ATI LPN
ATI PN Comprehensive Predictor 2024
1. When instructing a client with tuberculosis on home care, what is the priority teaching point?
- A. Wear a surgical mask at all times
- B. Limit visitors to two-hour increments
- C. Take medication for 6-9 months
- D. Take breaks during meals
Correct answer: C
Rationale: The correct answer is C: 'Take medication for 6-9 months.' The priority teaching point for a client with tuberculosis is to ensure they understand the importance of completing the entire course of medication. This is crucial to effectively treat and cure tuberculosis, prevent the development of drug-resistant strains, and reduce the risk of transmission to others. Choice A is incorrect as wearing a surgical mask at all times is not the priority teaching point for tuberculosis home care. Choice B is not the priority teaching point; while limiting visitors can help reduce exposure to others, completing the medication course is more critical. Choice D is not relevant to tuberculosis home care instructions.
2. A 45-year-old woman with occasional indigestion has had episodes of chest pain and dysphagia to both solids and liquids. An upper GI series and EGD fail to disclose any structural abnormalities. What is the most appropriate initial therapy?
- A. Sucralfate
- B. Proton pump inhibitor
- C. Prokinetic agent
- D. Benzodiazepine
Correct answer: B
Rationale: The patient's symptoms of chest pain and dysphagia suggest esophageal spasm, often related to underlying gastroesophageal reflux. The initial therapy should focus on acid suppression. Proton pump inhibitors are the preferred choice to reduce acid production and alleviate symptoms. If proton pump inhibitors are ineffective, other options like smooth muscle relaxants or antidepressants may be considered. A Heller myotomy is not indicated in this case as the patient does not have achalasia.
3. Which of the following findings indicates a need for immediate attention in a client diagnosed with delirium?
- A. Confusion and disorientation that resolve with rest
- B. A blood pressure reading of 110/70
- C. Irritability and agitation that worsen throughout the day
- D. Mild confusion during the evening hours
Correct answer: C
Rationale: The correct answer is C: Irritability and agitation that worsen throughout the day. These symptoms are concerning in a client diagnosed with delirium as they may indicate an exacerbation of the condition or an underlying cause that requires immediate attention. Option A describes symptoms that resolve with rest, which may not be as urgent. Option B provides a normal blood pressure reading, which is not typically associated with immediate attention in delirium cases. Option D describes mild confusion during specific hours, which may not be as critical as worsening symptoms throughout the day.
4. Which age group is most vulnerable to protein-energy malnutrition (PEM)?
- A. Infants below 6 months
- B. Children aged 1-4 years
- C. Adolescents
- D. Elderly
Correct answer: B
Rationale: Children aged 1-4 years are most vulnerable to protein-energy malnutrition (PEM) due to their rapid growth and development, increased nutritional requirements, and sometimes inadequate diets. This age group is particularly susceptible to malnutrition if they do not receive adequate protein and energy-rich foods to support their growth and development.
5. A patient with severe pain is prescribed morphine sulfate. What is the most important side effect for the nurse to monitor?
- A. Diarrhea
- B. Hypertension
- C. Respiratory depression
- D. Increased urine output
Correct answer: C
Rationale: When a patient is prescribed morphine sulfate, the most critical side effect for the nurse to monitor is respiratory depression. Morphine can suppress the respiratory drive, leading to inadequate ventilation and potentially life-threatening consequences. Monitoring the patient's respiratory status closely is essential to promptly identify and manage any signs of respiratory depression.
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