ATI LPN
LPN Comprehensive Predictor 2023 Questions
Extract:
Day 1
0800:
Client reports increasing pain their right knee and left wrist over the last 2 years.
Crepitus of the right knee and left wrist. Client denies pain to other joints.
No rashes noted on face
Capillary refill +2 bilaterally upper and lower extremities
Family history of hypertension and gout
Question 1 of 5
Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing, 2 actions the nurse should take to address that condition, and 2 parameters the nurse should monitor to assess the client's progress.
| Action to take | Potential condition | Parameter to monitor |
|---|---|---|
| Action to take: A. Instruct the client to apply heat B. Instruct the client to avoid large crowds C. Instruct the client to avoid foods high in purines D. Instruct the client to apply topical analgesics E. Instruct the client to use mild soaps for cleansing skin | ||
| Potential condition: A. Rheumatoid arthritis B. Osteoarthritis C. Systemic lupus erythematosus D. Gout | ||
| Parameter to monitor: A. Mobility B. Uric acid levels C. Joint deformities D. ANA E. Lymphadenopathy |
Correct Answer: D,B,C,B,F
Rationale: Condition: Gout Elevated uric acid and joint pain with family history. Actions: Avoid purine-rich foods, apply topical analgesics. Parameters: Uric acid levels, joint deformities.
Extract:
Question 2 of 5
A nurse is reinforcing teaching with a client who is postoperative following a TURP procedure. Which of the following instructions should the nurse include?
Correct Answer: C
Rationale: Avoid lifting objects heavier than 10 lb: Heavy lifting can strain the surgical site after a transurethral resection of the prostate (TURP), increasing the risk of bleeding or complications. Generated rationale: Restricting lifting protects the healing prostate and bladder neck, preventing hemorrhage or delayed recovery.
Question 3 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 4 of 5
A nurse is assisting with the care of a client who has a new diagnosis of shingles. Which of the following instructions should the nurse include?
Correct Answer: A,C
Rationale: Apply cool, wet compresses to the lesions: Cool compresses can soothe discomfort and reduce inflammation from shingles lesions. Avoid contact with pregnant women: Shingles (herpes zoster) can transmit varicella-zoster virus to those not immune, posing risks during pregnancy. Generated rationale: These measures alleviate symptoms and prevent transmission, especially to vulnerable populations.
Question 5 of 5
A nurse is reinforcing teaching with a client who has a new prescription for isosorbide mononitrate. Which of the following instructions should the nurse include?
Correct Answer: B
Rationale: Report headaches to the provider: Headaches are a common side effect of isosorbide mononitrate due to vasodilation and should be monitored. Generated rationale: Headaches may indicate the need for dose adjustment, ensuring tolerability while maintaining efficacy for angina prevention.