ATI LPN
PN Comprehensive Predictor 2023 Questions
Extract:
Nurses’ Notes
Provider Prescriptions
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 [dropdown] and [dropdown] indicate manifestations of borderline personality disorder.
| Elevated body temperature |
| Emotional stability |
| Tactile hallucinations |
| Increased heart rate |
| Fear of abandonment |
Correct Answer: B,E
Rationale: Emotional instability and fear of abandonment are core features of borderline personality disorder.
Extract:
History and Physical
Vital signs
Screenings
Diagnostic results
Laboratory results
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
Question 2 of 5
For each potential provider's prescription, click to specify if the potential prescription is anticipated or contraindicated for the client.
| Options | Anticipated | Contraindicated |
|---|---|---|
| Airborne precautions | ||
| Rifampin | ||
| Contact precautions | ||
| Isoniazid | ||
| Monthly TB skin test for 1 year | ||
| Pyrazinamide | ||
| Ethambutol |
Correct Answer: A,B,D,F,G
Rationale: Airborne precautions and TB medications (rifampin, isoniazid, pyrazinamide, ethambutol) are appropriate; contact precautions and repeat skin tests are not.
Extract:
Question 3 of 5
A nurse is collecting data from a client who has a new diagnosis of rheumatoid arthritis. Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: Morning stiffness is a hallmark symptom of rheumatoid arthritis due to joint inflammation.
Question 4 of 5
A nurse is reinforcing teaching with a client who has gout and a new prescription for allopurinol. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: B
Rationale: Taking allopurinol after meals reduces gastrointestinal upset, a common side effect.
Question 5 of 5
A nurse is assisting with the care of a client who has a new diagnosis of hypothyroidism. Which of the following findings should the nurse expect?
Correct Answer: C
Rationale: Dry skin is a common symptom of hypothyroidism due to decreased metabolism.