ATI LPN
ATI PN Comprehensive Predictor 2023
1. A nurse has agreed to serve as an interpreter for an older adult client who is assigned to another nurse. Which of the following statements by the nurse indicates an understanding of this role?
- A. I will let the client know that I am available as the interpreter.
- B. I will receive a small fee for interpreting for this client.
- C. I am glad I am available today, but when I am not, you can use a family member.
- D. I will let the client know that an interpreter is unavailable during the night shift.
Correct answer: A
Rationale: Choice A is correct because the nurse should inform the client of their availability to interpret, ensuring that communication is clear and culturally appropriate. Choice B is incorrect as interpreters in healthcare settings usually do not receive fees for providing interpretation services. Choice C is incorrect because suggesting the use of a family member as an interpreter may not ensure accurate communication, as they may not be trained or impartial. Choice D is incorrect because stating that an interpreter is unavailable during the night shift does not address the current situation where the nurse has agreed to interpret for the client.
2. A healthcare professional is collecting data from a client who has hypokalemia. Which of the following findings should the healthcare professional expect?
- A. Muscle stiffness
- B. Bradycardia
- C. Hyperreflexia
- D. Muscle weakness
Correct answer: D
Rationale: The correct answer is 'Muscle weakness.' Hypokalemia is characterized by low potassium levels, which can lead to muscle weakness due to impaired muscle function. Choices A, B, and C are incorrect findings associated with other medical conditions and not typically expected in hypokalemia. Muscle stiffness is more commonly associated with conditions like tetany or muscle cramps, bradycardia is more commonly associated with issues like heart block or hypothyroidism, and hyperreflexia is more commonly seen in conditions like hyperthyroidism or spinal cord injuries.
3. What are the signs of hypoglycemia, and how should a healthcare provider respond to a patient experiencing this condition?
- A. Shakiness or Tremors
- B. Confusion or Irritability
- C. Hunger
- D. Dizziness or Lightheadedness
Correct answer: A
Rationale: The signs of hypoglycemia include shakiness, confusion, hunger, dizziness, and lightheadedness. However, the classic and most common early sign is shakiness or tremors. When a patient is experiencing hypoglycemia, a healthcare provider should respond promptly by administering glucose to raise the blood sugar levels. Choice A is correct as it directly addresses one of the primary signs of hypoglycemia. Choices B, C, and D are incorrect because while confusion, irritability, hunger, dizziness, and lightheadedness can also be signs of hypoglycemia, shakiness or tremors are the classic and most common early symptoms that healthcare providers should be particularly vigilant for.
4. A nurse is providing teaching to a client who is to start taking digoxin. Which of the following statements by the client indicates an understanding of the teaching?
- A. I should take this medication with food.
- B. I will contact my provider if my heart rate is below 60 beats per minute.
- C. I should take an antacid with this medication to prevent gastrointestinal upset.
- D. I will need to take this medication for 14 days.
Correct answer: B
Rationale: The client should contact their provider if their heart rate drops below 60 beats per minute, as this could indicate digoxin toxicity.
5. Which intervention is most important for a client with chronic heart failure?
- A. Encourage fluid intake to prevent dehydration
- B. Monitor the client's weight daily to assess fluid balance
- C. Limit sodium intake to reduce fluid retention
- D. Restrict daily activity to prevent fatigue
Correct answer: B
Rationale: The correct answer is to monitor the client's weight daily to assess fluid balance in clients with chronic heart failure. Monitoring weight helps in detecting fluid retention or fluid loss, which is crucial in managing heart failure. Encouraging fluid intake to prevent dehydration (choice A) may worsen fluid overload in heart failure patients. Limiting sodium intake (choice C) is essential but not the most important intervention compared to monitoring weight. Restricting daily activity (choice D) is not recommended as it is important for clients with heart failure to engage in appropriate levels of physical activity to maintain their overall health.
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