ATI LPN
LPN Comprehensive Predictor 2023 Questions
Extract:
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
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: I can expect my contact lenses to turn red or orange: Rifampin causes discoloration. I should notify my provider if I start taking new medications: Rifampin affects drug metabolism. I will need to have someone observe me: Directly observed therapy ensures adherence.
Extract:
Question 2 of 5
A nurse is assisting with the care of a client who is receiving a continuous IV infusion of heparin. Which of the following laboratory values should the nurse monitor?
Correct Answer: A,D
Rationale: Activated partial thromboplastin time (aPTT): aPTT monitors heparin's anticoagulant effect. Platelet count: Heparin can cause thrombocytopenia. Generated rationale: aPTT ensures therapeutic anticoagulation, while platelet monitoring detects heparin-induced thrombocytopenia, both critical for safe therapy.
Extract:
Day of admission
1300
The client is accompanied by a patient who reports that the
client has become more aggressive and has been acting out at home. Few superficial cut marks on the wrist noted. The client has borderline personality disorder and alcohol use disorder.
Day 2
1000:
The client is angry and tells the nurse, "You are a horrible person’’
Client initiated a fight with other peers in the unit
1300:
The client is encouraged to encourage to share their feelings. The client tells
the nurse, "You are the best. Much better than the other nurses."
A nurse is assisting with the care of a client.
The nurse is collecting data from the client.
Question 3 of 5
The nurse should identify that ____ and ____ indicate manifestations of borderline personality disorder.
| Elevated body temperature |
| Emotional stability |
| Tactile hallucinations |
| Increased heart rate |
| Fear of abandonment |
| Tactile hallucinations |
| Increased heart rate |
Correct Answer: B,E
Rationale: Fear of abandonment: Clients with borderline personality disorder (BP
D) often have an intense fear of abandonment. Emotional instability: BPD is characterized by rapid mood changes and intense emotional reactions.
Extract:
Question 4 of 5
A nurse is reinforcing teaching with a client who has a new prescription for enoxaparin. The nurse should identify which of the following over-the-counter products as unsafe for use with enoxaparin.
Correct Answer: D
Rationale: Naproxen: Naproxen is a nonsteroidal anti-inflammatory drug (NSAI
D) that increases the risk of bleeding.
Question 5 of 5
A nurse is assisting with the care of a client who is receiving mechanical ventilation. Which of the following actions should the nurse take to prevent ventilator-associated pneumonia?
Correct Answer: A
Rationale: Perform oral care every 4 hours: Regular oral care reduces bacterial growth in the mouth, decreasing the risk of pneumonia. Generated rationale: Oral hygiene minimizes colonization of pathogens that could be aspirated into the lungs, a key strategy in preventing ventilator-associated pneumonia.