ATI LPN
PN Comprehensive Predictor 2023 Questions
Extract:
Nurses’ Notes
Vital Signs
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 [dropdown] as evidenced by [dropdown].
Correct Answer: B
Rationale: Opioid intoxication is indicated by miosis and unresponsiveness, consistent with needle use.
Extract:
Nurses' Notes
Assessment
2000:
Client presents to emergency department and states, “I have been assaulted." Client was immediately placed in a treatment room.
2015:
"Client states they were out with friends this evening and had " little too much to drink." Client states that they fell asleep at their friend's house and when they woke up all of their clothes were off and their genitals were sore. The client states, "I think someone had sex with me, but I don't remember anything.
Client reports history of depression. Client is a full-time college student who lives with roommates. Client admits to drinking socially but denies illicit drug use and tobacco use.
A nurse is assisting in the care of a client
Question 2 of 5
Which of the following interventions should the nurse plan to implement?
Correct Answer: A,B,E,F
Rationale: Safe environment, case management, support services, and STI prophylaxis address the client's assault-related needs.
Extract:
Question 3 of 5
A nurse is collecting data from a client who is 2 days postpartum. The client tells the nurse she cannot afford to pay for baby formula. The nurse should refer the client to which of the following members of the interprofessional team?
Correct Answer: B
Rationale: A case manager can assess the client's financial needs and connect them with resources such as the Women, Infants, and Children (WI
C) program to provide formula at no or reduced cost.
Question 4 of 5
A nurse is reinforcing teaching with a parent of a child who has asthma about the administration of montelukast. Which of the following statements by the parent indicates an understanding of the teaching?
Correct Answer: C
Rationale: Montelukast is taken once daily in the evening to prevent asthma symptoms, aligning with its use for long-term control.
Question 5 of 5
A nurse is reinforcing teaching with a client who is postoperative following a mastectomy. Which of the following instructions should the nurse include to prevent lymphedema?
Correct Answer: A
Rationale: Avoiding heavy lifting reduces strain on the lymphatic system, preventing lymphedema.