ATI LPN
ATI PN Comprehensive Predictor 2023 with NGN
1. What are the early signs of sepsis in a patient?
- A. Increased heart rate and fever
- B. Low blood pressure and confusion
- C. Elevated blood sugar and sweating
- D. Increased urine output and abdominal pain
Correct answer: A
Rationale: The correct answer is A: Increased heart rate and fever. These are early signs of sepsis and indicate a systemic infection. It is crucial to identify these signs promptly to initiate appropriate treatment. Choice B is incorrect because low blood pressure and confusion are more indicative of severe sepsis or septic shock rather than early signs. Choice C is incorrect as elevated blood sugar and sweating are not typical early signs of sepsis. Choice D is also incorrect as increased urine output and abdominal pain are not early signs of sepsis.
2. Using Naegele's Rule, what is the estimated delivery date for a pregnant client whose last menstrual period was on May 4th, 2013?
- A. January 15, 2014
- B. February 11, 2014
- C. March 3, 2014
- D. December 25, 2013
Correct answer: B
Rationale: Naegele's rule is a standard method for calculating the estimated delivery date (EDD). It involves subtracting three months from the first day of the last menstrual period (LMP), adding seven days, and then adding one year. For a client with an LMP of May 4th, 2013, subtracting three months gives February 4th. Adding seven days results in a due date of February 11th, 2014, which is the correct answer. Choice A (January 15, 2014) is incorrect as it does not account for the full calculation. Choice C (March 3, 2014) is incorrect as it adds too many days in the calculation. Choice D (December 25, 2013) is incorrect as it does not follow the correct steps of Naegele's rule.
3. What is the primary purpose of conducting an epidemiologic investigation?
- A. Delineate the etiology of the epidemic
- B. Encourage cooperation and support of the community
- C. Identify groups at risk of contracting the disease
- D. Identify the geographical locations of disease cases in the community
Correct answer: A
Rationale: The primary purpose of conducting an epidemiologic investigation is to delineate the etiology of the epidemic, which involves identifying the cause or origin of the disease outbreak. This process helps in understanding how the disease spreads, its risk factors, and developing strategies for control and prevention.
4. While caring for a client receiving oxytocin for labor augmentation, the nurse notes contractions occurring every 45 seconds and lasting 90 seconds. What should the nurse do?
- A. Discontinue the oxytocin infusion
- B. Increase the oxytocin infusion
- C. Apply an internal fetal monitor
- D. Administer an analgesic
Correct answer: A
Rationale: The correct action for the nurse to take in this situation is to discontinue the oxytocin infusion. The client is experiencing uterine hyperstimulation, which can lead to fetal distress and complications. By stopping the oxytocin, the nurse can help regulate contractions and prevent harm to the fetus. Increasing the oxytocin infusion would exacerbate the issue by further intensifying contractions. Applying an internal fetal monitor may be necessary for closer monitoring but is not the immediate action required. Administering an analgesic is not appropriate in this scenario as the primary concern is addressing the uterine hyperstimulation caused by oxytocin.
5. What does the Tolerable Upper Intake Level (UL) represent?
- A. a replacement for Recommended Dietary Allowances (RDAs).
- B. a safe level of intake for people of all ages.
- C. a potentially toxic level of intake of a nutrient.
- D. the highest amount of a nutrient that can be safely consumed.
Correct answer: D
Rationale: The Tolerable Upper Intake Level (UL) represents the highest amount of a nutrient that can be safely consumed without causing adverse health effects. It is not a replacement for Recommended Dietary Allowances (RDAs) (choice A) which are nutrient intake recommendations. While the UL is established to prevent toxicity, it is not a completely safe level for people of all ages (choice B). It is also not a potentially toxic level of intake of a nutrient (choice C), but rather the level that is unlikely to cause adverse health effects.
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