ATI LPN
ATI PN Comprehensive Predictor 2024
1. A nurse is preparing to administer a blood transfusion. What is the first action?
- A. Administer the blood through an IV push
- B. Verify the client's blood type before starting the transfusion
- C. Warm the blood to body temperature before administration
- D. Ensure the client eats before starting the transfusion
Correct answer: B
Rationale: The correct first action when preparing to administer a blood transfusion is to verify the client's blood type before starting the transfusion. This step is crucial to prevent transfusion reactions and complications. Option A is incorrect because blood transfusions should not be administered through an IV push due to the risk of rapid infusion and adverse reactions. Option C is incorrect because blood should be transfused at room temperature, not body temperature. Option D is incorrect because it is not necessary for the client to eat before a blood transfusion.
2. A healthcare professional is reviewing the medical records of a client who has a pressure ulcer. Which of the following is an expected finding?
- A. Serum albumin level of 3 g/dL
- B. HDL level of 90 mg/dL
- C. Norton scale score of 18
- D. Braden scale score of 20
Correct answer: A
Rationale: A serum albumin level of 3 g/dL is indicative of poor nutrition, which is commonly associated with pressure ulcers. This finding suggests that the client may be at risk for developing or already has a pressure ulcer due to malnutrition. High-density lipoprotein (HDL) level of 90 mg/dL (Choice B) is not directly related to pressure ulcers. The Norton scale (Choice C) is used to assess a client's risk of developing pressure ulcers, not as a finding in a client with an existing pressure ulcer. The Braden scale (Choice D) is also a tool used to assess the risk of developing pressure ulcers, not a finding in a client with an existing pressure ulcer.
3. A healthcare provider is reviewing the medical record of a client who has coronary artery disease (CAD) and a prescription for aspirin. Which of the following findings should the healthcare provider report to the provider?
- A. History of gastrointestinal bleeding
- B. History of asthma
- C. History of liver disease
- D. History of hypertension
Correct answer: A
Rationale: A history of gastrointestinal bleeding is a critical finding to report to the healthcare provider because it is a contraindication for aspirin use in individuals with CAD. Aspirin can further increase the risk of bleeding in individuals with a history of gastrointestinal bleeding. Choices B, C, and D are not directly contraindications for aspirin use in this scenario. Asthma, liver disease, and hypertension are not typically contraindications for prescribing aspirin to patients with CAD.
4. A nurse is teaching a client who has peptic ulcer disease about preventing exacerbations. Which of the following instructions should the nurse include?
- A. Use antacids containing magnesium frequently
- B. Limit alcohol consumption
- C. Eat smaller, frequent meals
- D. Increase caffeine intake
Correct answer: B
Rationale: The correct answer is B: Limit alcohol consumption. Alcohol consumption can aggravate peptic ulcer disease by increasing gastric acid secretion, potentially leading to exacerbations. Choices A, C, and D are incorrect. Choice A is not recommended because antacids containing magnesium can interfere with other medications or conditions the client may have. Choice C is a good recommendation; however, it is not the priority instruction for preventing exacerbations. Choice D is also incorrect as caffeine can stimulate gastric acid secretion, which can worsen peptic ulcer disease.
5. A nurse is caring for a client who has hypokalemia. Which of the following clinical findings should the nurse expect?
- A. Hyperactive reflexes.
- B. Strong, bounding pulse.
- C. Decreased bowel sounds.
- D. Increased deep tendon reflexes.
Correct answer: C
Rationale: The correct answer is C: Decreased bowel sounds. In hypokalemia, decreased bowel sounds are common due to slowed peristalsis. Hyperactive reflexes (choice A) and increased deep tendon reflexes (choice D) are more indicative of hyperkalemia. A strong, bounding pulse (choice B) is not typically associated with hypokalemia.
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