LPN LPN
ATI Comprehensive Predictor PN
1. A nurse is assessing the remote memory of an older adult client who has mild dementia. Which of the following questions should the nurse ask the client?
- A. Can you tell me who visited you today?
- B. What high school did you graduate from?
- C. Can you list your current medications?
- D. What did you have for breakfast yesterday?
Correct answer: B
Rationale: The correct answer is B: 'What high school did you graduate from?' Remote memory involves recalling past events, such as educational history, making option B the most appropriate question to assess this aspect of memory in an older adult with mild dementia. Option A pertains to recent memory. Option C focuses on short-term memory. Option D addresses recent memory as well.
2. How should a healthcare provider manage a patient with pneumonia?
- A. Administer antibiotics and provide oxygen therapy
- B. Provide bronchodilators and encourage deep breathing
- C. Administer fluids and encourage bed rest
- D. Monitor for chest pain and provide pain relief
Correct answer: A
Rationale: Correct answer: Administering antibiotics and providing oxygen therapy are essential in managing pneumonia. Antibiotics help treat the infection caused by bacteria, while oxygen therapy improves lung function. Choice B is incorrect because bronchodilators may not be the primary treatment for pneumonia. Choice C is not the priority in pneumonia management, although fluids and rest are important for recovery. Choice D is also not a primary intervention in pneumonia management.
3. A nurse is collecting data from a client who has Tourette syndrome. The client reports taking haloperidol 0.5 mL orally three times a day at home. Which of the following components of the prescription should the nurse question?
- A. Frequency
- B. Dosage
- C. Timing of doses
- D. Route
Correct answer: B
Rationale: The nurse should question the dosage of haloperidol as it is typically administered in milligrams (mg) and not milliliters (mL). The dosage should be expressed in a standardized unit for accuracy and to prevent medication errors. Frequency, timing of doses, and route are also important components of a prescription, but in this case, the nurse should focus on the unusual dosage form.
4. What should a healthcare professional assess in a patient presenting with symptoms of a stroke?
- A. Assess facial drooping
- B. Monitor speech difficulties
- C. Evaluate arm weakness
- D. Check for time of onset of symptoms
Correct answer: A
Rationale: When assessing a patient with suspected stroke symptoms, it is crucial to check for facial drooping as it can be a sign of facial nerve weakness, which is a common indicator of stroke. While monitoring speech difficulties and evaluating arm weakness are also important assessments in stroke cases, they are secondary to facial drooping. Checking for the time of onset of symptoms is essential to determine eligibility for time-sensitive treatments like thrombolytic therapy, but when prioritizing assessments, facial drooping takes precedence.
5. How should a healthcare professional monitor a patient receiving IV potassium?
- A. Monitor ECG for dysrhythmias
- B. Monitor urine output
- C. Monitor serum potassium levels
- D. All of the above
Correct answer: D
Rationale: When a patient is receiving IV potassium, it is crucial to monitor various parameters to ensure patient safety. Monitoring the ECG helps in identifying any potential dysrhythmias that may occur due to potassium imbalances. Monitoring urine output is important as potassium levels can affect renal function. Monitoring serum potassium levels is essential to assess the effectiveness of the IV potassium therapy. Therefore, all the options - monitoring ECG for dysrhythmias, urine output, and serum potassium levels - are necessary when administering IV potassium, making 'All of the above' the correct answer. Choices A, B, and C are not individually sufficient as they each address different aspects of patient monitoring when receiving IV potassium.
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