LPN LPN
ATI PN Comprehensive Predictor 2023 with NGN
1. A client who had a vaginal delivery 4 hours ago has a fourth-degree perineal laceration. Which of the following interventions should the nurse recommend?
- A. Encourage ambulation
- B. Apply ice packs
- C. Restrict the client's fluid intake
- D. Administer stool softeners
Correct answer: B
Rationale: Correct Answer: Applying ice packs is the most appropriate intervention for a client with a fourth-degree perineal laceration. Ice packs help reduce swelling and promote comfort, aiding in the healing process. Choice A, encouraging ambulation, may not be suitable immediately after a fourth-degree laceration due to the need for rest and proper wound care. Choice C, restricting fluid intake, is not indicated and can lead to dehydration, which is not beneficial for wound healing. Choice D, administering stool softeners, may be necessary to prevent constipation and straining, but it is not the priority intervention at this time.
2. A nurse is assisting with performing a nonstress test for a client who is at 39 weeks of gestation. Which of the following instructions should the nurse reinforce with the client?
- A. Do not press the button during baby's movements
- B. You should depress the button when you feel your baby move
- C. Press the button only during contractions
- D. Do not eat before the test
Correct answer: B
Rationale: The correct answer is B because the client should press the button when feeling fetal movement to track the baby's activity. Choice A is incorrect because the client should press the button during movements. Choice C is incorrect as the button should be pressed during fetal movements, not contractions. Choice D is irrelevant to the instructions for the nonstress test.
3. A client with asthma and a new prescription for an ipratropium inhaler is being taught by a nurse. Which statement by the client indicates an understanding of the teaching?
- A. I will rinse my mouth after each use
- B. I should wait 5 minutes before taking a second puff
- C. I should take this medication when I wake up
- D. I should wait 1 minute before taking a second puff
Correct answer: D
Rationale: The correct answer is D because waiting 1 minute between puffs ensures proper absorption of the medication. Choice A is incorrect as rinsing the mouth is not a specific instruction related to using the inhaler. Choice B is incorrect as waiting 5 minutes between puffs is longer than necessary. Choice C is incorrect as the timing of medication administration is not specified in the question.
4. A nurse is observing an assistive personnel (AP) apply antiembolic stockings for a client. Which of the following actions by the AP demonstrates an understanding of how to perform this skill?
- A. Apply the stocking while the client is seated
- B. Apply the stocking before the client gets out of bed
- C. Use lotion under the stocking to ease application
- D. Bunch the stocking around the heel before applying
Correct answer: B
Rationale: The correct answer is B. Applying antiembolic stockings before the client gets out of bed is crucial as it helps prevent venous stasis and clot formation. Choice A is incorrect because stockings should be applied before the client gets out of bed. Choice C is incorrect as using lotion under the stocking can cause the stocking to slip. Choice D is incorrect because the stocking should be smooth and not bunched to prevent pressure points.
5. What should a person recommend to a client experiencing constipation?
- A. Increase fluid intake to prevent further dehydration
- B. Increase dietary fiber to promote regular bowel movements
- C. Administer a laxative to relieve constipation
- D. Encourage bed rest to allow for bowel function to return
Correct answer: B
Rationale: Increasing dietary fiber is an effective recommendation for clients experiencing constipation as it helps promote regular bowel movements. Choice A, increasing fluid intake, is also important but the most appropriate initial recommendation for constipation is to increase dietary fiber. Choice C, administering a laxative, should not be the first-line recommendation and is typically considered after dietary and lifestyle interventions. Choice D, encouraging bed rest, does not directly address constipation relief or prevention.
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