LPN LPN
ATI PN Comprehensive Predictor 2023 with NGN
1. A nurse is caring for a client who has multiple fractures following a motor-vehicle crash. For which of the following client statements should the nurse recommend a referral to an occupational therapist?
- A. I can't brush my teeth properly
- B. I am so frustrated I can't open my milk carton
- C. I can't hold a pencil
- D. I can't write anymore
Correct answer: B
Rationale: The correct answer is B. The client's frustration with opening a milk carton indicates difficulty with activities of daily living, which is a common concern addressed by occupational therapists. Choices A, C, and D are related to fine motor skills, which may also be addressed by an occupational therapist but are not as directly linked to activities of daily living as struggling with tasks like opening containers.
2. What is the key management strategy for diabetic ketoacidosis (DKA)?
- A. Administer insulin
- B. Monitor blood glucose
- C. Administer IV fluids
- D. All of the above
Correct answer: D
Rationale: The key management strategy for diabetic ketoacidosis (DKA) involves a comprehensive approach that includes administering insulin to lower blood glucose levels, monitoring blood glucose levels to ensure they are within the target range, and administering IV fluids to correct dehydration and electrolyte imbalances. Choosing 'All of the above' as the correct answer is the most appropriate because all three interventions are essential components of DKA management. Administering insulin alone without addressing fluid status and monitoring blood glucose could lead to complications. Similarly, solely focusing on IV fluids or blood glucose monitoring without insulin administration would not effectively manage DKA.
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 client with multiple fractures following a motor-vehicle crash is struggling with opening a milk carton. Which of the following client statements should the nurse recommend a referral to an occupational therapist?
- A. I can't brush my teeth properly
- B. I am so frustrated I can't open my milk carton
- C. I can't hold a pencil
- D. I can't write anymore
Correct answer: B
Rationale: The correct answer is B. Struggling to open a milk carton indicates difficulty with fine motor skills and activities of daily living. This statement suggests a need for assistance from an occupational therapist to improve hand strength, coordination, and independence in performing essential tasks. Choices A, C, and D do not directly relate to the need for occupational therapy services in this context. In contrast, the inability to open a milk carton highlights specific challenges that occupational therapy can address effectively.
5. Which of the following interventions should the nurse implement for a client with hyperkalemia?
- A. Administer calcium gluconate
- B. Increase fluid intake to promote potassium excretion
- C. Administer a diuretic
- D. Administer sodium bicarbonate
Correct answer: A
Rationale: The correct intervention for a client with hyperkalemia is to administer calcium gluconate. Calcium gluconate helps counteract the effects of hyperkalemia by stabilizing the cardiac cell membrane. Increasing fluid intake (Choice B) may not effectively lower potassium levels. Administering a diuretic (Choice C) or sodium bicarbonate (Choice D) is not the primary treatment for hyperkalemia and may not address the immediate need to lower potassium levels.
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