ATI LPN
ATI PN Comprehensive Predictor 2020 Answers
1. What is the primary intervention for a patient with a pneumothorax?
- A. Insert a chest tube
- B. Administer oxygen
- C. Monitor respiratory rate
- D. Administer analgesics
Correct answer: A
Rationale: The correct answer is to insert a chest tube. This intervention is considered the definitive treatment for a pneumothorax as it helps remove air or fluid from the pleural space, re-expanding the lung. Administering oxygen (Choice B) can be supportive but is not the primary intervention to treat a pneumothorax. Monitoring respiratory rate (Choice C) is important but does not address the underlying issue of air in the pleural space. Administering analgesics (Choice D) may help manage pain but does not treat the pneumothorax itself.
2. Exchange Lists for Meal Planning was originally intended as a meal-planning tool for people who have:
- A. cancer.
- B. diabetes.
- C. hypertension.
- D. heart disease.
Correct answer: B
Rationale: The correct answer is B: diabetes. Exchange Lists for Meal Planning were originally created to assist individuals with diabetes in managing their diet by providing a structured approach to balanced food exchanges. This system helps individuals regulate their blood sugar levels and maintain overall health. Choices A, C, and D are incorrect because Exchange Lists for Meal Planning were not primarily developed for individuals with cancer, hypertension, or heart disease.
3. When teaching about safety risks for adolescents, what should be included?
- A. Adolescents are more likely to follow rules
- B. Peer influence to participate in high-risk behaviors can lead to injury
- C. Most injuries occur during sports activities
- D. Adolescents are aware of the dangers of substance use
Correct answer: B
Rationale: When educating about safety risks for adolescents, it is crucial to address the impact of peer influence on engaging in high-risk behaviors, which can result in injuries. Choice A is incorrect because adolescents are known to sometimes take risks and not always follow rules. Choice C is incorrect as injuries among adolescents can also happen outside of sports activities. Choice D is incorrect as adolescents may not always be fully aware of the dangers of substance use.
4. A patient with major depressive disorder is struggling to cope. Which intervention is most appropriate to help the patient develop better coping skills?
- A. Encouraging the patient to express their feelings through art
- B. Providing the patient with information about their diagnosis
- C. Encouraging the patient to keep a journal of their thoughts and feelings
- D. Providing the patient with a structured daily routine
Correct answer: D
Rationale: Providing a patient with major depressive disorder a structured daily routine can help them establish a sense of stability, which is crucial for coping with their condition. Routine provides predictability and helps in organizing activities, promoting a sense of accomplishment and control, which can be especially beneficial for individuals struggling with depression.
5. A client with a new prescription for an albuterol metered-dose inhaler is being taught by a nurse. Which of the following instructions should the nurse include in the teaching?
- A. Inhale quickly when using the inhaler.
- B. Hold your breath for 10 seconds after inhaling the medication.
- C. Take a second puff of the inhaler immediately after the first.
- D. Exhale fully after using the inhaler.
Correct answer: B
Rationale: The correct instruction is to hold your breath for 10 seconds after inhaling the medication. This allows the medication to settle in the lungs and maximize its effectiveness. Choice A is incorrect as inhaling quickly may lead to improper medication delivery. Choice C is wrong because taking a second puff immediately after the first without waiting for the prescribed interval may cause an overdose. Choice D is also incorrect as exhaling fully after using the inhaler may result in the medication being exhaled rather than absorbed by the lungs.
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