ATI LPN
ATI PN Comprehensive Predictor 2023 Quizlet
1. A client receiving chemotherapy is experiencing fatigue. Which intervention should the nurse implement to manage the client's fatigue?
- A. Encourage the client to take short naps during the day
- B. Instruct the client to remain on bedrest
- C. Provide the client with a high-calorie diet
- D. Encourage the client to increase activity levels
Correct answer: A
Rationale: The correct intervention to manage fatigue in a client receiving chemotherapy is to encourage the client to take short naps during the day. Fatigue is a common side effect of chemotherapy, and allowing the client to rest can help combat this symptom. Instructing the client to remain on bedrest (Choice B) is not recommended as it may lead to deconditioning and worsen fatigue. Providing a high-calorie diet (Choice C) may be beneficial for overall nutrition but does not directly address fatigue. Encouraging the client to increase activity levels (Choice D) may exacerbate fatigue instead of alleviating it.
2. A nurse is caring for a client with a pressure ulcer and a serum albumin level of 3 g/dL. What should the nurse do first?
- A. Increase the client's protein intake
- B. Consult with a dietitian to improve the client's nutritional status
- C. Administer a protein supplement
- D. Monitor the client's fluid and electrolyte balance
Correct answer: B
Rationale: Consulting with a dietitian is the priority as it ensures that the client receives a comprehensive nutritional assessment and an individualized plan to address the low serum albumin level and pressure ulcer. Increasing protein intake (choice A) and administering a protein supplement (choice C) may be part of the dietitian's recommendations but should not be done without proper assessment and guidance. Monitoring fluid and electrolyte balance (choice D) is important but not the first step in addressing the client's nutritional needs.
3. A nurse is caring for a client with a chest tube post-surgery. What is the most important assessment?
- A. Ensure the chest tube is clamped periodically
- B. Check for air leaks and ensure proper chest tube function
- C. Encourage deep breathing and coughing every 2 hours
- D. Ensure the client is positioned in a high Fowler's position
Correct answer: B
Rationale: The correct answer is B: 'Check for air leaks and ensure proper chest tube function.' This is the most important assessment for a client with a chest tube post-surgery because it ensures that the chest tube is functioning properly. Checking for air leaks helps prevent complications such as pneumothorax or hemothorax. Choice A is incorrect because clamping the chest tube periodically can lead to serious complications and should not be done unless specifically ordered by a healthcare provider. Choice C is important for promoting lung expansion but is not the most critical assessment related to the chest tube. Choice D is also important for respiratory function but is not the priority when assessing a chest tube post-surgery.
4. During the admission of a client with a latex allergy, which of the following supplies has the potential to contain latex?
- A. Urinary catheters
- B. Indwelling catheters
- C. Sterile gloves
- D. Sterile gowns
Correct answer: A
Rationale: The correct answer is A: Urinary catheters. Urinary catheters often contain latex, which can trigger an allergic reaction in clients with latex allergy. Indwelling catheters (choice B), sterile gloves (choice C), and sterile gowns (choice D) can be latex-free alternatives. However, urinary catheters are more commonly made with latex, making them a higher risk for clients with latex allergies.
5. A nurse in a provider's office is collecting data from a preschooler. Which of the following findings should the nurse report to the provider?
- A. Heart rate 80/min
- B. Heart rate 90/min
- C. Respiratory rate 28/min
- D. Heart rate 146/min
Correct answer: D
Rationale: A heart rate of 146/min is abnormal for a preschooler and indicates tachycardia, which should be reported to the provider. Choices A, B, and C fall within normal ranges for a preschooler's heart rate (80-120/min) and respiratory rate (22-34/min), so they do not require immediate reporting. Option D is the correct answer as it deviates significantly from the normal range and may indicate an underlying health issue that needs attention.
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