ATI LPN
LPN Comprehensive Predictor 2023 Questions
Extract:
0900:
Client reports, "I'm bloated and my stomach hurts."
History of prior illness:
Client reports a 3-week history of gnawing abdominal pain. Client states, "It's a burning sensation that radiates to my back. I think I've lost a little weight too." Reports one episode of dark, tarry stool. No vomiting. Client reports pain is worse about 1hr after eating a meal and pain is worsened by eating.
Past Medical History: osteoarthritis
Social History: recently divorced, drinks in moderation (3 to 4 drinks per week), smokes tobacco
Current Medications: Ibuprofen 800 mg three times daily PRN arthritis pain
General: client appears uncomfortable, diaphoretic head, ears, eyes, nose, and throat (HEENT): oropharynx clear, mucous membranes moist and pale
Respiratory: bilateral breath sounds clear
Gastrointestinal: epigastric tenderness to palpation, no rebound tenderness
Question 1 of 5
The nurse anticipates the client will likely require ____ as evidenced by the client's ____ and ____.
| proton pump inhibitor therapy |
| blood transfusion |
| antibiotic therapy |
| surgical intervention |
| intravenous fluid resuscitation |
| low hemoglobin |
| low hematocrit |
Correct Answer: B,F,G
Rationale: The nurse anticipates the client will likely require blood transfusion as evidenced by the client's low hemoglobin and low hematocrit.
Extract:
Question 2 of 5
A nurse is reinforcing teaching with a client who is to start taking metformin. Which of the following instructions should the nurse include?
Correct Answer: A
Rationale: Take the medication with meals: Metformin should be taken with food to reduce gastrointestinal side effects like nausea and diarrhea. Generated rationale: Administering metformin with meals minimizes stomach upset and improves medication tolerance.
Question 3 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.
Question 4 of 5
A nurse is assisting with the care of a client who has a new diagnosis of anemia. Which of the following dietary instructions should the nurse include?
Correct Answer: A
Rationale: Increase iron-rich foods: Iron deficiency is a common cause of anemia, and dietary iron helps improve hemoglobin levels. Generated rationale: Iron-rich foods like red meat and spinach support erythropoiesis, addressing anemia's underlying cause.
Question 5 of 5
A nurse is caring for a client who has a new prescription for duloxetine. Which of the following findings should the nurse monitor as an adverse effect?
Correct Answer: A
Rationale: Nausea: Duloxetine, an SNRI, commonly causes nausea, especially early in treatment. Generated rationale: Nausea can affect adherence and comfort, requiring monitoring to assess severity and need for intervention.