ATI LPN
PN Comprehensive Predictor 2023 Questions
Extract:
History and Physical
Diagnostic Results
Nurses' Notes
Vital Signs.
Day 1
0800:
Client admitted for epigastric abdominal pain. Client rates pain
as 8 on a 0 to 10 scale. Client states pain began 24 hr after
drinking alcohol and eating, a large meal. Client has history of
alcohol use disorder. Client indicated no relief of pain after
taking cimetidine. Client is alert and oriented to person, place and time. Lung sounds diminished in the bases bilaterally. Bowel sounds hypoactive in all four quadrants, abdomen distended. Client reports nausea and vomiting for the past 24 hr
A nurse is assisting in the care of a newly admitted client.
Question 1 of 5
Which of the following findings should the nurse report immediately to the provider?
Correct Answer: A,B,E,F
Rationale: Fever, hypotension, tachycardia, respiratory distress, confusion, and clammy skin indicate worsening pancreatitis or shock.
Extract:
Question 2 of 5
A nurse is assisting with the care of a client who is postoperative following a thyroidectomy. Which of the following findings should the nurse monitor for as an indication of hypocalcemia?
Correct Answer: B
Rationale: Muscle twitching can indicate hypocalcemia, a risk post-thyroidectomy due to parathyroid gland disruption.
Extract:
Admission Assessment
Laboratory Results
Vital Signs
0900:
Client reports, "I'm bloated and my stomach hurts."
History of prior illness:
Client reports a 3-week history of gnawing abdominal pain. Client states, "It's a burning sensation that radiates to my back. I think I've lost a little weight too." Reports one episode of dark, tarry stool. No vomiting. Client reports pain is worse about 1hr after eating a meal and pain is worsened by eating.
Past Medical History: osteoarthritis
Social History: recently divorced, drinks in moderation (3 to 4 drinks per week), smokes tobacco
Current Medications: Ibuprofen 800 mg three times daily PRN arthritis pain
General: client appears uncomfortable, diaphoretic head, ears, eyes, nose, and throat (HEENT): oropharynx clear, mucous membranes moist and pale
Respiratory: bilateral breath sounds clear
Gastrointestinal: epigastric tenderness to palpation, no rebound tenderness
A nurse is assisting with the care of a client who is admitted to the medical surgical unit
Question 3 of 5
The nurse anticipates the client will likely require [dropdown] as evidenced by the client's [dropdown] and [dropdown].
| proton pump inhibitor therapy |
| blood transfusion |
| antibiotic therapy |
| surgical intervention |
| intravenous fluid resuscitation |
Correct Answer: B,C,F
Rationale: A blood transfusion is needed due to low hemoglobin and hematocrit, indicating significant blood loss.
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 4 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 5 of 5
A nurse is assisting with the care of a client who is receiving total parenteral nutrition (TPN). Which of the following laboratory values should the nurse monitor?
Correct Answer: A
Rationale: Blood glucose monitoring is essential with TPN due to the risk of hyperglycemia.