ATI LPN
LPN Comprehensive Predictor 2023 Questions
Extract:
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 1 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? Select all that apply.
Correct Answer: B,C,D
Rationale: Ensure two nurses confirm the information on the blood label: Before initiating a blood transfusion, two nurses must verify the client's identity, blood type, and compatibility with the donor blood. Obtain a large-bore IV catheter: A large-bore IV catheter (18 20 gauge) is necessary to facilitate the transfusion of packed red blood cells. Witness the client signing a consent for transfusion: A blood transfusion is an invasive procedure requiring informed consent.
Extract:
Question 2 of 5
A nurse is reinforcing teaching with the partner of a client who is receiving hospice care about music therapy for pain management. Which of the following statements by the partner indicates an understanding of the teaching?
Correct Answer: D
Rationale: Music will distract my husband's awareness of the pain: Music therapy can serve as a distraction and help reduce the client's perception of pain by focusing their attention away from discomfort. It can promote relaxation, reduce anxiety, and alter the client's awareness of their pain.
Question 3 of 5
A nurse is reinforcing teaching with a client who has a new prescription for spironolactone. Which of the following instructions should the nurse include?
Correct Answer: A,B
Rationale: Monitor for signs of hyperkalemia: Spironolactone is a potassium-sparing diuretic that can cause hyperkalemia. Avoid low-sodium salt substitutes: These contain potassium, increasing hyperkalemia risk. Generated rationale: Spironolactone's potassium retention necessitates monitoring and dietary precautions to prevent dangerous electrolyte imbalances.
Question 4 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 5 of 5
A nurse is reinforcing teaching with a client who is starting chemotherapy. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: A
Rationale: I should avoid contact with people who have infections: Chemotherapy suppresses the immune system, increasing infection risk. Generated rationale: Neutropenia from chemotherapy necessitates precautions to minimize exposure to pathogens, ensuring patient safety.