ATI LPN
PN Comprehensive Predictor 2020 Questions
Extract:
Nurses Notes
Day 1, 12:00:
Transferred to medical-surgical unit from emergency department (ED) for continued care following a closed reduction and immobilization of a fracture of the right arm. Accompanied by adult child.
Client in visibly soiled night clothes with multiple stains, including what appears to be dried blood. Hair, teeth, and fingernails unclean. Strong body odor noted. Bruising of various stages noted around upper arms, back, shoulders, and neck area.
Client is soft-spoken, speaks almost in a whisper, does not make eye contact with nurse.
Client looks at their child before answering the nurse's questions and, when asked how the injury occurred, mumbles, "I don't know. Ask them." Client's child states, "He gets confused sometimes. I can answer your questions."
Question 1 of 5
Nurses Notes Day 1, 12:00: Transferred to medical-surgical unit from emergency department (ED) for continued care following a closed reduction and immobilization of a fracture of the right arm. Accompanied by adult child. Client in visibly soiled night clothes with multiple stains, including what appears to be dried blood. Hair, teeth, and fingernails unclean. Strong body odor noted. Bruising of various stages noted around upper arms, back, shoulders, and neck area. Client is soft-spoken, speaks almost in a whisper, does not make eye contact with nurse. Client looks at their child before answering the nurse's questions and, when asked how the injury occurred, mumbles, 'I don't know. Ask them.' Client's child states, 'He gets confused sometimes. I can answer your questions.' The nurse is identifying tertiary prevention strategies to implement for this client. Select the three actions the nurse should take.
Correct Answer: C,E,F
Rationale: Reporting suspected abuse, asking about the fracture, and interviewing privately are tertiary prevention steps to address and mitigate harm. Insisting, informing, or confronting may escalate without evidence.
Extract:
Question 2 of 5
A nurse is caring for a client who has a prescription for captopril. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Captopril, an ACE inhibitor, commonly causes a persistent dry cough, requiring monitoring and reporting if severe. It's an oral medication, not IV, and taken daily or as prescribed, not weekly.
Question 3 of 5
A nurse is caring for a client who has a new prescription for heparin therapy. Which of the following laboratory values should the nurse plan to monitor?
Correct Answer: B
Rationale: Heparin affects clotting via aPTT, which monitors its therapeutic effect. PT/INR is for warfarin, and platelets are checked for thrombocytopenia risk.
Question 4 of 5
A nurse is caring for a client who has a prescription for ondansetron. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Ondansetron, an antiemetic, can cause constipation, requiring monitoring. It's given slowly IV, diluted in saline, and dosed as needed, not weekly.
Question 5 of 5
A nurse is caring for a client who has a chest tube to manage a hemothorax. Which of the following actions should the nurse take? Select all that apply.
Correct Answer: A,D,E
Rationale: Keeping the tube below chest level aids drainage, reinforcing dressings maintains a seal, and monitoring for emphysema detects complications. Stripping is outdated, shallow breathing hinders recovery, and drainage reporting varies by protocol.