ATI LPN
PN Comprehensive Predictor 2023 Questions
Extract:
Admission Assessment
Assessment
Nurses’ Notes
Vital signs
Medication Administration Record
0100:
Client's skin warm to touch. Crackles auscultated in lower lung lobes bilaterally. Mucous membranes show color expected for client's skin tone and dry. Client reports productive cough with yellow sputum
Pedal pulses 2+
Client reports mild penicillin allergy.
A nurse is assisting with the care of a client who has pneumonia.
Question 1 of 5
For each potential nursing action, click to specify if the potential action is anticipated or contraindicated for the client.
| Options | Anticipated | Contraindicated |
|---|---|---|
| Administer phytonadione (Vitamin K) | ||
| Apply cool compress to the extremity | ||
| Elevate extremity | ||
| Suggest irrigating the IV catheter | ||
| Assist in inserting a new IV catheter in a site distal to the infiltration site | ||
| Send the catheter tip for culture |
Correct Answer: B,C,F
Rationale: Cool compress, elevation, and catheter tip culture address IV infiltration and infection risk.
Extract:
Question 2 of 5
A nurse is assisting with the care of a client who has a prescription for digoxin. Which of the following findings should the nurse identify as an adverse effect of the medication?
Correct Answer: B
Rationale: Nausea is a common adverse effect of digoxin toxicity, requiring monitoring.
Question 3 of 5
A nurse is collecting data from a client who has a suspected appendicitis. Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: Fever is a common symptom of appendicitis due to inflammation or infection.
Question 4 of 5
A nurse is assisting with the care of a client who is receiving oxygen therapy via nasal cannula. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Checking for skin breakdown prevents irritation from prolonged nasal cannula use.
Question 5 of 5
A nurse is reinforcing teaching with a client who has a new prescription for enoxaparin. The nurse should identify which of the following over-the-counter products as unsafe for use with enoxaparin.
Correct Answer: D
Rationale: Naproxen, an NSAID, increases bleeding risk when used with enoxaparin, an anticoagulant.