ATI LPN
ATI PN Comprehensive Predictor 2023 with NGN
1. What are the key components of a neurological assessment?
- A. Assess level of consciousness and motor function
- B. Check for headache and nausea
- C. Monitor reflexes and pupil size
- D. Assess for tremors and confusion
Correct answer: A
Rationale: The correct answer is A. A neurological assessment includes evaluating the level of consciousness and motor function as they are key components in assessing neurological function. Choices B, C, and D are incorrect as headache, nausea, reflexes, pupil size, tremors, and confusion may be part of a neurological assessment but are not the key components that are fundamental for a comprehensive assessment.
2. A nurse is teaching a client with hypertension about using a blood pressure monitor. Which of the following instructions should the nurse include?
- A. Take your blood pressure after eating
- B. Sit quietly for 5 minutes before taking your blood pressure
- C. Use a blood pressure cuff that is too small
- D. Take your blood pressure while standing
Correct answer: B
Rationale: The correct answer is to instruct the client to sit quietly for 5 minutes before taking their blood pressure. This is important because sitting quietly helps stabilize the heart rate, leading to a more accurate reading. Choice A is incorrect because taking blood pressure after eating can affect the readings. Choice C is wrong because using a blood pressure cuff that is too small can provide inaccurate readings. Choice D is also incorrect as blood pressure should be taken in a seated position for accurate results.
3. A client is concerned about extreme fatigue after an acute myocardial infarction. What is the best strategy the nurse can suggest to promote independence in self-care?
- A. Encourage the client to rest and let the healthcare team take over self-care tasks
- B. Instruct the client to gradually resume self-care tasks, with rest periods
- C. Assign assistive personnel to complete self-care tasks for the client
- D. Ask the client's family to assist with self-care
Correct answer: B
Rationale: The best strategy to promote independence in self-care for a client concerned about extreme fatigue after an acute myocardial infarction is to instruct the client to gradually resume self-care tasks, with rest periods. This approach allows the client to regain independence without overexerting. Choice A is incorrect because encouraging the client to rest completely and letting the healthcare team take over self-care tasks may hinder independence. Choice C is incorrect as assigning assistive personnel to complete self-care tasks does not promote the client's independence. Choice D is not the best option as the primary focus should be on empowering the client to perform self-care tasks independently.
4. A nurse is reviewing the medical record of a client who has diabetes mellitus and is receiving insulin. Which of the following findings should the nurse report to the provider?
- A. Hemoglobin A1c of 6%
- B. Fasting blood glucose of 90 mg/dL
- C. Blood glucose of 200 mg/dL
- D. Blood glucose of 100 mg/dL
Correct answer: C
Rationale: A blood glucose level of 200 mg/dL indicates hyperglycemia and should be reported for potential insulin adjustment.
5. A nurse is providing discharge instructions to a client with oxygen therapy. What should the nurse emphasize?
- A. Avoid keeping oxygen tanks in an upright position
- B. Keep oxygen equipment at least 6 feet away from heat sources
- C. Allow family members to smoke in designated areas
- D. Restrict fluid intake while using oxygen therapy
Correct answer: B
Rationale: The correct answer is B: 'Keep oxygen equipment at least 6 feet away from heat sources.' It is crucial to keep oxygen equipment away from heat sources to prevent fire hazards. Option A is incorrect as oxygen tanks should be stored in an upright position. Option C is wrong because smoking near oxygen equipment poses a significant fire risk. Option D is also incorrect as fluid intake should not be restricted while using oxygen therapy; in fact, it is important to maintain adequate hydration.
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