ATI LPN
ATI Comprehensive Predictor PN
1. What should a healthcare professional assess in a patient presenting with symptoms of a stroke?
- A. Assess facial drooping
- B. Monitor speech difficulties
- C. Evaluate arm weakness
- D. Check for time of onset of symptoms
Correct answer: A
Rationale: When assessing a patient with suspected stroke symptoms, it is crucial to check for facial drooping as it can be a sign of facial nerve weakness, which is a common indicator of stroke. While monitoring speech difficulties and evaluating arm weakness are also important assessments in stroke cases, they are secondary to facial drooping. Checking for the time of onset of symptoms is essential to determine eligibility for time-sensitive treatments like thrombolytic therapy, but when prioritizing assessments, facial drooping takes precedence.
2. Which of the following is the most effective method for preventing the spread of infectious diseases?
- A. Antibiotic treatment
- B. Quarantine of infected individuals
- C. Vaccination
- D. Nutritional supplementation
Correct answer: C
Rationale: Vaccination is the most effective method for preventing the spread of infectious diseases as it helps in developing immunity against specific pathogens, reducing the likelihood of infection and transmission within a population. Antibiotics are used to treat infections, not prevent their spread. Quarantine limits the contact of infected individuals but does not provide long-term prevention. Nutritional supplementation can support overall health but is not a primary method for preventing infectious diseases.
3. When caring for a client in labor, which of the following infections can be treated during labor or immediately following birth? (Select all that apply)
- A. Gonorrhea
- B. Chlamydia
- C. HIV
- D. All of the Above
Correct answer: D
Rationale: Infections such as gonorrhea, chlamydia, and HIV can be treated during labor or immediately following birth to prevent transmission to the newborn. It is crucial to identify and treat these infections promptly to reduce the risk of vertical transmission to the infant. Therefore, all the given options are correct as they can be treated during labor or immediately following birth to prevent transmission to the newborn. Other choices are incorrect because only gonorrhea, chlamydia, and HIV can be effectively treated during labor or immediately after birth to prevent vertical transmission.
4. What are the early signs of sepsis in a patient?
- A. Increased heart rate and fever
- B. Low blood pressure and confusion
- C. Elevated blood sugar and sweating
- D. Increased urine output and abdominal pain
Correct answer: A
Rationale: The correct answer is A: Increased heart rate and fever. These are early signs of sepsis and indicate a systemic infection. It is crucial to identify these signs promptly to initiate appropriate treatment. Choice B is incorrect because low blood pressure and confusion are more indicative of severe sepsis or septic shock rather than early signs. Choice C is incorrect as elevated blood sugar and sweating are not typical early signs of sepsis. Choice D is also incorrect as increased urine output and abdominal pain are not early signs of sepsis.
5. A nurse is collecting data from a client who delivered a full-term newborn 16 hr ago. The nurse notes excessive lochia discharge. Which of the following actions should the nurse take first?
- A. Administer oxytocin
- B. Perform fundal massage
- C. Administer IV fluids
- D. Call the provider
Correct answer: B
Rationale: Performing fundal massage is the priority action in this scenario. Fundal massage helps contract the uterus, which is essential in reducing excessive lochia postpartum. Administering oxytocin may be indicated later, but fundal massage should be the initial intervention to address the issue. Administering IV fluids may not directly address the cause of excessive lochia, and calling the provider should come after implementing immediate nursing interventions.
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