ATI LPN
PN ATI Comprehensive Predictor
1. A nurse offers pain meds to a client who is postop prior to ambulation. The nurse understands that this aspect of care delivery is an example of which of the following ethical principles?
- A. Fidelity
- B. Autonomy
- C. Justice
- D. Beneficence
Correct answer: D
Rationale: In this scenario, offering pain medication to a postoperative client before ambulation is an example of beneficence. Beneficence is the ethical principle related to promoting the well-being of the client, which includes providing pain relief to improve the client's comfort and facilitate their recovery. Fidelity (choice A) is about honoring commitments and being faithful to agreements, not directly related to pain management. Autonomy (choice B) refers to respecting the client's right to make decisions about their care, not specifically about pain medication administration. Justice (choice C) involves fairness and equality in healthcare resource allocation, not directly applicable in this situation.
2. A nurse is caring for a client who requests information about advance directives. Which of the following responses should the nurse make?
- A. It's a living will outlining your funeral wishes
- B. It's a document that allows you to donate organs
- C. It includes end-of-life care instructions
- D. It provides legal guardianship rights
Correct answer: C
Rationale: The correct response is C: 'It includes end-of-life care instructions.' An advance directive is a legal document that outlines a client's preferences for medical treatment and end-of-life care in case they are unable to communicate. Choice A is incorrect because an advance directive focuses on healthcare decisions, not funeral arrangements. Choice B is incorrect as organ donation is a separate process from advance directives. Choice D is incorrect as advance directives do not provide legal guardianship rights, but rather specify healthcare wishes.
3. A patient with panic disorder is being cared for by a healthcare provider. Which medication is commonly prescribed as a first-line treatment?
- A. Benzodiazepines
- B. Tricyclic antidepressants
- C. Selective serotonin reuptake inhibitors (SSRIs)
- D. Monoamine oxidase inhibitors (MAOIs)
Correct answer: C
Rationale: Selective serotonin reuptake inhibitors (SSRIs) are commonly prescribed as a first-line treatment for panic disorder due to their efficacy and lower risk of dependence and tolerance development compared to benzodiazepines. Tricyclic antidepressants and monoamine oxidase inhibitors (MAOIs) are not typically recommended as initial treatments for panic disorder because of their side effect profiles and the availability of safer and more effective options like SSRIs.
4. A client who is 38 weeks pregnant with herpes simplex virus is admitted to labor and delivery. What question should the nurse ask?
- A. Do you have any active lesions?
- B. Have your membranes ruptured?
- C. How far apart are your contractions?
- D. Are you positive for beta strep?
Correct answer: A
Rationale: The correct question the nurse should ask the client who is 38 weeks pregnant with herpes simplex virus is 'Do you have any active lesions?' This is crucial because active herpes lesions may necessitate a cesarean delivery to prevent neonatal infection. Choice B, 'Have your membranes ruptured?' is related to assessing for the rupture of membranes, not specific to the client's herpes infection. Choice C, 'How far apart are your contractions?' is related to monitoring labor progress. Choice D, 'Are you positive for beta strep?' is related to group B streptococcus screening, which is important but not the priority in this scenario.
5. A nurse receives a change-of-shift report. Which of the following clients should the nurse attend to first?
- A. A client who reports tingling in the fingers following a thyroidectomy
- B. A client who has dark, foul-smelling urine with a urine output of 320 mL in the last 8 hr
- C. A client who is in a long leg cast and reports cool feet bilaterally
- D. A client who has a productive cough and an oral temperature of 36°C (96.8°F)
Correct answer: C
Rationale: The correct answer is C. Cool feet bilaterally in a client with a long leg cast may indicate compromised circulation, which is a medical emergency that requires immediate intervention. Choices A, B, and D do not present immediate life-threatening conditions. Tingling in the fingers following a thyroidectomy may indicate hypocalcemia but does not require immediate attention. Dark, foul-smelling urine with decreased urine output indicates a possible urinary tract infection or dehydration but can be addressed after attending to the client with compromised circulation. A productive cough and a normal oral temperature do not suggest an urgent condition compared to compromised circulation in a client with a long leg cast.
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