LPN LPN
ATI PN Comprehensive Predictor 2024
1. A client with hypothyroidism may present with which of the following findings?
- A. Weight gain
- B. Hair loss
- C. Dry skin
- D. Diarrhea
Correct answer: C
Rationale: Dry skin is a common manifestation of hypothyroidism due to decreased thyroid hormone levels, leading to reduced sweating and oil production. Weight gain may occur due to a slowed metabolism, not diarrhea, as hypothyroidism is more commonly associated with constipation. Hair loss is typically associated with hyperthyroidism, not hypothyroidism.
2. How should a healthcare provider assess and manage a patient with a suspected urinary tract infection (UTI)?
- A. Antibiotic Therapy
- B. Hydration
- C. Pain Management
- D. Patient Education
Correct answer: A
Rationale: When assessing and managing a patient with a suspected UTI, the priority is to start antibiotic therapy to treat the infection. Antibiotics are crucial in eliminating the bacteria causing the UTI. While hydration is important to help flush out the bacteria, pain management can help alleviate discomfort but is not the primary treatment. Patient education is vital for prevention and management but is not the immediate intervention required for a suspected UTI.
3. A nurse is maintaining droplet precautions for a client who has meningitis. Which of the following actions should the nurse take?
- A. Wear a gown within 3 feet of the client
- B. Maintain a distance of 6 feet from the client
- C. Wear a surgical mask within 3 feet of the client
- D. Remove gloves before leaving the room
Correct answer: C
Rationale: The correct action for the nurse to take when maintaining droplet precautions for a client with meningitis is to wear a surgical mask within 3 feet of the client. This is essential to prevent the transmission of meningitis via respiratory droplets. Choice A is incorrect because wearing a gown is not specifically required for droplet precautions. Choice B suggests maintaining a distance of 6 feet, which is more applicable to airborne precautions, not droplet precautions. Choice D is incorrect as gloves should be removed and disposed of properly, but it is not related to droplet precautions specifically.
4. Which of the following interventions is the best to improve the healing of a pressure ulcer for a client with a low serum albumin level?
- A. Provide high-calorie, high-protein supplements
- B. Consult a dietitian to create a high-protein diet plan
- C. Administer nutritional supplements
- D. Increase IV fluids to prevent dehydration
Correct answer: B
Rationale: Consulting a dietitian to create a high-protein diet plan is the best intervention for a client with a low serum albumin level to promote healing. This approach ensures that the client receives the specific nutrients needed for wound healing. Providing high-calorie, high-protein supplements (choice A) may not address the specific nutritional deficiencies of the client. Administering nutritional supplements (choice C) is vague and may not target the necessary nutrients for wound healing. Increasing IV fluids (choice D) is important for hydration but does not directly address the nutritional needs of the client to improve ulcer healing.
5. What is the best nursing intervention for a patient with hyperkalemia?
- A. Administer potassium-wasting diuretics
- B. Encourage a low-potassium diet
- C. Administer potassium supplements
- D. Administer IV fluids
Correct answer: A
Rationale: The correct answer is to administer potassium-wasting diuretics. Hyperkalemia, which is high potassium levels, is managed by promoting the excretion of potassium from the body. Potassium-wasting diuretics help the kidneys eliminate excess potassium. Encouraging a low-potassium diet (choice B) is important for long-term management but not the immediate intervention for hyperkalemia. Administering potassium supplements (choice C) would worsen the condition by further increasing potassium levels. Administering IV fluids (choice D) may help with hydration but does not directly address the high potassium levels characteristic of hyperkalemia.
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