ATI LPN
ATI PN Comprehensive Predictor
1. What is the nurse's responsibility when caring for a client with a chest tube?
- A. Check for air leaks in the tubing every 4 hours
- B. Clamp the chest tube for 30 minutes every 4 hours
- C. Encourage deep breathing and coughing every 2 hours
- D. Keep the client in a high Fowler's position
Correct answer: A
Rationale: The correct answer is to check for air leaks in the tubing every 4 hours when caring for a client with a chest tube. This responsibility is crucial because it ensures proper chest tube function and helps prevent complications such as pneumothorax or hemothorax. Clamping the chest tube (Choice B) can lead to serious issues by causing a tension pneumothorax. Encouraging deep breathing and coughing (Choice C) is important for respiratory hygiene but is not directly related to chest tube care. Keeping the client in a high Fowler's position (Choice D) may be beneficial for some conditions but is not specific to chest tube management.
2. What is the interval between tetanus toxoid doses for pregnant women?
- A. 4 weeks
- B. 6 weeks
- C. 8 weeks
- D. 12 weeks
Correct answer: A
Rationale: The correct interval between doses of tetanus toxoid for pregnant women is 4 weeks. This interval ensures that pregnant women receive adequate protection against tetanus, particularly in areas where the disease is prevalent. The 4-week interval helps in building and maintaining immunity to protect both the pregnant woman and her developing baby from tetanus infection.
3. Which of the following is an example of a disaccharide?
- A. Glucose.
- B. Fructose.
- C. Galactose.
- D. Maltose.
Correct answer: D
Rationale: The correct answer is D, Maltose. A disaccharide is formed when two monosaccharides are joined together. Glucose, fructose, and galactose are all monosaccharides, not disaccharides. Therefore, they are not examples of disaccharides.
4. A nurse is teaching the parents of a newborn how to care for their child's uncircumcised penis. Which of the following instructions should the nurse include?
- A. Retract the foreskin gently without force.
- B. Use a cotton swab to clean under the foreskin.
- C. Apply petroleum jelly to the foreskin.
- D. Wash the penis once a day with soap and water.
Correct answer: D
Rationale: The correct answer is to wash the penis once a day with soap and water. It is important to advise against forcefully retracting the foreskin as it can cause pain and injury. Using a cotton swab is not recommended as it can introduce foreign particles, and applying petroleum jelly is unnecessary and may lead to issues. Washing with soap and water is sufficient for hygiene without the need for additional products or manipulation of the foreskin.
5. A patient with bipolar disorder is prescribed lithium. What is a common side effect the nurse should monitor for?
- A. Increased energy
- B. Constipation
- C. Weight gain
- D. Dry mouth
Correct answer: C
Rationale: Weight gain is a common side effect associated with lithium therapy. It is essential for the nurse to monitor the patient for changes in weight as it can impact the individual's overall health and well-being. Patients on lithium should be advised on dietary and lifestyle modifications to manage potential weight gain and maintain a healthy weight.
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