ATI LPN
LPN Comprehensive Predictor 2023 Questions
Extract:
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: Encourage oral fluid intake: Hydration softens stool and prevents constipation. Assist the client with a sitz bath: Promotes perineal relaxation and healing.
Extract:
Question 2 of 5
A nurse is caring for a client who has a new prescription for metoprolol. Which of the following findings should the nurse monitor as an adverse effect?
Correct Answer: A
Rationale: Bradycardia: Metoprolol, a beta-blocker, can slow heart rate, requiring monitoring for excessive bradycardia. Generated rationale: Beta-blockade reduces sympathetic stimulation, potentially causing bradycardia that may need dose adjustment.
Question 3 of 5
A nurse is reinforcing teaching with a client who has a new prescription for montelukast. Which of the following instructions should the nurse include?
Correct Answer: A
Rationale: Take the medication once daily in the evening: Montelukast is typically taken in the evening for long-term asthma control. Generated rationale: Evening dosing aligns with montelukast's mechanism to reduce nighttime asthma symptoms, optimizing efficacy.
Question 4 of 5
A nurse is caring for a child who has terminal cancer. Which of the following responses by the child's school-age brother should the nurse expect?
Correct Answer: D
Rationale: Believes his bad behavior is causing his brother's death: This response is the most typical for a school-age child. At this stage, children often have a sense of responsibility for events around them and may develop feelings of guilt or magical thinking, where they believe their actions or behavior contributed to the illness or death of a loved one.
Question 5 of 5
A nurse is reinforcing teaching with a client who has a new prescription for nitroglycerin. Which of the following instructions should the nurse include?
Correct Answer: A
Rationale: Take up to three doses 5 minutes apart if chest pain persists: This is the standard protocol for sublingual nitroglycerin to relieve angina. Generated rationale: Nitroglycerin's rapid action requires specific dosing intervals to maximize efficacy while monitoring for unresolved symptoms.