LPN LPN
ATI PN Comprehensive Predictor 2020 Answers
1. A nurse is caring for a client who has been experiencing chronic pain. Which of the following interventions should the nurse implement?
- A. Provide the client with distractions such as television
- B. Administer pain medication around the clock
- C. Teach the client relaxation techniques
- D. Perform massage therapy on the client
Correct answer: C
Rationale: The correct intervention for a client experiencing chronic pain is to teach relaxation techniques. This helps the client manage pain more effectively by reducing stress and anxiety, which can contribute to the perception of pain. Providing distractions like television (Choice A) may offer temporary relief but does not address the underlying issue of chronic pain. Administering pain medication around the clock (Choice B) may lead to dependency and not promote holistic pain management. Massage therapy (Choice D) can be beneficial but may not be as effective as teaching relaxation techniques in the long term for managing chronic pain.
2. A client with left-leg weakness is learning to use a cane. Which teaching point is most appropriate?
- A. Use the cane on the weaker side of the body
- B. Maintain two points of support on the ground at all times
- C. Advance the cane 30 to 45 cm with each step
- D. Advance the cane and the strong leg simultaneously
Correct answer: B
Rationale: The correct teaching point is to maintain two points of support on the ground at all times when using a cane. This ensures stability and helps distribute weight evenly. Choice A is incorrect because the cane should be used on the stronger side of the body to provide support to the weaker leg. Choice C is incorrect as advancing the cane too far with each step can lead to imbalance. Choice D is incorrect as advancing the cane and the strong leg simultaneously may not provide adequate support for the weaker leg.
3. What are the early signs of DVT?
- A. Leg pain, swelling, and redness
- B. Shortness of breath and high fever
- C. Cough and chest pain
- D. Decreased oxygen saturation and low blood pressure
Correct answer: A
Rationale: The correct answer is A: Leg pain, swelling, and redness are early signs of DVT. DVT (Deep Vein Thrombosis) is a condition where blood clots form in deep veins, commonly in the legs. These clots can cause symptoms like pain, swelling, and redness in the affected leg. Choices B, C, and D describe symptoms more commonly associated with other conditions like pulmonary embolism (shortness of breath and high fever), respiratory issues (cough and chest pain), and cardiovascular problems (decreased oxygen saturation and low blood pressure), respectively. Therefore, they are not indicative of early signs of DVT.
4. 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.
5. A client with peptic ulcer disease is being taught measures to prevent exacerbation of the condition. Which of the following instructions should the nurse include?
- A. Avoid consuming dairy products
- B. Limit alcohol consumption
- C. Use antacids frequently
- D. Drink coffee to improve digestion
Correct answer: B
Rationale: The correct answer is B: Limit alcohol consumption. Alcohol can irritate the stomach lining and worsen peptic ulcer disease. Avoiding dairy products is not necessary unless the client is lactose intolerant. Using antacids frequently may provide symptomatic relief but does not address the root cause of the condition. Drinking coffee can actually stimulate acid production and potentially aggravate peptic ulcers.
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