ATI LPN
ATI PN Comprehensive Predictor 2023
1. Which nursing intervention is essential for a client diagnosed with heart failure?
- A. Encourage fluid intake to prevent dehydration
- B. Monitor the client's weight daily to assess fluid balance
- C. Increase sodium intake to prevent fluid retention
- D. Limit fluid intake to avoid overload
Correct answer: B
Rationale: The correct answer is to monitor the client's weight daily to assess fluid balance in clients with heart failure. This intervention helps healthcare providers evaluate fluid retention or loss, which is crucial in managing heart failure. Choice A is incorrect because excessive fluid intake can worsen heart failure symptoms by causing fluid overload. Choice C is incorrect because increasing sodium intake can lead to fluid retention, exacerbating heart failure. Choice D is incorrect as limiting fluid intake excessively can also be harmful in heart failure management, potentially leading to dehydration.
2. Which of the following techniques should the nurse use when performing nasotracheal suctioning for a client?
- A. Insert the suction catheter while the client is swallowing
- B. Apply intermittent suction when withdrawing the catheter
- C. Place the catheter in a clean, dry location for later use
- D. Hold the suction catheter with the non-dominant hand
Correct answer: B
Rationale: The correct technique when performing nasotracheal suctioning is to apply intermittent suction when withdrawing the catheter. This method helps reduce trauma to the mucosa by preventing prolonged suctioning. Choice A is incorrect because inserting the suction catheter while the client is swallowing may increase the risk of aspiration. Choice C is incorrect as placing the catheter in a clean, dry location for later use is not a safe practice as it can lead to contamination. Choice D is incorrect since it does not address the proper technique involved in nasotracheal suctioning.
3. What is the primary function of protein in the body?
- A. Provide energy.
- B. Regulate metabolic processes.
- C. Control muscle contractions.
- D. Build tissue.
Correct answer: D
Rationale: The primary function of protein in the body is to build and repair tissues. Proteins are crucial for growth, maintenance, and repair of body tissues, including muscles, organs, and skin. While proteins can be a source of energy, their primary role is not to supply energy. Regulating metabolic processes and controlling muscle contractions are functions typically attributed to other nutrients and compounds in the body, such as vitamins and minerals.
4. A nurse is planning care for a client who is at 28 weeks of gestation and has preeclampsia. Which of the following interventions should the nurse include in the plan?
- A. Restrict the client's fluid intake.
- B. Monitor the client's deep-tendon reflexes.
- C. Place the client in the lithotomy position.
- D. Encourage the client to ambulate frequently.
Correct answer: B
Rationale: The correct answer is to monitor the client's deep-tendon reflexes. Monitoring deep-tendon reflexes is crucial in clients with preeclampsia as hyperreflexia can indicate severe complications. Restricting the client's fluid intake is not recommended as hydration is essential. Placing the client in the lithotomy position can worsen preeclampsia by reducing blood flow to the heart, so it should be avoided. Encouraging the client to ambulate frequently may not be suitable for a client with preeclampsia due to the risk of falls and increased stress on the body.
5. What is one function of essential fatty acids?
- A. improve skin integrity.
- B. control lipid digestion.
- C. reduce blood clotting time.
- D. form chylomicrons.
Correct answer: A
Rationale: Essential fatty acids play a crucial role in improving skin integrity by supporting the structure and function of cell membranes. This helps in maintaining healthy skin and promoting overall well-being. The other choices are incorrect because essential fatty acids do not directly control lipid digestion, reduce blood clotting time, or form chylomicrons.
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