ATI LPN
LPN Comprehensive Predictor 2023 Questions
Extract:
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
Question 1 of 5
For each potential provider's prescription, click to specify if the potential prescription is anticipated or contraindicated for the client:
| Options | Anticipated | Contraindicated |
|---|---|---|
| Airborne precautions | ||
| Rifampin | ||
| Contact precautions | ||
| Isoniazid | ||
| Monthly TB skin test for 1 year | ||
| Pyrazinamide | ||
| Ethambutol |
Correct Answer: A,B,D,F,G
Rationale: Airborne precautions: TB requires negative pressure isolation. Rifampin, Isoniazid, Pyrazinamide, Ethambutol: Standard TB treatment regimen.
Extract:
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
A nurse is assisting in the care of a client who presents to the emergency department
Question 2 of 5
A nurse is reviewing the client's medical record. Which of the following findings indicate the need for further evaluation? Select all that apply.
Correct Answer: A,B,C,D,G
Rationale: Respiratory complaint: A 4-day productive cough with fatigue raises concern for infection. Temperature: Low-grade fever (38.1°
C) suggests infection. Sputum characteristics: Blood-tinged sputum indicates possible TB or malignancy. Weight: Unintentional 5 lb loss signals systemic illness. Travel history: Recent travel to South Africa increases TB risk.
Extract:
Question 3 of 5
A nurse is assisting with the care of a client who has a chest tube in place. Which of the following findings should the nurse report immediately?
Correct Answer: A
Rationale: Continuous bubbling in the water seal chamber: Continuous bubbling indicates an air leak, which could compromise the effectiveness of the chest tube and requires immediate attention. Generated rationale: An air leak suggests a breach in the pleural space or system, potentially leading to pneumothorax if not corrected promptly.
Question 4 of 5
A nurse is reinforcing teaching with a client who has a new prescription for rivaroxaban. Which of the following instructions should the nurse include?
Correct Answer: A
Rationale: Report unusual bleeding: Rivaroxaban, a direct oral anticoagulant, increases bleeding risk, and any unusual bleeding should be reported. Generated rationale: Bleeding is a serious adverse effect of rivaroxaban, requiring prompt reporting to prevent hemorrhage.
Question 5 of 5
A nurse is assisting with the care of a client who is receiving chemotherapy. Which of the following laboratory values should the nurse monitor?
Correct Answer: A
Rationale: White blood cell count: Chemotherapy can cause leukopenia, increasing infection risk, necessitating close monitoring. Generated rationale: Myelosuppression from chemotherapy reduces immune defenses, making WBC monitoring critical to detect neutropenia.