ATI LPN
ATI PN Comprehensive Predictor 2024
1. A client who is to undergo surgery for a hip fracture is being taught by a nurse about postoperative pain management. Which of the following statements by the client indicates an understanding of the teaching?
- A. I will ask for pain medication only if the pain becomes unbearable.
- B. I will ask the nurse to increase my medication if the pain doesn't subside.
- C. I will wait until the pain is severe before taking my medication.
- D. I will take my medication at regular intervals to stay ahead of the pain.
Correct answer: D
Rationale: The correct answer is D because taking pain medication at regular intervals helps maintain consistent pain control after surgery. Option A is incorrect because waiting for the pain to become unbearable can lead to inadequate pain management. Option B is incorrect as it suggests increasing medication without a schedule. Option C is incorrect because waiting for the pain to be severe before taking medication is not proactive pain management.
2. Freedom of choice is one of the policies of the Family Planning Program of the Philippines. Which of the following illustrates this principle?
- A. Information dissemination about the need for family planning
- B. Support for research and development in family planning methods
- C. Adequate information for couples regarding the different methods
- D. Encouragement for couples to take family planning as a joint responsibility
Correct answer: C
Rationale: The principle of freedom of choice in family planning programs emphasizes providing couples with adequate information about the different methods available. This enables them to make informed decisions based on their preferences and needs. By ensuring couples have access to comprehensive information, they can freely choose the family planning method that best suits their circumstances, promoting autonomy and informed decision-making.
3. A client has a prescription for a soft diet. Which of the following foods should the nurse offer?
- A. Fresh apples
- B. Mashed potatoes
- C. Raw carrots
- D. Nuts
Correct answer: B
Rationale: When a client is on a soft diet, it is important to offer foods that are easy to chew and swallow. Mashed potatoes are a suitable choice for a soft diet as they are soft in texture and easy to digest. Fresh apples, raw carrots, and nuts are harder and may not be appropriate for a soft diet. Fresh apples and raw carrots require more chewing, and nuts are hard and crunchy, which can be difficult for someone on a soft diet to consume. Therefore, mashed potatoes are the correct option for a client on a soft diet.
4. What is the appropriate intervention for a patient experiencing hypovolemic shock?
- A. Administer IV fluids
- B. Monitor blood pressure
- C. Place the patient in Trendelenburg position
- D. Administer oxygen
Correct answer: A
Rationale: The correct intervention for a patient experiencing hypovolemic shock is to administer IV fluids. In hypovolemic shock, there is a significant loss of circulating blood volume leading to inadequate perfusion to tissues. Administering IV fluids is crucial to restore blood volume and improve tissue perfusion. Monitoring blood pressure (choice B) is important but not the primary intervention in hypovolemic shock. Placing the patient in Trendelenburg position (choice C) can worsen outcomes by increasing intracranial pressure and is no longer recommended. Administering oxygen (choice D) is beneficial for many conditions but does not address the underlying issue of inadequate circulating blood volume in hypovolemic shock.
5. The nurse is caring for a client with a history of deep vein thrombosis (DVT) who is receiving warfarin (Coumadin). Which laboratory value should the nurse monitor closely?
- A. Platelet count.
- B. Prothrombin time (PT).
- C. Hemoglobin level.
- D. White blood cell count.
Correct answer: B
Rationale: Prothrombin time (PT) is monitored to ensure therapeutic levels of warfarin and prevent bleeding complications.
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