ATI LPN
LPN Comprehensive Predictor 2023 Questions
Extract:
Day of admission
1300
The client is accompanied by a patient who reports that the
client has become more aggressive and has been acting out at home. Few superficial cut marks on the wrist noted. The client has borderline personality disorder and alcohol use disorder.
Day 2
1000:
The client is angry and tells the nurse, "You are a horrible person’’
Client initiated a fight with other peers in the unit
1300:
The client is encouraged to encourage to share their feelings. The client tells
the nurse, "You are the best. Much better than the other nurses."
A nurse is assisting with the care of a client.
The nurse is collecting data from the client.
Question 1 of 5
The nurse should identify that ____ and ____ indicate manifestations of borderline personality disorder.
| Elevated body temperature |
| Emotional stability |
| Tactile hallucinations |
| Increased heart rate |
| Fear of abandonment |
| Tactile hallucinations |
| Increased heart rate |
Correct Answer: B,E
Rationale: Fear of abandonment: Clients with borderline personality disorder (BP
D) often have an intense fear of abandonment. Emotional instability: BPD is characterized by rapid mood changes and intense emotional reactions.
Extract:
Question 2 of 5
A charge nurse is reinforcing teaching with a newly licensed nurse about infection control measures. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?
Correct Answer: D
Rationale: Soiled dressings should be placed in a biohazard trash receptacle: Soiled dressings, particularly those that are contaminated with blood, bodily fluids, or pathogens, should always be disposed of in a biohazard trash receptacle. This ensures the safe and appropriate handling of potentially infectious materials and helps prevent the spread of infection.
Question 3 of 5
A nurse is reinforcing teaching with a client who has osteoporosis. Which of the following instructions should the nurse include?
Correct Answer: A
Rationale: Perform weight-bearing exercises: Weight-bearing exercises strengthen bones and improve bone density, which is crucial for osteoporosis management. Generated rationale: Regular weight-bearing activity stimulates bone remodeling, reducing the risk of fractures in clients with osteoporosis.
Question 4 of 5
A nurse is assisting with the care of a client who is postoperative following a total knee arthroplasty. Which of the following actions should the nurse take?
Correct Answer: B,D
Rationale: Administer anticoagulants as prescribed: Anticoagulants prevent thromboembolism post-surgery. Apply ice packs to the knee every 4 hours: Ice reduces swelling and pain. Generated rationale: Anticoagulation and ice therapy address key postoperative risks and discomfort, promoting recovery.
Question 5 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.