ATI LPN
PN Comprehensive Predictor 2023 Questions
Extract:
Nurses’ Notes
I&O
Postoperative Day 3
0900:
Client reports pain at surgical incision site as 5 on a scale of 0 to 10. Client reports bladder fullness. Perineal dressing Intact with minimal serosanguinous drainage. Client transferring out of bed to chair independently. Extremities cool and dry with 2+peripheral pulses.
1300:
Client reports abdominal cramping and small, hard, painful bowel movement after lunch. Ambulating independently in hallway. Reports pain as 8 on a scale of 0 to 10. Urinary catheter intact with 100 mL/hr of pink urine.
Question 1 of 5
Select the 2 actions the nurse should prepare to take for the client.
| Encourage prolonged dangling before ambulation. |
| Administer an enema. |
| Encourage oral fluid intake. |
| Irrigate indwelling catheter with 500 mL of fluid. |
| Assist the client with a sitz bath. |
Correct Answer: C,E
Rationale: Fluid intake and sitz baths promote bowel function and comfort post-surgery.
Extract:
Admission Assessment
Laboratory Results
Vital signs
Day 1
0800:
Client reports increasing pain their right knee and left wrist over the last 2 years.
Crepitus of the right knee and left wrist. Client denies pain to other joints.
No rashes noted on face
Capillary refill +2 bilaterally upper and lower extremities
Family history of hypertension and gout
Question 2 of 5
Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing, 2 actions the nurse should take to address that condition, and 2 parameters the nurse should monitor to assess the client's progress.
| Action to take A. Instruct the client to apply heat B. Instruct the client to avoid large crowds C. Instruct the client to avoid foods high in purines D. Instruct the client to apply topical analgesics E. Instruct the client to use mild soaps for cleansing skin |
| Potential condition A. Rheumatoid arthritis B. Osteoarthritis C. Systemic lupus erythematosus D. Gout |
| Parameter to monitor A. Mobility B. Uric acid levels C. Joint deformities D. ANA E. Lymphadenopathy |
| Gout |
Correct Answer: D,C,D,B,C
Rationale: Gout is indicated by joint pain and elevated uric acid; avoiding purines, using analgesics, and monitoring uric acid and deformities manage and track progress.
Extract:
Question 3 of 5
A nurse is caring for a client who has HIV and is neutropenic. Which of the following findings should the nurse identify as increasing the risk for the client to develop an infection?
Correct Answer: A
Rationale: Fresh fruit poses a risk to a neutropenic client because it may harbor harmful bacteria or fungi, which could lead to an infection. Neutropenic clients have a weakened immune system and are more vulnerable to infections, so it is essential to avoid raw or unwashed fruits that can carry harmful pathogens.
Question 4 of 5
A nurse is caring for a client who has a prescription for levothyroxine. Which of the following laboratory tests should the nurse monitor?
Correct Answer: B
Rationale: TSH is the most important laboratory test to monitor in a client taking levothyroxine, as this medication is used to replace or supplement thyroid hormone levels. Monitoring TSH levels is essential for determining whether the medication dosage needs to be adjusted.
Question 5 of 5
A nurse is reinforcing teaching with client who has diabetes mellitus and is taking insulin lispro and insulin glargine. Which the following instructions should the nurse include in the teaching?
Correct Answer: A
Rationale: Insulin lispro and insulin glargine should be administered separately, as mixing them in one syringe can affect their effectiveness and may cause inaccurate dosing. This ensures proper administration and action of both insulins.