ATI LPN
ATI PN Comprehensive Predictor 2024
1. A nurse is reinforcing teaching about a clear liquid diet. What should the client avoid?
- A. Lemon-lime sports drinks
- B. Orange sherbet
- C. Black coffee
- D. Ginger ale
Correct answer: D
Rationale: The correct answer is D, Ginger ale. A clear liquid diet includes fluids that are see-through and easily digestible. Ginger ale is a carbonated beverage that is allowed on a clear liquid diet. Orange sherbet, choice B, is not suitable for a clear liquid diet as it contains dairy products and solid particles, which are not transparent. Lemon-lime sports drinks, choice A, may contain added colorings or particles that are not allowed on a clear liquid diet. Black coffee, choice C, is also not recommended on a clear liquid diet as it is not a clear liquid and contains substances that may be hard to digest.
2. A nurse manager is updating protocols for belt restraints. Which of the following guidelines should the nurse include?
- A. Document the client's condition every 15 minutes.
- B. Attach the restraints to a non-moving part of the bed.
- C. Avoid requesting a PRN restraint prescription for clients who are aggressive.
- D. Remove the client's restraints based on the client's condition.
Correct answer: A
Rationale: The correct answer is A: Document the client's condition every 15 minutes. When using belt restraints, it is crucial to document the client's condition regularly to ensure their safety and well-being. This guideline allows for ongoing assessment of the client's need for restraints and any potential adverse effects. Choice B is incorrect as restraints should not be attached to the bed frame but to a non-moving part of the bed to prevent harm in case of bed movement. Choice C is incorrect as PRN (as needed) restraint prescription should not be a routine practice and should only be considered after other interventions have been attempted. Choice D is incorrect as restraints should be removed and reevaluated based on the client's condition, not solely on a fixed time schedule.
3. A healthcare provider is teaching a client about the use of sertraline. Which of the following should be included?
- A. It can cause weight gain
- B. It is an antipsychotic
- C. Monitor for suicidal thoughts
- D. It has no side effects
Correct answer: C
Rationale: Correct answer: Monitoring for suicidal thoughts is essential when a client is prescribed sertraline, an antidepressant. Choice A is incorrect because weight gain is not typically associated with sertraline. Choice B is incorrect as sertraline is not an antipsychotic medication. Choice D is incorrect because all medications, including sertraline, have potential side effects.
4. A healthcare provider is assessing a client who has severe dehydration. Which finding indicates effective treatment?
- A. Sunken anterior fontanel
- B. Tenting skin turgor
- C. Flat anterior fontanel
- D. Hyperpnea
Correct answer: C
Rationale: A flat anterior fontanel indicates effective treatment for dehydration in infants. Dehydration often causes sunken fontanels, so when the anterior fontanel becomes flat, it suggests that rehydration has occurred. Sunken anterior fontanel (Choice A) is a sign of dehydration, not effective treatment. Tenting skin turgor (Choice B) is also a sign of dehydration, indicating poor skin turgor. Hyperpnea (Choice D) is increased depth and rate of breathing and is not directly related to the hydration status of the client.
5. A healthcare professional is planning to collect a stool specimen for ova and parasites from a client with diarrhea. Which of the following actions should the healthcare professional take when collecting the specimen?
- A. Instruct the client to defecate into a clean container
- B. Transfer the specimen to a sterile container
- C. Refrigerate the collected specimen
- D. Place the stool specimen collection container in a biohazard bag
Correct answer: D
Rationale: When collecting a stool specimen for ova and parasites, it is essential to place the specimen collection container in a biohazard bag. This practice ensures proper handling of potentially infectious material and prevents contamination with microorganisms. The biohazard bag should be labeled with the client's information for easy identification and proper tracking throughout the testing process. Instructing the client to defecate into a clean container is incorrect as it may introduce contaminants. Transferring the specimen to a sterile container is unnecessary and can increase the risk of contamination. Refrigerating the collected specimen is also not recommended as it may alter the sample and affect the test results.
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