ATI LPN
PN Comprehensive Predictor 2023 Questions
Extract:
Nurses' Notes
Assessment
2000:
Client presents to emergency department and states, “I have been assaulted." Client was immediately placed in a treatment room.
2015:
"Client states they were out with friends this evening and had " little too much to drink." Client states that they fell asleep at their friend's house and when they woke up all of their clothes were off and their genitals were sore. The client states, "I think someone had sex with me, but I don't remember anything.
Client reports history of depression. Client is a full-time college student who lives with roommates. Client admits to drinking socially but denies illicit drug use and tobacco use.
A nurse is assisting in the care of a client
Question 1 of 5
Which of the following interventions should the nurse plan to implement?
Correct Answer: A,B,E,F
Rationale: Safe environment, case management, support services, and STI prophylaxis address the client's assault-related needs.
Extract:
Question 2 of 5
A nurse is reinforcing teaching with new parents about car seat safety. Which of the following instructions should the nurse include?
Correct Answer: C
Rationale: Shoulder harnesses at or below the infant's shoulders ensure a secure fit in a rear-facing car seat, enhancing safety.
Question 3 of 5
A nurse is collecting data from a client who has a history of seizures. Which of the following medications should the nurse expect the client to be taking?
Correct Answer: B
Rationale: Phenytoin is an anticonvulsant commonly used to manage seizures.
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 4 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:
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 1 hr 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
A nurse assisting with the care of a client who is admitted to the medical-surgical unit.
The nurse is reviewing the client's laboratory findings and vital signs.
Question 5 of 5
A nurse is reviewing the client's laboratory findings and vital signs. Select the 5 findings that require immediate follow-up.
| Respiratory rate |
| Stool results |
| Heart rate |
| Temperature |
| WBC count |
| Blood pressure |
| Hemoglobin and hematocrit |
Correct Answer: B,C,F,G
Rationale: Stool results, heart rate, blood pressure, hemoglobin/hematocrit, and ibuprofen use indicate gastrointestinal bleeding and hemodynamic instability, requiring urgent intervention.