ATI LPN
ATI PN Comprehensive Predictor
1. A nurse is caring for a client following an acute myocardial infarction. The client is concerned that providing self-care will be difficult due to extreme fatigue. Which of the following strategies should the nurse implement to promote the client's independence?
- A. Request an occupational therapy consult to determine the need for assistive devices
- B. Assign assistive personnel to perform self-care tasks for the client
- C. Instruct the client to focus on gradually resuming self-care tasks
- D. Ask the client if a family member is available to assist with his care
Correct answer: C
Rationale: Instructing the client to focus on gradually resuming self-care tasks is the most appropriate strategy to promote independence following an acute myocardial infarction. This approach allows the client to regain confidence and control over their self-care activities without feeling overwhelmed. Requesting an occupational therapy consult (Choice A) may be beneficial but is not the immediate solution to promote independence. Assigning assistive personnel (Choice B) to perform tasks for the client does not encourage independence. Asking if a family member is available for assistance (Choice D) does not directly promote the client's independence.
2. A nurse is reinforcing teaching with a client who has fluid volume deficit about selecting foods that have a high water content. The nurse should include that which of the following raw foods contains the highest amount of water per 1 cup serving?
- A. Cherry tomatoes
- B. Potatoes
- C. Spinach
- D. Cucumber slices
Correct answer: D
Rationale: The correct answer is D, cucumber slices. Cucumbers have the highest water content per 1 cup serving among raw vegetables, making them an excellent choice for a client with fluid volume deficit. Cherry tomatoes (choice A), potatoes (choice B), and spinach (choice C) do not have as high water content as cucumbers and therefore are not the best choice for increasing fluid intake.
3. A nurse is caring for a client with a pressure ulcer. Which of the following interventions is most appropriate?
- A. Administer a protein supplement
- B. Increase protein intake in the client's diet
- C. Increase IV fluid intake to improve hydration
- D. Cleanse the wound from the center outwards
Correct answer: D
Rationale: The correct answer is to cleanse the wound from the center outwards. This technique helps prevent infection and promotes healing by ensuring that any contaminants are moved away from the center of the wound. Administering a protein supplement (choice A) or increasing protein intake in the client's diet (choice B) may be beneficial for overall healing but are not the most appropriate interventions specifically for wound care. Increasing IV fluid intake (choice C) is important for hydration but is not the most appropriate intervention for managing a pressure ulcer.
4. What are the early signs of a pulmonary embolism?
- A. Chest pain, shortness of breath, and tachycardia
- B. Fever, nausea, and vomiting
- C. Cough, cyanosis, and fatigue
- D. Abdominal pain and bradycardia
Correct answer: A
Rationale: The correct answer is A: Chest pain, shortness of breath, and tachycardia. These are classic early signs of a pulmonary embolism. Chest pain may be sudden and sharp, worsened by deep breathing or coughing. Shortness of breath can be sudden and severe. Tachycardia (rapid heart rate) is another common symptom. Choices B, C, and D are incorrect as they do not represent typical early signs of a pulmonary embolism.
5. What are the nursing responsibilities when administering intravenous (IV) antibiotics?
- A. Verify the antibiotic dosage and check for allergies
- B. Administer the medication without verification
- C. Do not check for allergies or dosage
- D. Ensure the patient is allergic to antibiotics
Correct answer: A
Rationale: When administering IV antibiotics, it is essential for the nurse to verify the antibiotic dosage and check for any allergies the patient may have. This is crucial to ensure that the correct medication is being given at the proper dose and to prevent potential adverse reactions. Choice B is incorrect because administering medication without verification can lead to errors. Choice C is incorrect as it goes against safe medication administration practices. Choice D is incorrect as the focus should be on checking if the patient has allergies to antibiotics, not ensuring the patient is allergic to them.
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