ATI LPN
PN Comprehensive Predictor 2023 Questions
Extract:
Nurses’ Notes
Medical History
Preoperative
0730:
Client is scheduled for a left stapedectomy.
Pupils 3.5 mm, equal, round, and reactive to light.
Smile symmetrical.
Mucous membranes show color expected for client's skin tone and moist.
Speech clear.
Skin warm and dry.
Lungs clear bilaterally.
Apical heart rate regular at 78/min.
Postoperative
1230:
Pupils 3 mm, equal, and reactive to light.
Smile asymmetrical.
Mucous membranes pink.
Speech hoarse.
Client with left facial droop.
Skin warm and dry.
Client reports vertigo and nausea.
Bilateral breath sounds clear and present throughout.
Question 1 of 5
Which of the following findings requires further action by the nurse?
Correct Answer: D,E
Rationale: Facial droop and vertigo post-stapedectomy suggest nerve injury or inner ear complications.
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 2 of 5
Which of the following findings indicate the need for further evaluation?
| Respiratory complaint |
| Temperature |
| Sputum characteristics |
| Weight |
| Blood pressure |
| Oxygen saturation |
| Travel history |
Correct Answer: A,B,C,D,G
Rationale: Cough, fever, blood-tinged sputum, weight loss, and travel history suggest possible tuberculosis.
Extract:
History and Physical
Vital signs
Screenings
Diagnostic results
Laboratory results
Provider Prescription
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
The nurse is administering medications to the client and is monitoring potential adverse effects of medications.
Question 3 of 5
For each body system below, click to specify the assessment findings that could indicate a serious adverse reaction.
| Yellowing of the eyes |
| Blurred vision |
| Dry eyes |
| Abdominal pain |
| Weight gain |
| Increased bruising |
| Darkening of the urine |
Correct Answer: A,B,D,F,G
Rationale: Yellowing of the eyes,Jaundice, blurred vision, abdominal pain, bruising, bleeding, and dark urine indicate serious TB medication side effects.
Extract:
Question 4 of 5
A nurse is receiving a telephone prescription from a client's provider. Which of the following actions should the nurse take?
Correct Answer: C,D,E
Rationale: Asking the provider to spell the medication, recording the date and time, and confirming the read-back ensure accuracy and safety in telephone prescriptions.
Question 5 of 5
A nurse is collecting data from a client who has a suspected myocardial infarction. Which of the following findings should the nurse expect?
Correct Answer: C
Rationale: Chest pain is a hallmark symptom of myocardial infarction due to cardiac ischemia.