ATI LPN
ATI PN Comprehensive Predictor 2023 with NGN
1. What should be included in dietary teaching for a client with chronic kidney disease?
- A. Increase potassium-rich foods in the diet
- B. Limit potassium and phosphorus intake
- C. Increase intake of protein-rich foods
- D. Increase fluid intake to prevent dehydration
Correct answer: B
Rationale: The correct answer is to limit potassium and phosphorus intake for a client with chronic kidney disease. Excessive potassium and phosphorus can be harmful to individuals with compromised kidney function. Option A is incorrect because increasing potassium-rich foods can exacerbate hyperkalemia in individuals with kidney disease. Option C may not be ideal as excessive protein intake can put extra strain on the kidneys. Option D is not the priority; while adequate fluid intake is important, it is not the primary focus when teaching dietary considerations for chronic kidney disease.
2. A client has a prescription for nitroglycerin sublingual tablets. Which of the following instructions should the nurse include in the teaching?
- A. Place the tablet under the tongue and wait 10 minutes
- B. Take up to five tablets during an angina episode
- C. Take up to three tablets during a single angina episode
- D. Swallow the tablet with water
Correct answer: C
Rationale: The correct answer is C: 'Take up to three tablets during a single angina episode.' Nitroglycerin can be taken up to three times during an episode to relieve angina. Choice A is incorrect because the client should place the tablet under the tongue and wait for it to dissolve, not wait for 10 minutes. Choice B is incorrect because taking up to five tablets during an angina episode is excessive and not recommended. Choice D is incorrect because nitroglycerin tablets are meant to be taken sublingually, not swallowed.
3. A client with chronic obstructive pulmonary disease (COPD) is being taught by a nurse about measures to improve breathing. Which of the following instructions should the nurse include?
- A. Use pursed-lip breathing during physical activity
- B. Breathe deeply and quickly during exercise
- C. Avoid using the incentive spirometer
- D. Avoid physical activity to conserve energy
Correct answer: A
Rationale: The correct instruction the nurse should include is to 'Use pursed-lip breathing during physical activity.' Pursed-lip breathing is a technique that helps improve breathing efficiency in individuals with COPD by preventing airway collapse and allowing for better air exchange. Choice B is incorrect because breathing deeply and quickly can lead to hyperventilation and worsen symptoms in COPD patients. Choice C is incorrect because the incentive spirometer is a device used to encourage deep breathing and improve lung function, so it should not be avoided. Choice D is incorrect because physical activity is important for maintaining overall health and should be encouraged in a controlled and appropriate manner for individuals with COPD.
4. What are the primary differences between Type 1 and Type 2 diabetes in terms of pathophysiology and treatment?
- A. Type 1: No insulin production; Type 2: Insulin resistance
- B. Type 1: Insulin resistance; Type 2: Insulin deficiency
- C. Type 1: Autoimmune; Type 2: Lifestyle-related
- D. Type 1: Insulin therapy; Type 2: Diet modification
Correct answer: A
Rationale: The correct answer is A. Type 1 diabetes is characterized by the absence of insulin production, while Type 2 diabetes involves insulin resistance. Choice B is incorrect because Type 1 diabetes is not related to insulin resistance. Choice C is inaccurate as Type 1 diabetes is autoimmune while Type 2 diabetes is more associated with lifestyle factors. Choice D is not correct since insulin therapy is primarily used in Type 1 diabetes, whereas diet modification is a common approach in managing Type 2 diabetes.
5. What is an important consideration when administering a blood transfusion?
- A. Ensure the blood is compatible with the recipient's blood type
- B. Warm the blood to body temperature before administration
- C. Check the blood for clots before administration
- D. Ensure the recipient eats before the transfusion
Correct answer: A
Rationale: The correct answer is to ensure the blood is compatible with the recipient's blood type. This is crucial to prevent transfusion reactions, which can be life-threatening. Choice B is incorrect because warming blood to body temperature is not a standard practice and may lead to hemolysis. Choice C is incorrect as blood products are carefully screened for clots before distribution. Choice D is incorrect because it is not necessary for the recipient to eat before a blood transfusion.
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