ATI LPN
ATI PN Comprehensive Predictor 2020
1. A nurse is reinforcing teaching with a client who has dumping syndrome about measures to reduce manifestations. Which of the following instructions should the nurse include in the teaching?
- A. Drink plenty of fluids after meals
- B. Increase sugar intake
- C. Eat smaller, more frequent meals
- D. Avoid foods high in sugar content
Correct answer: D
Rationale: The correct instruction the nurse should include in teaching a client with dumping syndrome is to 'Avoid foods high in sugar content.' Dumping syndrome occurs when high-sugar foods move too quickly into the small intestine, leading to symptoms like abdominal cramps, diarrhea, and bloating. By avoiding foods high in sugar content, the client can reduce these symptoms. Choices A, B, and C are incorrect. Drinking plenty of fluids after meals may exacerbate symptoms by speeding up the movement of food through the digestive system. Increasing sugar intake would worsen dumping syndrome symptoms. While eating smaller, more frequent meals is a good strategy, the key emphasis should be on avoiding high-sugar foods.
2. A client who experienced an acute myocardial infarction expresses concern about fatigue. What is the best strategy to promote self-care?
- A. Ask family members to assist with all self-care tasks
- B. Encourage the client to gradually resume self-care tasks with frequent rest periods
- C. Instruct the client to remain in bed until fully rested
- D. Assign assistive personnel to complete self-care tasks for the client
Correct answer: B
Rationale: Encouraging the client to gradually resume self-care tasks with frequent rest periods is the best strategy to promote self-care for a client who experienced an acute myocardial infarction and is experiencing fatigue. This approach helps the client regain independence while managing fatigue. Asking family members to assist with all self-care tasks (Choice A) may hinder the client's independence. Instructing the client to remain in bed until fully rested (Choice C) may lead to deconditioning and dependency. Assigning assistive personnel to complete self-care tasks for the client (Choice D) does not empower the client to regain independence or actively participate in self-care.
3. What process is required for population-focused nursing practice?
- A. Community organizing
- B. Nursing process
- C. Community diagnosis
- D. Epidemiologic process
Correct answer: C
Rationale: Population-focused nursing practice involves identifying and addressing the health needs of a specific population group. Community diagnosis is a crucial process in population-focused nursing as it helps in understanding the health issues, concerns, and determinants within a community. Through community diagnosis, nurses can develop targeted interventions and strategies to promote the health and well-being of the population.
4. While caring for a client with an IV infusion who develops redness and warmth at the IV site, what is the most appropriate intervention?
- A. Elevate the IV site and apply an ice pack
- B. Administer an anti-inflammatory medication
- C. Apply a cold compress to the IV site
- D. Discontinue the IV and notify the provider
Correct answer: D
Rationale: The correct intervention when a client develops redness and warmth at the IV site, indicating phlebitis, is to discontinue the IV and notify the provider. This is crucial to prevent further complications. Elevating the IV site and applying an ice pack (Choice A) may not address the underlying issue of phlebitis. Administering an anti-inflammatory medication (Choice B) is not the primary intervention for phlebitis. Applying a cold compress (Choice C) may provide temporary relief but does not address the need to discontinue the IV when phlebitis occurs.
5. A client with moderate anxiety disorder is being taught stress management techniques by a nurse. Which response by the client indicates an understanding of the teaching?
- A. I will take a walk to reduce my anxiety
- B. I will imagine myself in a calm place when I can't concentrate
- C. I will meditate every other week
- D. I will cut back on my caffeine intake
Correct answer: B
Rationale: The correct answer is B because imagining oneself in a calm place is a relaxation technique that helps reduce anxiety. Walking, meditating every other week, or cutting back on caffeine intake may have their benefits, but they are not as directly related to the immediate management of anxiety as the visualization technique described in option B.
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