ATI LPN
ATI NCLEX PN Predictor Test
1. What is the most appropriate response when a client wants to discontinue dialysis?
- A. Ask the client why they want to discontinue.
- B. Instruct the client to focus on self-care.
- C. Offer to call the provider to cancel dialysis.
- D. Seek clarification and establish understanding.
Correct answer: D
Rationale: When a client expresses the desire to discontinue dialysis, the most appropriate response is to seek clarification and establish understanding. This approach allows the healthcare provider to comprehend the client's concerns, provide support, and engage in a collaborative decision-making process. Choice A, asking the client why they want to discontinue, can be perceived as confrontational and may not effectively address the underlying reasons. Instructing the client to focus on self-care (Choice B) may overlook the client's autonomy and decision-making capacity. Offering to call the provider to cancel dialysis (Choice C) does not actively involve the client in the decision-making process or address their concerns adequately.
2. Which of the following statements regarding sudden infant death syndrome (SIDS) is correct?
- A. Death as a result of SIDS can occur at any time of the day or night.
- B. Certain cases of SIDS are predictable and therefore preventable.
- C. Most cases of SIDS occur in infants younger than 6 months.
- D. SIDS is uncommon in infants older than 1 year of age.
Correct answer: A
Rationale: The correct answer is A. SIDS can occur at any time of the day or night, although it most commonly occurs during sleep. SIDS is sudden and unpredictable, making it challenging to prevent in all cases. While most cases occur in infants younger than 6 months, it is not limited to this age group. SIDS is not uncommon in infants older than 1 year of age, although less common than in younger infants.
3. A nurse is teaching a client about the use of fluoxetine. Which of the following should be included?
- A. It can take several weeks for effects to be noticed
- B. It is an antipsychotic medication
- C. It should be taken at night
- D. It has no side effects
Correct answer: A
Rationale: Corrected Rationale: When educating a client about fluoxetine, it is essential to mention that it can take several weeks for the therapeutic effects to be noticed. This is because fluoxetine is an SSRI that requires time to build up in the body and start producing its intended effects. Choice B is incorrect as fluoxetine is not an antipsychotic medication but an SSRI. Choice C is inaccurate because fluoxetine can be taken at any time of the day, and there is no specific requirement to take it at night. Choice D is incorrect as all medications, including fluoxetine, have potential side effects that should be discussed with the client.
4. A healthcare provider is educating a client about the use of montelukast. Which of the following should be included?
- A. It is used for acute asthma attacks
- B. It is taken once daily in the evening
- C. It should be taken with food
- D. It has no side effects
Correct answer: B
Rationale: The correct answer is B. Montelukast is a leukotriene receptor antagonist that is typically taken once daily in the evening for asthma management. Choice A is incorrect as montelukast is not used for acute asthma attacks but rather for the prevention of asthma symptoms. Choice C is also incorrect because montelukast can be taken with or without food. Choice D is misleading as all medications, including montelukast, have potential side effects.
5. A client with cholecystitis has been prescribed a low-fat diet. Which of the following meal selections by the client indicates understanding of the education?
- A. Roast beef with gravy, mashed potatoes, ice cream
- B. Macaroni and cheese, salad, pudding
- C. Creamed chicken on a roll with peas
- D. Roast turkey, rice pilaf, green beans
Correct answer: D
Rationale: The correct answer is D. Roast turkey is a lean protein option suitable for a low-fat diet. Rice pilaf and green beans are also low in fat. Choices A, B, and C contain high-fat ingredients like gravy, cheese, cream, and ice cream, which are not suitable for a low-fat diet.
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