ATI LPN
PN Comprehensive Predictor 2020 Questions
Extract:
Admission Assessment
12:00:
58-year-old client reporting chest pain is admited to the emergency department. Client states chest pain began this morning after breakfast and pain radiates to left arm. Client rates pain as 4 on a scale of 0 to 10. Client has medical history of hypertension, type 2 diabetes mellitus, and hyperlipidemia. Social history: denies alcohol use, smokes 1 pack per day for 35 years.
Current medications.
Lisinopril 20 mg PO daily.
Glucophage 500 mg PO BID.
Simvastatin 20 mg PO daily
Question 1 of 5
Admission Assessment 12:00: 58-year-old client reporting chest pain is admitted to the emergency department. Client states chest pain began this morning after breakfast and pain radiates to left arm. Client rates pain as 4 on a scale of 0 to 10. Client has medical history of hypertension, type 2 diabetes mellitus, and hyperlipidemia. Social history: denies alcohol use, smokes 1 pack per day for 35 years. Current medications: Lisinopril 20 mg PO daily, Glucophage 500 mg PO BID, Simvastatin 20 mg PO daily. A nurse is assisting with the care of a client. Complete the following sentence. After notifying the provider, the nurse should first [dropdown group 1] and then [dropdown group 2].
| apply ice packs to the chest |
| assess for signs of stroke |
| administer nitroglycerin |
| provide a high-fat meal |
| obtain an electrocardiogram (ECG) |
| perform a throat culture |
| check blood glucose levels |
Correct Answer: C,E
Rationale: Chest pain radiating to the arm suggests angina or myocardial infarction. Nitroglycerin relieves cardiac pain, and an ECG confirms ischemia, both urgent steps in this scenario.
Extract:
Question 2 of 5
A nurse is collecting a health history from the guardian of a 4-year-old child. Which of the following statements by the guardian is the priority for the nurse to address?
Correct Answer: B
Rationale: Withdrawal after a daycare change suggests emotional distress, a priority over bedwetting, picky eating, or repetitive questions, which are less urgent.
Question 3 of 5
A nurse is assisting with the care of a client who is receiving a continuous IV infusion of magnesium sulfate. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Magnesium sulfate toxicity depresses reflexes, requiring monitoring (e.g., every 1-4 hr). Site changes are less frequent, rate depends on orders, and heparin isn't routine.
Question 4 of 5
A nurse is assisting with the care of a client who is receiving a continuous IV infusion of dopamine. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Dopamine extravasation can cause tissue necrosis, requiring hourly checks. Site changes are less frequent, rate depends on orders, and heparin isn't routine.
Question 5 of 5
A nurse is assisting with the care of a client who is receiving hospice care and reports increased pain. Which of the following actions should the nurse take first?
Correct Answer: C
Rationale: Assessing pain level first determines the severity and guides intervention. Analgesics, oxygen, or positioning follow based on the rating.