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 assisting with the care of a client who is receiving peritoneal dialysis. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Monitoring for peritonitis (e.g., cloudy effluent, pain) is key in peritoneal dialysis. Dialysate is warmed to body temp (37°
C), heparin may be added, and saline flushes are used.
Question 3 of 5
A nurse is caring for a client who has a new prescription for ceftriaxone. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Monitoring for allergic reactions (e.g., rash, anaphylaxis) is critical with antibiotics like ceftriaxone. It's given slowly, diluted in saline, and typically daily, not weekly.
Question 4 of 5
A nurse is caring for a client who has a prescription for cefazolin IV. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Cefazolin risks allergic reactions (e.g., rash), requiring monitoring. It's given over 30-60 minutes, diluted in saline, and temp checks aren't specific.
Question 5 of 5
A nurse is contributing to the plan of care for a client who has herpes simplex. The nurse should plan to initiate which of the following isolation procedures when caring for this client?
Correct Answer: D
Rationale: Herpes simplex spreads via direct contact, requiring contact precautions (gloves, gown). Droplet, airborne, and protective environments are for other transmission modes.