ATI LPN
ATI PN Comprehensive Predictor 2024
1. How should a healthcare provider assess and manage a patient with a suspected urinary tract infection (UTI)?
- A. Antibiotic Therapy
- B. Hydration
- C. Pain Management
- D. Patient Education
Correct answer: A
Rationale: When assessing and managing a patient with a suspected UTI, the priority is to start antibiotic therapy to treat the infection. Antibiotics are crucial in eliminating the bacteria causing the UTI. While hydration is important to help flush out the bacteria, pain management can help alleviate discomfort but is not the primary treatment. Patient education is vital for prevention and management but is not the immediate intervention required for a suspected UTI.
2. When you attempt to assess a 22-year-old woman who has been sexually assaulted, she orders you not to touch her. Your MOST appropriate initial action should be to:
- A. obtain a signed refusal and return to service.
- B. transport the patient without performing an assessment.
- C. explain to the patient that she must be examined.
- D. ask a female EMT to attempt to assess the patient.
Correct answer: D
Rationale: In cases of sexual assault, it's important to respect the patient's wishes and provide a female EMT to attempt the assessment if the patient prefers.
3. What is the role of the nurse in postoperative care for a patient with a hip replacement?
- A. Monitor for signs of infection and administer pain relief
- B. Ensure the patient follows a low-calcium diet
- C. Ensure the patient uses crutches to avoid pressure on the hip
- D. Monitor for signs of deep vein thrombosis
Correct answer: A
Rationale: The correct answer is A: Monitor for signs of infection and administer pain relief. In postoperative care for a patient with a hip replacement, it is crucial for the nurse to monitor for signs of infection, such as increased pain, redness, swelling, or drainage from the surgical site. Administering pain relief is also important to ensure the patient's comfort and aid in their recovery. Choices B, C, and D are incorrect as they do not directly relate to the immediate postoperative care needs of a patient with a hip replacement. Ensuring a low-calcium diet, using crutches, or monitoring for deep vein thrombosis are not primary responsibilities in the immediate postoperative period for this type of surgery.
4. A nurse is assessing a client who has Clostridium difficile (C. diff) infection. Which infection control measure should the nurse implement?
- A. Wear a face shield when entering the room
- B. Place the client in a private room
- C. Place the client in a negative pressure room
- D. Use alcohol-based hand rub following client care
Correct answer: B
Rationale: The correct answer is to place the client in a private room. Clostridium difficile (C. diff) infection requires contact precautions, which include isolating the client in a private room to prevent the spread of infection to others. Wearing a face shield may be necessary in certain situations for protection but is not the primary measure for C. diff. Placing the client in a negative pressure room is not specifically indicated for C. diff unless the client has additional respiratory issues. Using alcohol-based hand rub following client care is not sufficient for C. diff control; thorough handwashing with soap and water is recommended due to the spore-forming nature of C. diff.
5. A nurse is teaching a group of clients about stress management. Which of the following activities should the nurse recommend to reduce stress?
- A. Watching television
- B. Deep breathing exercises
- C. Drinking coffee
- D. Avoiding exercise
Correct answer: B
Rationale: Deep breathing exercises are effective in reducing stress by promoting relaxation and lowering heart rate, making them a recommended technique. Watching television may not actively reduce stress but can serve as a distraction. Drinking coffee, which contains caffeine, may increase anxiety levels. Avoiding exercise can lead to pent-up stress and tension rather than reducing it.
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