ATI LPN
ATI Comprehensive Predictor PN
1. A nurse is assisting with monitoring a client who is at 40 weeks of gestation and is in active labor. The nurse recognizes late decelerations on the fetal monitor tracing. Which of the following actions should the nurse take?
- A. Apply oxygen at 10 L/min via face mask
- B. Position the client on their side
- C. Call for a Cesarean delivery
- D. Administer oxytocin
Correct answer: B
Rationale: Late decelerations indicate uteroplacental insufficiency, and the priority nursing action is to improve placental perfusion. Positioning the client on their side, particularly the left side, can enhance blood flow to the placenta and fetus by reducing pressure on the vena cava and increasing cardiac output. Applying oxygen, although helpful, is not the initial priority in this situation. Calling for a Cesarean delivery is not warranted unless other interventions fail to correct the late decelerations. Administering oxytocin can worsen the condition by increasing uterine contractions, exacerbating fetal distress.
2. A nurse is caring for a client in a mental health facility. The client’s daughter is crying and tells the nurse that she feels guilty for leaving her father in the hospital. Which of the following is an appropriate response?
- A. I’d like to know more about what’s bothering you.
- B. Why are you feeling this way?
- C. You did the right thing by bringing him here.
- D. I’m sure your father doesn’t blame you.
Correct answer: A
Rationale: The correct response is A: 'I’d like to know more about what’s bothering you.' Encouraging the daughter to express her feelings allows her to explore her emotions, which can be helpful in addressing her guilt and providing emotional support. Choice B is not as open-ended and may come across as confrontational. Choice C may invalidate the daughter's feelings of guilt by implying she shouldn't feel that way. Choice D assumes the father's emotions and may not address the daughter's feelings of guilt effectively.
3. A nurse is assessing a client who has been taking lithium carbonate. Which of the following findings should the nurse report to the provider?
- A. Increased urination
- B. Tremors
- C. Weight gain
- D. Blurred vision
Correct answer: B
Rationale: The correct answer is B: Tremors. Tremors are a sign of lithium toxicity and should be reported immediately. Increased urination is a common side effect of lithium but not an urgent concern requiring immediate reporting. Weight gain is also a common side effect of lithium but does not indicate toxicity. Blurred vision is not typically associated with lithium toxicity; therefore, it is not the priority finding to report.
4. What is a primary function of macronutrients in the body?
- A. Regulate metabolic processes.
- B. Supply energy.
- C. Maintain homeostasis.
- D. Control cellular activity.
Correct answer: B
Rationale: The correct answer is B: Supply energy. The primary function of macronutrients such as carbohydrates, fats, and proteins is to supply energy for various bodily functions. Choices A, C, and D are incorrect because while regulating metabolic processes, maintaining homeostasis, and controlling cellular activity are essential functions in the body, they are not the primary roles of macronutrients. Macronutrients mainly serve as a source of energy to support daily activities and bodily functions.
5. A nurse is caring for a client who has a urinary tract infection (UTI) and is prescribed ciprofloxacin. Which of the following client statements indicates a need for further teaching?
- A. I will stop taking the medication when I feel better.
- B. I will avoid caffeine while taking this medication.
- C. I will wear sunscreen when going outside.
- D. I will drink plenty of fluids while on this medication.
Correct answer: A
Rationale: Clients should be instructed to complete the entire course of antibiotics, even if they start feeling better, to prevent antibiotic resistance and recurrence of infection.
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