent caregivers minimize disorientation.

Question 3 of 5

A nurse is caring for a client who is 2 days postoperative following an above-the-knee amputation. Which of the following actions should the nurse take to promote progression toward independence and mobility for the client?

A. Maintain abduction of the client's residual limb with a pillow. B. Encourage the client to use the overbed trapeze. C. Caution the client to avoid a prone position while in bed. D. Keep a loose, absorbent dressing over the client's surgical site.

Correct Answer: B

Rationale: Using an overbed trapeze builds upper body strength, aiding independent repositioning. Abduction, avoiding prone positions, or loose dressings don't directly enhance mobility.

Question 4 of 5

A nurse is caring for a client who has a prescription for NPH insulin 10 units and regular insulin 15 units subcutaneously. After injecting 10 units of air into the NPH insulin vial, which of the following actions should the nurse take next?

A. Verify the dosage with another nurse. B. Place the cap over the needle. C. Withdraw 10 units of NPH insulin. D. Inject 15 units of air into the regular insulin vial.

Correct Answer: D

Rationale: Injecting air into the regular insulin vial follows the sequence for mixing insulins (air into NPH, air into regular, withdraw regular, then NPH), preventing contamination and ensuring accurate dosing.

Question 5 of 5

A nurse in an acute care setting is assisting in collecting client information to include in a referral for a physical therapist. Which of the following information should the nurse plan to include?

A. Family medical history B. Medical health insurance claims C. Physical assessment findings D. Medications taken prior to admission

Correct Answer: C

Rationale: Physical assessment findings like mobility or pain are critical for a physical therapist to develop a tailored plan. Family history, insurance, or past medications are less relevant.

ATI LPN Comprehensive Predictor 2023 Exam 3 | Nurselytic

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