ATI LPN
LPN Comprehensive Predictor 2023 Questions
Extract:
0800:
Client transported to emergency department by emergency medical services. Client found in a bathroom at a bar unresponsive and without a pulse. Report by emergency medical services states that a needle was in the client’s left antecubital space. Naloxone was administered at the scene. EMS relayed that someone saw the client have one beer and then go to the bathroom
Client drowsy, arouses noxious stimuli, but falls back asleep quickly.
Eyes: Pupils reactive, miotic
Heart: Normal rate and rhythm
Lungs: Equal bilateral, clear to auscultation
Abdomen: Decreased bowel sounds
Skin: Marks in left antecubital space
Review of medical record 2 weeks prior:
Discharge note:
At 0600, Client transported to the emergency department by emergency medical services. Client was found in the park by runners. Client presented with manifestations of sedation, miosis, hypokinesis and mood alteration. Supportive care provided. At 1000, client stated, “I am going to throw up. I’ve never used this drug before.’’ Assessment revealed mydriasis, hyperrflexia, diaphoresis, piloerection. Supportive care provided. Medications included buprenorphine/naloxone taper x 4 days. Client stabilizied and dischargd back to shelter after completing the 4-day buprenorphine/naloxone taper
Question 1 of 5
The client likely suffered from ____ as evidenced by ____.
| Opioid withdrawal |
| Opioid intoxication |
| Alcohol withdrawal |
| Hallucinogen intoxication |
| Alcohol intoxication |
| Pupil characteristics |
Correct Answer: B,F
Rationale: Condition: Opioid intoxication The client's presentation of unresponsiveness, respiratory depression (RR 10/min), and miosis (pinpoint pupils) is consistent with opioid intoxication. Finding: Pupil characteristics Opioid intoxication commonly causes miosis (pinpoint pupils).
Extract:
Question 2 of 5
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Question 3 of 5
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Question 4 of 5
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Question 5 of 5
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