ATI LPN
ATI NCLEX PN Predictor Test
1. Which instruction is crucial for a client with diabetes being discharged?
- A. Take insulin only when feeling unwell
- B. Administer insulin before meals as prescribed
- C. Monitor blood sugar levels weekly
- D. Check blood sugar once in the morning
Correct answer: B
Rationale: Administering insulin before meals as prescribed is crucial for a client with diabetes being discharged because it ensures proper blood sugar control. Choice A is incorrect because insulin should not be taken only when feeling unwell; it should be taken as prescribed. Choice C is incorrect as monitoring blood sugar levels weekly may not provide timely adjustments to insulin doses. Choice D is incorrect as checking blood sugar only once in the morning is not sufficient for proper diabetes management.
2. A nurse is reviewing the plan of care for a client who is taking digoxin. Which of the following findings should the nurse monitor as an adverse effect of this medication?
- A. Hypokalemia
- B. Hypernatremia
- C. Hypertension
- D. Tachycardia
Correct answer: A
Rationale: The correct answer is A: Hypokalemia. Hypokalemia is an adverse effect of digoxin. Digoxin can cause hypokalemia, which increases the risk of toxicity. Monitoring potassium levels is crucial when a client is taking digoxin. Choices B, C, and D are incorrect as hypernatremia, hypertension, and tachycardia are not directly associated with digoxin use.
3. A nurse is caring for a client who is being discharged home following a cerebrovascular accident. Which of the following documents should the nurse plan to include with the discharge report?
- A. List of prescribed medications
- B. Potential complications to report
- C. Family contact details
- D. Dietary restrictions
Correct answer: B
Rationale: The correct answer is B: Potential complications to report. Including potential complications in the discharge report is crucial for ensuring proper follow-up care. This information helps the client and their caregivers to be aware of warning signs that may indicate a worsening condition or the need for immediate medical attention. Choices A, C, and D are important aspects of discharge planning, but providing a list of potential complications to report takes precedence as it directly impacts the client's safety and well-being post-discharge.
4. A patient with tuberculosis is started on rifampin. What advice should the nurse provide?
- A. Limit intake of green leafy vegetables.
- B. Expect orange-red discoloration of body fluids.
- C. Avoid exposure to sunlight.
- D. Take the medication with antacids.
Correct answer: B
Rationale: The correct advice for a patient starting rifampin is to expect orange-red discoloration of body fluids. Rifampin can cause harmless orange-red discoloration of body fluids, which may include urine, sweat, saliva, and tears. It is important for the patient to be aware of this side effect as it can stain clothing and contact lenses. Limiting the intake of green leafy vegetables is not necessary with rifampin. Avoiding exposure to sunlight is more commonly associated with other medications like tetracyclines, not rifampin. Taking rifampin with antacids is not recommended as antacids can reduce the absorption of rifampin, decreasing its effectiveness in treating tuberculosis.
5. When preventing cardiac arrest in infants and small children, the primary focus should be on:
- A. Providing immediate transport.
- B. Ensuring adequate ventilation.
- C. Keeping the child warm.
- D. Avoiding upsetting the child.
Correct answer: B
Rationale: The correct approach to prevent cardiac arrest in infants and small children is to ensure adequate ventilation. In these cases, maintaining proper oxygenation and ventilation is crucial for sustaining life. Providing immediate transport, keeping the child warm, or avoiding upsetting the child are important considerations but ensuring adequate ventilation takes precedence in preventing cardiac arrest and supporting the child's vital functions.
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