ATI LPN
PN Comprehensive Predictor 2023 Questions
Extract:
History and Physical
Vital signs
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 [dropdown] and [dropdown].
| A pulmonary function test |
| A chest x-ray |
| A nasopharyngeal swab |
| Blood cultures |
| A montoux test |
Correct Answer: B,D
Rationale: A chest X-ray and Mantoux test are key to evaluating suspected tuberculosis.
Extract:
Question 2 of 5
A nurse is caring for a client who is 2 days postoperative following an above-the-knee amputation. Which of the following actions should the nurse take to promote progression toward independence and mobility for the client?
Correct Answer: A
Rationale: Using an overbed trapeze promotes upper body strength and independence in repositioning, aiding mobility.
Question 3 of 5
A nurse is preparing to perform a wet-to-dry dressing change for a client who has an infected abdominal wound. Which of the following techniques should nurse use when performing this dressing change?
Correct Answer: D
Rationale: Cleaning from the center outward prevents spreading bacteria from contaminated areas into the wound.
Question 4 of 5
A nurse is reinforcing teaching with a client who is postoperative following a mastectomy. Which of the following instructions should the nurse include to prevent lymphedema?
Correct Answer: A
Rationale: Avoiding heavy lifting reduces strain on the lymphatic system, preventing lymphedema.
Question 5 of 5
A nurse is reinforcing teaching with the parents of a child who has ADHD and is taking methylphenidate. Which of the following statements by the parents indicates that the medication is effective?
Correct Answer: D
Rationale: Completing homework on time indicates improved focus and task completion, a primary goal of methylphenidate for ADHD.