ATI LPN
PN Comprehensive Predictor 2023 Questions
Extract:
History and Physical
Vital signs
Screenings
Diagnostic results
Laboratory results
Provider Prescription
Client reports, “I have a cough”
History of present illness: 38-year-old client presents to the ED with a 4 day history of cough, often productive. Client reports fatigue, night sweats and a low-grade fever. Client reports “blood-tinged sputum”. Client also reports, “I used to weigh 167 pounds. Now I weigh 162 pounds.” Client reports a decreased appetite along with the 2.26kg (5lb) weight loss over the past week. Client states they have been trying to stay hydrated.
Family history: Child has asthma. All other family members healthy.
Social history: Heavy alcohol use (4 to 5 drinks per day), denies tobacco or illicit drug use. Recently traveled to visit their family in South Africa and stayed for 3 weeks
The nurse is administering medications to the client and is monitoring potential adverse effects of medications.
Question 1 of 5
For each body system below, click to specify the assessment findings that could indicate a serious adverse reaction.
| Yellowing of the eyes |
| Blurred vision |
| Dry eyes |
| Abdominal pain |
| Weight gain |
| Increased bruising |
| Darkening of the urine |
Correct Answer: A,B,D,F,G
Rationale: Yellowing of the eyes,Jaundice, blurred vision, abdominal pain, bruising, bleeding, and dark urine indicate serious TB medication side effects.
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 2 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 3 of 5
A nurse is collecting data from a client who has a new diagnosis of rheumatoid arthritis. Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: Morning stiffness is a hallmark symptom of rheumatoid arthritis due to joint inflammation.
Question 4 of 5
A nurse is assisting with the care of a client who is receiving IV fluids. Which of the following findings should the nurse identify as an indication of fluid overload?
Correct Answer: B
Rationale: Crackles in the lungs indicate fluid overload, a risk with excessive IV fluid administration.
Question 5 of 5
A nurse is reinforcing teaching with a client who has a new prescription for levofloxacin. Which of the following instructions should the nurse include?
Correct Answer: B
Rationale: Antacids can interfere with levofloxacin absorption, reducing its effectiveness.