ATI LPN
ATI PN Comprehensive Predictor 2024
1. A client with type 2 diabetes mellitus is concerned about weight gain during pregnancy. Which of the following responses should the nurse make?
- A. You should not gain more than 10 lbs
- B. Your weight gain should be the same as for someone without diabetes
- C. Avoid gaining more than 15 lbs
- D. You should gain more weight because of your condition
Correct answer: B
Rationale: The correct answer is B. Clients with type 2 diabetes should aim for the same pregnancy weight gain as those without diabetes. Option A is too restrictive and may not be appropriate for a healthy pregnancy. Option C also imposes a specific limit without considering individual needs. Option D is incorrect as excessive weight gain can lead to complications in pregnancy, especially for individuals with diabetes.
2. A client with coronary artery disease (CAD) is taking a low-dose aspirin daily. The nurse is reinforcing teaching with the client. The nurse should include that this medication has which of the following therapeutic effects?
- A. Analgesic
- B. Antiplatelet
- C. Anticoagulant
- D. Thrombolytic
Correct answer: B
Rationale: The correct answer is B: Antiplatelet. Aspirin works by inhibiting platelet aggregation, making it an antiplatelet agent. This effect helps reduce the risk of blood clot formation in clients with CAD. Choice A, Analgesic, is incorrect because aspirin's primary action in this context is not pain relief. Choice C, Anticoagulant, is incorrect as aspirin does not directly inhibit coagulation factors. Choice D, Thrombolytic, is incorrect as aspirin does not actively break down clots but rather prevents their formation.
3. When should a healthcare provider suction a client's tracheostomy?
- A. When the client is hypotensive
- B. When the client is irritable
- C. When the client is flushed
- D. When the client is bradycardic
Correct answer: B
Rationale: Irritability is an early sign that suctioning is required to clear secretions in a client with a tracheostomy. Hypotension, flushing, and bradycardia are not direct indicators for suctioning a tracheostomy. Hypotension may indicate a need for fluid resuscitation or other interventions, flushing could be due to various reasons like fever, and bradycardia may require evaluation for cardiac causes.
4. A healthcare provider is providing discharge instructions to a client with home oxygen. What is the most important safety consideration?
- A. Restrict fluid intake while using oxygen
- B. Ensure oxygen tanks are kept upright and away from heat sources
- C. Allow family members to smoke in designated areas
- D. Store oxygen tanks in a closet when not in use
Correct answer: B
Rationale: The correct answer is to ensure oxygen tanks are kept upright and away from heat sources. This is crucial to prevent any potential fire hazard, as oxygen supports combustion. Restricting fluid intake while using oxygen (choice A) is not necessary for oxygen safety. Allowing family members to smoke in designated areas (choice C) poses a significant fire risk. Storing oxygen tanks in a closet when not in use (choice D) is unsafe because proper ventilation is needed to prevent oxygen accumulation.
5. How should a healthcare professional manage a patient with fluid volume deficit?
- A. Encourage oral fluid intake
- B. Administer IV fluids as ordered
- C. Monitor urine output and check electrolyte levels
- D. Monitor skin turgor and capillary refill
Correct answer: A
Rationale: Encouraging oral fluid intake is a crucial nursing intervention in managing a patient with fluid volume deficit. By encouraging oral fluid intake, the patient can increase hydration levels, helping to correct the deficit. Administering IV fluids may be necessary in severe cases or when the patient is unable to tolerate oral intake. Monitoring urine output and checking electrolyte levels are essential aspects of assessing fluid volume status, but they are not direct interventions for correcting fluid volume deficit. Monitoring skin turgor and capillary refill are important assessments for fluid volume status but are not direct management strategies.
Similar Questions
Access More Features
ATI LPN Basic
$69.99/ 30 days
- 5,000 Questions with answers
- All ATI courses Coverage
- 30 days access
ATI LPN Premium
$149.99/ 90 days
- 5,000 Questions with answers
- All ATI courses Coverage
- 30 days access