ATI LPN
ATI PN Comprehensive Predictor
1. What are the potential complications of a patient receiving hemodialysis?
- A. Infection and hypotension
- B. Pulmonary embolism and fluid overload
- C. Blood clot formation and electrolyte imbalance
- D. Low blood pressure and nausea
Correct answer: A
Rationale: Corrected Question: What are the potential complications of a patient receiving hemodialysis? Rationale: Infection and hypotension are common complications in patients undergoing hemodialysis. Pulmonary embolism and fluid overload (Choice B) are less common complications associated with hemodialysis. Blood clot formation and electrolyte imbalance (Choice C) are also potential complications but are not as common as infection and hypotension. Low blood pressure and nausea (Choice D) can occur but are not as prevalent as infection and hypotension.
2. A business firm must employ an occupational health nurse when it has at least how many employees?
- A. 21
- B. 101
- C. 201
- D. 301
Correct answer: B
Rationale:
3. A 45-year-old man with a history of chronic heartburn presents with progressive difficulty swallowing solids and liquids. He has lost 10 pounds in the past two months. What is the most likely diagnosis?
- A. Esophageal stricture
- B. Esophageal cancer
- C. Achalasia
- D. Peptic ulcer disease
Correct answer: B
Rationale: In this scenario, the patient's presentation of progressive dysphagia to both solids and liquids, along with significant weight loss, is concerning for esophageal cancer. The history of chronic heartburn further raises suspicion as chronic gastroesophageal reflux disease is a risk factor for the development of esophageal adenocarcinoma. Esophageal stricture could cause dysphagia but is less likely to be associated with significant weight loss. Achalasia typically presents with dysphagia to solids more than liquids and does not commonly cause weight loss. Peptic ulcer disease is less likely to lead to progressive dysphagia and significant weight loss compared to esophageal cancer.
4. When caring for a client experiencing delirium, which of the following is essential?
- A. Controlling behavioral symptoms with low-dose psychotropics
- B. Identifying the underlying causative condition or illness
- C. Manipulating the environment to increase orientation
- D. Decreasing or discontinuing all previously prescribed medications
Correct answer: B
Rationale: When caring for a client experiencing delirium, it is essential to identify the underlying causative condition or illness. Delirium can be caused by various factors such as infections, medication side effects, dehydration, or underlying health conditions. By identifying the root cause, appropriate treatment can be provided. Controlling behavioral symptoms with low-dose psychotropics (Choice A) may be considered in some cases but is not the primary essential step. Manipulating the environment to increase orientation (Choice C) can help manage symptoms but does not address the underlying cause. Decreasing or discontinuing all previously prescribed medications (Choice D) should only be done under medical supervision, as some medications may be necessary for the client's well-being.
5. What is a non-pharmacological management option for measles?
- A. Tepid sponging
- B. Oral hygiene
- C. Eye care
- D. N/A
Correct answer: A
Rationale: Tepid sponging is a non-pharmacological management option for measles. It helps reduce fever and discomfort by using lukewarm water to gently sponge the body. This method is commonly used to alleviate symptoms associated with measles. Oral hygiene and eye care are important for overall health but do not directly manage measles symptoms like tepid sponging does. Choice D, N/A, is incorrect as there are non-pharmacological management options available for measles.
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