ATI LPN Comprehensive Predictor 2023 Exam 3

Extract:

Question 1 of 5

The nurse is reviewing the medical record of a client who has a new prescription for zolpidem. Which of the following findings should the nurse identify as a potential contraindication for this medication?

A. History of migrainesB. Current use of sertralineC. Seasonal allergiesD. History of sleepwalking

Correct Answer: D

Rationale: Zolpidem can exacerbate sleepwalking, making it a contraindication. Migraines, sertraline, or allergies don't pose significant risks with zolpidem.

Question 2 of 5

A nurse is assisting with a community health program for caregivers of clients who have Alzheimer's disease. Which of the following information should the nurse include?

A. Use confrontation to manage the client's behavior.B. Limit the number of choices for the client.C. Provide a stimulating environment for the client.D. Use written signs to assist the client with locating the bathroom.

Correct Answer: B,D

Rationale: Limiting choices reduces confusion, and signs aid navigation. Confrontation increases agitation, and overstimulation can overwhelm clients with Alzheimer's.

Question 3 of 5

A nurse is caring for a client who is postoperative following a coronary artery bypass graft. Which of the following actions should the nurse take?

A. Encourage the client to cough and deep breathe every 2 hr.B. Instruct the client to avoid using their arms for support.C. Apply a warm compress to the chest incision.D. Allow the client to resume a high-sodium diet.

Correct Answer: A

Rationale: Coughing and deep breathing prevent atelectasis and pneumonia. Arm use is encouraged with guidance, warm compresses risk infection, and sodium is restricted.

Question 4 of 5

A nurse is caring for a client who is postoperative following a coronary artery bypass graft. Which of the following findings should the nurse report to the provider?

A. The client reports chest discomfort.B. The client's temperature is 38.4Â°C (101.1Â°F).C. The client's incision has minimal drainage.D. The client's blood pressure is 130/80 mm Hg.

Correct Answer: B

Rationale: A temperature of 38.4Â°C suggests infection, requiring reporting. Chest discomfort, minimal drainage, and normal BP are expected or less urgent.

Question 5 of 5

A nurse is reinforcing teaching with a client who has a new prescription for hydrochlorothiazide. Which of the following instructions should the nurse include?

A. Take this medication at bedtime.B. You might experience dizziness when standing up.C. You need to limit your potassium intake.D. You should stop taking this medication if you feel better.

Correct Answer: B

Rationale: Hydrochlorothiazide can cause orthostatic hypotension, leading to dizziness. It's taken in the morning, potassium may need supplementation, and stopping risks rebound hypertension.

ATI LPN Comprehensive Predictor 2023 Exam 3 | Nurselytic

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