ATI LPN
PN Comprehensive Predictor 2023 Questions
Extract:
History and Physical
Vital signs
Screenings
Diagnostic results
Laboratory results
Provider Prescription
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: Red-orange discoloration, notifying about new medications, and observed therapy reflect TB treatment understanding.
Extract:
Question 2 of 5
A nurse is assisting with the care of a client who has a new diagnosis of hypothyroidism. Which of the following findings should the nurse expect?
Correct Answer: C
Rationale: Dry skin is a common symptom of hypothyroidism due to decreased metabolism.
Question 3 of 5
A nurse is reinforcing teaching with a client who is preoperative for a transurethral resection of the prostate (TURP). Which of the following statements should the nurse include?
Correct Answer: A
Rationale: A temporary catheter is often needed post-TURP to manage urinary output during healing.
Question 4 of 5
A nurse is collecting data from a client who has a history of hypertension. Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: Headache is a common symptom of hypertension due to increased vascular pressure.
Extract:
Provider Prescriptions
1230:
0.9% sodium chloride 500 mL bolus then 100 mL/hr.
Type and cross match for 2 units of packed RBCs.
Repeat WBC, hemoglobin, and hematocrit STAT.
Delay endoscopy.
2 L/min O2 via nasal cannula.
1330:
2 units packed RBCs IV over 4 hr.
Repeat WBC, hemoglobin, and hematocrit at transfusion
completion STAT.
The nurse is reviewing the client's medical record.
The nurse is assisting with the care the client prior to a blood transfusion
Question 5 of 5
The nurse is assisting with the care the client prior to a blood transfusion. Which of the following actions should the nurse take?
Correct Answer: B,C,D
Rationale: Two-nurse verification, large-bore IV, and consent ensure safe transfusion administration.