ATI LPN
PN Comprehensive Predictor 2023 Questions
Extract:
Admission Assessment
Laboratory Results
Vital signs
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 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 |
| Gout |
Correct Answer: D,C,D,B,C
Rationale: Gout is indicated by joint pain and elevated uric acid; avoiding purines, using analgesics, and monitoring uric acid and deformities manage and track progress.
Extract:
Question 2 of 5
A nurse is collecting data from a client who has a history of deep-vein thrombosis. Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: Swelling in the affected leg is typical in DVT due to venous obstruction.
Question 3 of 5
A nurse is assisting with the care of a client who is postoperative following a total hip arthroplasty. Which of the following actions should the nurse take to prevent dislocation of the prosthesis?
Correct Answer: D
Rationale: An abduction pillow maintains proper hip alignment, preventing dislocation.
Question 4 of 5
A nurse is reinforcing teaching with a client who has a new prescription for citalopram. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: B
Rationale: Unusual mood changes should be reported, as they may indicate adverse effects of citalopram.
Question 5 of 5
A nurse is collecting data from a client who has a new diagnosis of type 2 diabetes mellitus. Which of the following findings should the nurse expect?
Correct Answer: C
Rationale: Polyuria is a classic symptom of type 2 diabetes due to elevated blood glucose levels.