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
Question 1 of 5
To further evaluate the client, the nurse anticipates the client will need ____ and ____.
| A pulmonary function test |
| A chest x-ray |
| A nasopharyngeal swab |
| Blood cultures |
| A montoux test |
Correct Answer: B,E
Rationale: A chest X-ray: Key diagnostic tool for lung abnormalities like TB. A Mantoux test: Screens for tuberculosis infection, crucial given travel history.
Extract:
Question 2 of 5
A nurse is caring for a client who has a new diagnosis of hyperthyroidism. Which of the following findings should the nurse expect?
Correct Answer: C
Rationale: Heat intolerance: Hyperthyroidism increases metabolism, causing sensitivity to heat and excessive sweating. Generated rationale: Elevated thyroid hormone levels accelerate metabolic rate, leading to heat intolerance as a hallmark symptom.
Extract:
Postoperative Day 3
0900:
Client reports pain at surgical incision site as 5 on a scale of 0 to 10. Client reports bladder fullness. Perineal dressing Intact with minimal serosanguinous drainage. Client transferring out of bed to chair independently. Extremities cool and dry with 2+peripheral pulses.
1300:
Client reports abdominal cramping and small, hard, painful bowel movement after lunch. Ambulating independently in hallway. Reports pain as 8 on a scale of 0 to 10. Urinary catheter intact with 100 mL/hr of pink urine.
Question 3 of 5
Select the 2 actions the nurse should prepare to take for the client.
| Encourage prolonged dangling before ambulation. |
| Administer an enema. |
| Encourage oral fluid intake. |
| Irrigate indwelling catheter with 500 mL of fluid. |
| Assist the client with a sitz bath. |
Correct Answer: C,E
Rationale: Encourage oral fluid intake: Hydration softens stool and prevents constipation. Assist the client with a sitz bath: Promotes perineal relaxation and healing.
Extract:
Question 4 of 5
A nurse is assisting with the care of a client who is receiving mechanical ventilation. Which of the following actions should the nurse take to prevent ventilator-associated pneumonia?
Correct Answer: A
Rationale: Perform oral care every 4 hours: Regular oral care reduces bacterial growth in the mouth, decreasing the risk of pneumonia. Generated rationale: Oral hygiene minimizes colonization of pathogens that could be aspirated into the lungs, a key strategy in preventing ventilator-associated pneumonia.
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 5 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.