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 reinforcing teaching with a client who has a new prescription for a metered-dose inhaler. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: B
Rationale: Rinsing the mouth prevents irritation or infection from residual medication. Waiting time is typically 30-60 seconds, one depression per puff, and breath-holding aids absorption.
Question 3 of 5
A nurse is caring for a client who has a new diagnosis of hyperthyroidism. Which of the following findings should the nurse expect?
Correct Answer: C
Rationale: Hyperthyroidism increases metabolism, causing heat intolerance. Weight loss, tachycardia, and diarrhea are more typical than gain, bradycardia, or constipation.
Question 4 of 5
A nurse is assisting with the care of a client who is receiving a continuous IV infusion of potassium chloride. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Potassium chloride can cause arrhythmias, especially if infused too quickly, so hourly cardiac monitoring is essential. Site changes are typically every 72-96 hours, the rate depends on orders (usually 10-20 mEq/hr), and heparin isn't routinely used.
Question 5 of 5
A nurse is reinforcing teaching with a client who has a new prescription for valsartan. Which of the following statements should the nurse include?
Correct Answer: B
Rationale: Valsartan can cause angioedema (swelling), requiring reporting. It's taken without regard to meals, doesn't change urine color, and cough is less common than with ACE inhibitors.