LPN LPN
ATI PN Comprehensive Predictor 2020 Answers
1. What is the best strategy for managing fatigue in a client who has had an acute myocardial infarction and is concerned about self-care?
- A. Instruct the client to rest completely and avoid all self-care tasks
- B. Encourage the client to gradually resume self-care tasks with frequent rest periods
- C. Assign assistive personnel to complete all self-care tasks
- D. Ask the client's family to assist with self-care tasks
Correct answer: B
Rationale: The best strategy for managing fatigue in a client who has had an acute myocardial infarction and is concerned about self-care is to encourage the client to gradually resume self-care tasks with frequent rest periods. This approach helps the client regain independence while managing fatigue effectively. Choice A is incorrect because complete rest without any self-care tasks may hinder recovery and independence. Choice C is not the best option as it does not promote the client's independence. Choice D, while involving family support, does not empower the client to regain self-care abilities.
2. Which dietary advice should a healthcare provider provide to a client with acute gout?
- A. Increase intake of dairy products
- B. Limit intake of red meat and shellfish
- C. Limit intake of fresh fruits and vegetables
- D. Limit intake of fruit juices and milk
Correct answer: B
Rationale: The correct dietary advice for a client with acute gout is to limit the intake of red meat and shellfish. These foods are high in purines, which can lead to increased uric acid levels in the body, exacerbating gout symptoms. Dairy products, fresh fruits, and vegetables are generally recommended for individuals with gout as they can help lower uric acid levels. Fruit juices and milk, in moderation, can also be part of a gout-friendly diet as they do not significantly contribute to uric acid buildup.
3. Which of the following is an early indicator that a client with a tracheostomy may require suctioning?
- A. Decreased respiratory rate
- B. Irritability
- C. Bradycardia
- D. Decreased oxygen saturation
Correct answer: B
Rationale: Irritability is an early indicator that suctioning is necessary for a client with a tracheostomy. Irritability can signal discomfort or difficulty breathing, which may be due to the need for suctioning to clear the airway. Decreased respiratory rate, bradycardia, and decreased oxygen saturation are not typically early indicators that suctioning is needed in a client with a tracheostomy. These symptoms may occur later if the airway is not cleared promptly.
4. What are the complications of untreated deep vein thrombosis (DVT)?
- A. Pulmonary embolism and stroke
- B. Kidney failure and hypertension
- C. Liver failure and electrolyte imbalance
- D. Fluid overload and bradycardia
Correct answer: A
Rationale: Corrected Rationale: Untreated DVT can lead to complications such as pulmonary embolism and stroke. Pulmonary embolism occurs when a blood clot from the leg travels to the lungs, potentially blocking blood flow and causing respiratory distress. Stroke can occur if a blood clot dislodges from the leg veins, travels to the brain, and obstructs a blood vessel, leading to brain tissue damage. Both of these complications are life-threatening if not managed promptly. The other choices (B, C, D) do not represent common complications of untreated DVT and are therefore incorrect.
5. A nurse is providing discharge instructions to a client who has a prescription for the use of oxygen in his home. Which of the following should the nurse teach the client about using oxygen safely in his home?
- A. Family members who smoke should be at least 10 ft away from the client when oxygen is in use
- B. Nail polish should not be used near a client who is receiving oxygen
- C. A 'No Smoking' sign should be placed on the front door
- D. Cotton bedding and clothing should be replaced with items made from wool
Correct answer: C
Rationale: The correct answer is C. Placing a 'No Smoking' sign on the front door is crucial for fire safety when using oxygen at home. Choice A is incorrect as family members who smoke should not be around the client when oxygen is in use, not just at a distance. Choice B is not directly related to oxygen safety. Choice D is also irrelevant as the type of bedding and clothing material does not impact oxygen safety.
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