LPN LPN
ATI PN Comprehensive Predictor 2023
1. A nurse is reinforcing home safety instructions with the parent of a newborn. Which of the following statements should the nurse include in the instructions?
- A. Place your baby's crib away from heat vents
- B. Place the crib close to a heater
- C. Place the crib near a window
- D. Place soft toys in the crib
Correct answer: A
Rationale: The correct answer is A: 'Place your baby's crib away from heat vents.' Placing the crib away from heat vents is essential to prevent the baby from becoming overheated and to reduce the risk of Sudden Infant Death Syndrome (SIDS). Choice B is incorrect because placing the crib close to a heater increases the risk of overheating and poses a fire hazard. Choice C is incorrect as placing the crib near a window exposes the baby to drafts and temperature fluctuations. Choice D is incorrect as soft toys in the crib can pose a suffocation risk to the newborn.
2. A patient took an overdose of acetaminophen. Which of the following medications should the nurse plan to administer to the patient?
- A. Naloxone
- B. Acetylcysteine
- C. Flumazenil
- D. Activated charcoal
Correct answer: B
Rationale: Acetylcysteine is the antidote for acetaminophen overdose. It works by replenishing glutathione, a key component in detoxifying acetaminophen metabolites, thus preventing liver damage. Naloxone is used to reverse opioid overdose, not acetaminophen. Flumazenil is a benzodiazepine antidote. Activated charcoal is used to limit absorption in cases of poisoning, but it is not the antidote for acetaminophen overdose.
3. A nurse is preparing to perform a sterile dressing change. Which of the following actions should the nurse take when setting up the sterile field?
- A. Place the cap from the solution sterile side up on a clean surface.
- B. Open the outermost flap of the sterile kit away from the body.
- C. Place the sterile dressing within 1.25 cm (0.5 in) of the edge of the sterile field.
- D. Set up the sterile field 5 cm (2 in) above waist level.
Correct answer: A
Rationale: To maintain the sterility of the field, the nurse should place the cap from the solution sterile side up on a clean surface. This action helps prevent contamination. Choice B is incorrect because opening the outermost flap toward the body increases the risk of introducing contaminants onto the sterile field. Choice C is incorrect as the sterile dressing should be placed at least 2.5 cm (1 in) from the edge of the sterile field to prevent accidental contamination. Choice D is incorrect because setting up the sterile field above waist level could lead to inadvertent contact and compromise the field's sterility.
4. What should a healthcare professional do when a client with anorexia nervosa insists on working out constantly?
- A. Allow the client to workout and continue their regimen
- B. Restrict the client's workout regimen to one hour a day
- C. Discuss the risks of over-exercising with the client
- D. Speak to the client privately to uncover the source of the obsession
Correct answer: D
Rationale: When dealing with a client with anorexia nervosa who insists on working out constantly, it is crucial to address the situation sensitively. Speaking to the client privately to uncover the source of the obsession is the most appropriate action. This approach allows the healthcare professional to understand the underlying reasons for the behavior and work towards a solution together. Choices A and B could potentially exacerbate the client's condition by either enabling the behavior or imposing restrictions without addressing the root cause. While choice C is important, simply discussing the risks may not address the client's compulsion to exercise excessively.
5. What are the nursing interventions for a patient with a pressure ulcer?
- A. Clean the wound and apply a hydrocolloid dressing
- B. Provide a high-protein diet and ensure bed rest
- C. Monitor for signs of infection and provide antibiotics
- D. Provide a low-sodium diet and monitor for fluid retention
Correct answer: A
Rationale: The correct nursing intervention for a patient with a pressure ulcer is to clean the wound and apply a hydrocolloid dressing. This promotes healing by creating a moist environment conducive to the wound healing process. Choice B is incorrect because while nutrition is important for wound healing, a high-protein diet alone is not a specific intervention for a pressure ulcer. Choice C is incorrect as antibiotics are only used if there is an infection present. Choice D is also incorrect as a low-sodium diet and monitoring for fluid retention are more related to conditions like heart failure or kidney disease, not specifically pressure ulcer care.
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