ATI LPN
PN Comprehensive Predictor 2023 Questions
Extract:
History and Physical
Vital signs
Screenings
Diagnostic results
Laboratory results
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 and TB medications (rifampin, isoniazid, pyrazinamide, ethambutol) are appropriate; contact precautions and repeat skin tests are not.
Extract:
Question 2 of 5
A nurse is reinforcing teaching with the partner of a client who is receiving hospice care about music therapy for pain management. Which of the following statements by the partner indicates an understanding of the teaching?
Correct Answer: D
Rationale: Music therapy can distract from pain perception, serving as an effective complementary pain management strategy.
Question 3 of 5
A nurse is collecting data from a client who has a history of seizures. Which of the following medications should the nurse expect the client to be taking?
Correct Answer: B
Rationale: Phenytoin is an anticonvulsant commonly used to manage seizures.
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
Question 4 of 5
Select the 3 client statements that indicate an understanding of the teaching.
| I can expect my contact lenses to turn red or orange. |
| I should notify my provider if I start taking new over-the-counter or prescription medications. |
| I will need to have someone observe me when I take my medication. |
| I will need to have a repeat Mantoux test in 4 weeks. |
| I am no longer contagious. |
| I will need to take my medications for a total of 6 weeks. |
| I can continue my current alcohol intake. |
Correct Answer: A,B,C
Rationale: Red-orange discoloration, notifying about new medications, and observed therapy reflect TB treatment understanding.
Extract:
Question 5 of 5
A nurse is caring for a client who is taking multiple medications and asks about possible interactions. To which of the following members of the interdisciplinary team should the nurse make a referral?
Correct Answer: D
Rationale: An advanced practice nurse can assess and manage medication interactions effectively.