LPN LPN
ATI PN Comprehensive Predictor 2023
1. Which of the following actions should the nurse take to ensure the safety of a client using home oxygen?
- A. Allow smoking in designated areas
- B. Keep oxygen tanks upright at all times
- C. Store the oxygen equipment in a closet
- D. Keep oxygen tanks at least 10 feet away from heat sources
Correct answer: B
Rationale: The correct answer is B: 'Keep oxygen tanks upright at all times.' Oxygen tanks should be stored in an upright position to prevent leaks and accidents. Choice A is incorrect as smoking should never be allowed near oxygen due to the risk of fire. Choice C is incorrect as oxygen equipment should be stored in a well-ventilated area, not in a closet. Choice D is incorrect as oxygen tanks must be kept a minimum of 5 to 10 feet away from heat sources to prevent combustion. Therefore, the best practice is to keep oxygen tanks upright to ensure safety.
2. A client has a prescription for ranitidine 150 mg PO BID. Available is ranitidine syrup 15 mg/mL. How many mL should the nurse administer each day?
- A. 20 mL
- B. 15 mL
- C. 25 mL
- D. 10 mL
Correct answer: A
Rationale: To administer a total of 300 mg daily (150 mg PO BID), the nurse should give 20 mL of the syrup. This is calculated by dividing the total daily dose (300 mg) by the concentration of the syrup (15 mg/mL), which equals 20 mL. Choice B (15 mL), C (25 mL), and D (10 mL) are incorrect because they do not accurately calculate the required volume of syrup needed to deliver the prescribed dose.
3. A nurse is providing discharge instructions for a client with diabetes. What is the most important teaching point?
- A. Monitor blood sugar levels weekly
- B. Administer insulin before meals as prescribed
- C. Take medication only when feeling unwell
- D. Monitor blood sugar only in the morning
Correct answer: B
Rationale: The correct answer is B: Administer insulin before meals as prescribed. This is the most important teaching point because insulin administration before meals helps manage blood sugar effectively in diabetic patients. Choice A is incorrect because monitoring blood sugar levels weekly may not provide timely information for managing diabetes. Choice C is incorrect as medications for diabetes should be taken as prescribed, not only when feeling unwell. Choice D is incorrect as blood sugar levels should be monitored at various times throughout the day, not just in the morning, to get a complete picture of the patient's condition.
4. A nurse is caring for a client who has pneumonia and new onset confusion. Which of the following actions should the nurse take first?
- A. Increase the client's oxygen flow rate
- B. Obtain the client's vital signs
- C. Administer an antibiotic
- D. Notify the provider
Correct answer: A
Rationale: Correct Answer: Increasing the client's oxygen flow rate should be the nurse's first action. Hypoxia is a common complication of pneumonia and can lead to confusion. Providing adequate oxygenation is essential in addressing hypoxia and improving the client's condition.\nOption B: Obtaining vital signs is important but addressing hypoxia takes precedence in the setting of new onset confusion.\nOption C: Administering an antibiotic is important for treating pneumonia but addressing hypoxia and confusion is the priority.\nOption D: Notifying the provider may be necessary but addressing the immediate physiological need of oxygenation should come first.
5. What are early indicators of dehydration?
- A. Dry mouth
- B. Increased thirst
- C. Decreased urine output
- D. Dizziness
Correct answer: A
Rationale: The correct answer is A, dry mouth, and B, increased thirst are early indicators of dehydration. Dry mouth occurs when the body is dehydrated, and increased thirst is the body's way of trying to increase fluid intake to combat dehydration. Choices C and D, decreased urine output and dizziness, can be signs of severe dehydration but are not typically considered early indicators.
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