ATI LPN
ATI PN Comprehensive Predictor 2023
1. A nurse is teaching a client who is taking warfarin about food and medication interactions. Which of the following foods should the nurse instruct the client to avoid?
- A. Tomatoes
- B. Apples
- C. Broccoli
- D. Green leafy vegetables
Correct answer: D
Rationale: Correct Answer: Green leafy vegetables - Green leafy vegetables are high in vitamin K, which can interfere with the effectiveness of warfarin. Tomatoes, apples, and broccoli are not contraindicated with warfarin therapy. While they are healthy choices, they do not have a significant impact on warfarin's effectiveness.
2. What should a healthcare provider prioritize for a client diagnosed with bipolar disorder?
- A. Monitor for hyperactivity
- B. Monitor for signs of depression
- C. Monitor for changes in self-esteem
- D. Monitor for changes in energy levels
Correct answer: B
Rationale: When caring for a client diagnosed with bipolar disorder, the priority is to monitor for signs of depression. Individuals with bipolar disorder are at risk of severe depressive episodes, making it crucial to watch for signs of depression. While changes in energy levels and self-esteem are common in bipolar disorder, they are not the primary focus. Hyperactivity is a characteristic of the manic phase of bipolar disorder, so monitoring for depression is the priority in this case.
3. What is the primary benefit of administering Vitamin A to children?
- A. To improve bone health
- B. To boost the immune system
- C. To enhance cognitive development
- D. To prevent anemia
Correct answer: B
Rationale: The primary benefit of administering Vitamin A to children is to boost the immune system. Vitamin A supplementation is crucial for maintaining a strong immune system and preventing complications such as blindness in children.
4. A patient with chronic heart failure is prescribed furosemide. What is the primary action of this medication?
- A. Increase cardiac output
- B. Reduce fluid retention
- C. Decrease heart rate
- D. Lower blood pressure
Correct answer: B
Rationale: Furosemide is a loop diuretic that acts by inhibiting sodium and chloride reabsorption in the loop of Henle, leading to increased diuresis. By reducing fluid retention, furosemide helps decrease the workload on the heart in patients with chronic heart failure. This medication does not directly increase cardiac output, decrease heart rate, or lower blood pressure as its primary action.
5. When reinforcing dietary instructions to a client with coronary artery disease prescribed a low-fat, low-cholesterol diet, which food item should the nurse advise the client to choose?
- A. Whole milk
- B. Grilled salmon
- C. Fried chicken
- D. Bacon and eggs
Correct answer: B
Rationale: Grilled salmon is the correct choice for a client with coronary artery disease on a low-fat, low-cholesterol diet because it is low in saturated fat and high in omega-3 fatty acids, which are beneficial for heart health. Whole milk, fried chicken, and bacon and eggs are higher in saturated fats and cholesterol, making them less suitable choices for this client. Whole milk is high in saturated fat, while fried chicken and bacon and eggs are sources of both saturated fat and cholesterol, which can negatively impact heart health in clients with coronary artery disease.
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