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
The nurse is administering medications to the client and is monitoring potential adverse effects of medications
Question 1 of 5
The nurse is administering medications to the client and is monitoring potential adverse effects of medications. For each body system below, click to specify the assessment findings that could indicate a serious adverse reaction.
| Body system |
|---|
| Yellowing of the eyes |
| Blurred vision |
| Dry eyes |
| Abdominal pain |
| Weight gain |
| Increased bruising |
| Increased bleeding tendencies |
Correct Answer: A,B,D,F,G
Rationale: Yellowing of the eyes: Indicates hepatotoxicity from isoniazid or rifampin. Blurred vision: Ethambutol can cause optic neuritis. Abdominal pain: Hepatotoxicity or gastric irritation from TB drugs. Increased bruising and bleeding tendencies: Rifampin may cause thrombocytopenia.
Extract:
Question 2 of 5
A nurse is caring for a client who has a new prescription for clonidine. Which of the following findings should the nurse monitor as an adverse effect?
Correct Answer: A
Rationale: Dry mouth: Clonidine, an alpha-2 agonist, commonly causes dry mouth as a side effect. Generated rationale: Clonidine's anticholinergic effects reduce salivary flow, requiring monitoring to manage patient comfort.
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 receiving a telephone prescription from a client's provider. Which of the following actions should the nurse take? Select all that apply
Correct Answer: C,D,E
Rationale: Ask the provider to spell out the name of the medication: When receiving a telephone prescription, the nurse should ask the provider to spell out the name of the medication to avoid errors. Record the date and time of the telephone prescription: Recording the date and time is essential for accurate documentation. Request that the provider confirm the read-back of the prescription: The read-back process verifies accuracy and reduces errors.
Question 5 of 5
A nurse is reinforcing teaching with a client who has a new prescription for insulin glargine. Which of the following instructions should the nurse include?
Correct Answer: B,D
Rationale: Administer the insulin at the same time each day: Consistency ensures stable blood glucose control. Store unopened vials in a cool, dark place: Proper storage maintains insulin potency. Generated rationale: Glargine requires daily timing for steady-state coverage and proper storage to prevent degradation, ensuring effective diabetes management.