ATI LPN
ATI PN Comprehensive Predictor 2024
1. A nurse is preparing to apply a transdermal nicotine patch for a client. Which of the following actions should the nurse take?
- A. Shave hairy areas of skin prior to application.
- B. Wear gloves to apply the patch to the client's skin.
- C. Apply the patch within 1 hr of removing it from the protective pouch.
- D. Remove the previous patch and place it in a tissue.
Correct answer: B
Rationale: The correct answer is to wear gloves when applying the transdermal nicotine patch to prevent the nurse from absorbing nicotine through the skin. Choice A is incorrect because shaving hairy areas of skin is not necessary for applying a transdermal patch. Choice C is incorrect as transdermal patches should be applied immediately after removal from the protective pouch, not necessarily within 1 hour. Choice D is incorrect because the previous patch should be disposed of properly following institutional guidelines, not placed in a tissue.
2. A postpartum client who delivered a healthy newborn is being assessed by a nurse. Which finding would indicate a complication during the early postpartum period?
- A. Moderate lochia rubra
- B. Bradycardia
- C. Elevated blood pressure
- D. Uterine contraction
Correct answer: C
Rationale: An elevated blood pressure in the postpartum period may indicate the onset of preeclampsia, a serious complication that requires immediate medical attention. Preeclampsia is characterized by high blood pressure, protein in the urine, and sometimes swelling in the hands and face. If left untreated, preeclampsia can lead to serious complications for both the mother and the baby. Therefore, it is crucial for healthcare providers to closely monitor blood pressure levels in postpartum clients to promptly address any signs of preeclampsia. Choices A, B, and D are not indicative of a complication during the early postpartum period. Moderate lochia rubra is a normal finding as it indicates the normal discharge of blood and tissue from the uterus after childbirth. Bradycardia, a slow heart rate, is not typically a concern in the absence of other symptoms or signs of distress. Uterine contractions are essential for involution and are expected in the postpartum period.
3. What is the primary function of carbohydrates as a food source?
- A. Regulate metabolic processes.
- B. Build body tissue.
- C. Supply energy.
- D. Provide bulk.
Correct answer: C
Rationale: The primary function of carbohydrates as a food source is to supply energy. Carbohydrates are the body's main source of energy, providing fuel for various physiological functions. Choice A is incorrect because carbohydrates do not primarily regulate metabolic processes; that role is mainly attributed to enzymes and hormones. Choice B is incorrect because proteins are primarily responsible for building body tissue. Choice D is incorrect because fiber, not all carbohydrates, provides bulk in the diet.
4. A healthcare provider is assessing a client with congestive heart failure. Which of the following signs should the healthcare provider monitor?
- A. Peripheral edema
- B. Decreased appetite
- C. Fatigue
- D. All of the above
Correct answer: D
Rationale: Correct! In a client with congestive heart failure, peripheral edema, decreased appetite, and fatigue are important signs to monitor as they can indicate worsening heart failure. Peripheral edema is a common sign of fluid retention due to the heart's inability to pump effectively, decreased appetite may indicate worsening heart function, and fatigue can be a result of inadequate cardiac output. Monitoring all these signs is crucial for early intervention and management. Choices A, B, and C are incorrect because monitoring only one symptom may not provide a comprehensive assessment of the client's condition.
5. When caring for a patient with dissociative identity disorder, which nursing intervention is a priority?
- A. Providing detailed education about the condition
- B. Monitoring for signs of self-harm or suicidal ideation
- C. Encouraging the patient to recall traumatic events
- D. Helping the patient develop a strong sense of identity
Correct answer: B
Rationale: When caring for a patient with dissociative identity disorder, the priority nursing intervention is to monitor for signs of self-harm or suicidal ideation. Ensuring patient safety is crucial, as individuals with this disorder may be at increased risk of self-harm or suicidal behaviors. Providing education about the condition is beneficial but ensuring immediate safety takes precedence. Encouraging the patient to recall traumatic events can be detrimental and should be done cautiously under professional guidance. While helping the patient develop a strong sense of identity is important in the long term, it is not the immediate priority when safety is a concern.
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