LPN LPN
PN ATI Comprehensive Predictor
1. A nurse is collecting data from an older adult client during a routine physical examination. Which of the following client statements should the nurse identify as a possible indication of maltreatment?
- A. My son took my wallet to keep track of my spending
- B. My son always cooks my meals for me
- C. My son doesn't want me to drive alone
- D. I exercise every day with my son
Correct answer: A
Rationale: The correct answer is A. Taking away a wallet to control spending is a form of financial maltreatment, which is a common form of abuse among older adults. Choices B, C, and D do not indicate maltreatment; rather, they show examples of care and concern from the son. Cooking meals, preventing the older adult from driving alone, and engaging in daily exercise are positive behaviors.
2. A nurse is providing discharge instructions for a client using home oxygen. What is the most important safety measure?
- A. Store oxygen tanks in a closet when not in use
- B. Ensure that oxygen tanks are kept upright and away from heat sources
- C. Allow family members to smoke in designated areas
- D. Restrict fluid intake while using oxygen
Correct answer: B
Rationale: The correct answer is B: Ensure that oxygen tanks are kept upright and away from heat sources. This is the most important safety measure to prevent accidents related to home oxygen use. Storing oxygen tanks in a closet when not in use (choice A) is not recommended as they should be stored in a well-ventilated area. Allowing family members to smoke in designated areas (choice C) poses a significant fire hazard. Restricting fluid intake while using oxygen (choice D) is not a safety measure related to oxygen use.
3. A nurse is assisting with an in-service about hepatitis A for a group of staff nurses. The nurse should include that hepatitis A is transmitted through which of the following methods?
- A. Airborne droplets
- B. Sexual contact
- C. Contact with contaminated surfaces
- D. Consumption of contaminated food
Correct answer: D
Rationale: The correct answer is D: Consumption of contaminated food. Hepatitis A is primarily transmitted through the ingestion of contaminated food or water. Airborne droplets and sexual contact are not common modes of transmission for hepatitis A. While contact with contaminated surfaces can play a role in the spread of some infections, hepatitis A is not typically transmitted through this route.
4. Which of the following is a realistic short-term goal to be accomplished in 2 to 3 days for a client with delirium?
- A. Explain the experience of having delirium
- B. Resume a normal sleep-wake cycle
- C. Regain orientation to time and place
- D. Establish normal bowel and bladder function
Correct answer: C
Rationale: Regaining orientation to time and place is a realistic short-term goal for clients with delirium. It helps the individual become aware of their surroundings and current situation, aiding in reducing confusion and disorientation. Choice A is incorrect because the goal is focused on the client's understanding, not on explaining the experience of delirium. Choice B, resuming a normal sleep-wake cycle, may take longer than 2 to 3 days to achieve and is not directly related to regaining orientation. Choice D, establishing normal bowel and bladder function, is important but may not be a short-term goal specifically related to delirium.
5. A home health nurse is preparing for an initial visit with an older adult client who lives alone. Which of the following actions should the nurse take first?
- A. Educate the client about their current medical diagnosis.
- B. Refer the client to a meal delivery program.
- C. Identify environmental hazards in the home.
- D. Arrange transportation for the client to follow-up appointments.
Correct answer: C
Rationale: Identifying environmental hazards in the client's home is the priority during the initial visit with an older adult living alone. This action is crucial to prevent accidents, falls, and ensure the client's safety. While educating the client about their medical diagnosis, referring them to a meal delivery program, and arranging transportation for follow-up appointments are essential, addressing environmental hazards takes precedence as it directly impacts the client's immediate safety and well-being.
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