LPN LPN
ATI PN Comprehensive Predictor 2020
1. What is the role of the nurse in the care of a patient with a pressure ulcer?
- A. Clean the wound and apply a protective dressing
- B. Assess the wound and reposition the patient frequently
- C. Apply pressure to the ulcer and monitor for signs of healing
- D. Provide pain relief and administer antibiotics as needed
Correct answer: B
Rationale: The correct answer is B: Assess the wound and reposition the patient frequently. When caring for a patient with a pressure ulcer, it is crucial for the nurse to assess the wound regularly to monitor its progress and prevent complications. Additionally, repositioning the patient frequently helps to relieve pressure on the affected area, prevent further damage, and promote healing. Choice A is incorrect because while cleaning the wound is important, applying a protective dressing is not the primary role of the nurse in managing a pressure ulcer. Choice C is incorrect as applying pressure to the ulcer is harmful, and monitoring for signs of healing should not involve applying pressure. Choice D is incorrect as providing pain relief and administering antibiotics may be necessary but are not the primary interventions for managing a pressure ulcer.
2. A nurse is caring for a client who delivered a full-term newborn 16 hours ago. The nurse notes excessive lochia discharge. Which of the following actions should the nurse take first?
- A. Administer pain medication
- B. Perform a fundal massage
- C. Check the baby's heart rate
- D. Apply an ice pack
Correct answer: B
Rationale: Performing a fundal massage is the priority action in a postpartum client experiencing excessive lochia discharge. Fundal massage helps prevent postpartum hemorrhage by ensuring the uterus contracts effectively. Administering pain medication, checking the baby's heart rate, and applying an ice pack are not the initial interventions needed to address excessive lochia discharge.
3. How should a healthcare professional respond to a patient with hypokalemia?
- A. Administer potassium supplements and monitor ECG
- B. Restrict fluid intake and provide a high-sodium diet
- C. Monitor sodium levels and provide insulin therapy
- D. Provide calcium supplements and monitor for hyperkalemia
Correct answer: A
Rationale: Hypokalemia is managed by administering potassium supplements to correct the low potassium levels in the body. Monitoring the ECG is essential because low potassium levels can lead to cardiac arrhythmias. Choice B is incorrect as restricting fluid intake and providing a high-sodium diet are not appropriate for managing hypokalemia. Choice C is incorrect because hypokalemia involves low potassium levels, not sodium levels, and insulin therapy does not directly address this issue. Choice D is incorrect as calcium supplements are not indicated for hypokalemia, and monitoring for hyperkalemia is not relevant in this case.
4. A nurse is reinforcing discharge teaching with a client who has dependent personality disorder. Which of the following instructions should the nurse include in the discharge teaching?
- A. Limit social interactions
- B. Demonstrate assertiveness
- C. Follow a rigid schedule
- D. Perform deep breathing exercises
Correct answer: B
Rationale: The correct answer is B: 'Demonstrate assertiveness.' For clients with dependent personality disorder, assertiveness training is crucial as it helps them become more independent and develop the skills to express their own needs and preferences effectively. Choice A ('Limit social interactions') is incorrect because promoting healthy social interactions is important for individuals with this disorder to build confidence and reduce dependency. Choice C ('Follow a rigid schedule') is incorrect as overly rigid schedules may exacerbate feelings of helplessness and dependence. Choice D ('Perform deep breathing exercises') is not directly related to addressing the core issues of dependent personality disorder, which primarily involve developing self-reliance and assertiveness.
5. A healthcare provider is providing discharge instructions to a client with home oxygen. What is the most important safety consideration?
- A. Restrict fluid intake while using oxygen
- B. Ensure oxygen tanks are kept upright and away from heat sources
- C. Allow family members to smoke in designated areas
- D. Store oxygen tanks in a closet when not in use
Correct answer: B
Rationale: The correct answer is to ensure oxygen tanks are kept upright and away from heat sources. This is crucial to prevent any potential fire hazard, as oxygen supports combustion. Restricting fluid intake while using oxygen (choice A) is not necessary for oxygen safety. Allowing family members to smoke in designated areas (choice C) poses a significant fire risk. Storing oxygen tanks in a closet when not in use (choice D) is unsafe because proper ventilation is needed to prevent oxygen accumulation.
Similar Questions
Access More Features
ATI LPN Basic
$69.99/ 30 days
- 50,000 Questions with answers
- All ATI courses Coverage
- 30 days access @ $69.99
ATI LPN Premium
$149.99/ 90 days
- 50,000 Questions with answers
- All ATI courses Coverage
- 30 days access @ $149.99