LPN LPN
ATI Comprehensive Predictor PN
1. How should a healthcare provider manage a patient with pneumonia?
- A. Administer antibiotics and provide oxygen therapy
- B. Provide bronchodilators and encourage deep breathing
- C. Administer fluids and encourage bed rest
- D. Monitor for chest pain and provide pain relief
Correct answer: A
Rationale: Correct answer: Administering antibiotics and providing oxygen therapy are essential in managing pneumonia. Antibiotics help treat the infection caused by bacteria, while oxygen therapy improves lung function. Choice B is incorrect because bronchodilators may not be the primary treatment for pneumonia. Choice C is not the priority in pneumonia management, although fluids and rest are important for recovery. Choice D is also not a primary intervention in pneumonia management.
2. Which of the following is the best intervention for managing dehydration?
- A. Administer antiemetics to prevent nausea
- B. Monitor fluid and electrolyte levels
- C. Encourage the client to drink more fluids
- D. Administer intravenous fluids
Correct answer: B
Rationale: The best intervention for managing dehydration is to monitor fluid and electrolyte levels. This approach allows healthcare providers to assess the severity of dehydration, determine appropriate fluid replacement therapy, and prevent complications. Administering antiemetics (Choice A) may help with nausea but does not address the underlying issue of dehydration. Encouraging the client to drink more fluids (Choice C) may be appropriate for mild dehydration but can be inadequate for moderate to severe cases. Administering intravenous fluids (Choice D) is crucial for severe dehydration or cases where oral rehydration is ineffective, but monitoring fluid and electrolyte levels should precede this intervention.
3. A healthcare provider is reviewing the medical record of a client who is scheduled for surgery. Which of the following findings should the provider report?
- A. White blood cell count of 8,000/mm³
- B. Potassium level of 4.0 mEq/L
- C. Creatinine level of 1.0 mg/dL
- D. Hemoglobin level of 12 g/dL
Correct answer: C
Rationale: An elevated creatinine level indicates impaired kidney function, which may affect the client's ability to undergo surgery. The other laboratory values (white blood cell count, potassium level, and hemoglobin level) are within normal ranges and do not directly impact the client's readiness for surgery.
4. A client who is postpartum is being taught about breast care by a nurse. Which of the following statements by the client indicates an understanding of the teaching?
- A. I will wear tight-fitting bras to reduce discomfort
- B. I will nurse my baby frequently to prevent engorgement
- C. I will pump my breasts every 4 hours
- D. I will avoid nursing for at least 48 hours
Correct answer: B
Rationale: The correct answer is B. Nursing the baby frequently helps prevent engorgement and discomfort in breastfeeding mothers. Choice A is incorrect because tight-fitting bras can lead to clogged milk ducts and worsen discomfort. Choice C may lead to oversupply issues and is not necessary unless there is a specific indication. Choice D is incorrect as avoiding nursing for extended periods can lead to engorgement and decreased milk supply.
5. When reviewing the medical record of a client with dementia, what should the nurse prioritize addressing?
- A. Mild confusion in the morning
- B. Restlessness and agitation
- C. Incontinence
- D. Frequent wandering at night
Correct answer: B
Rationale: When caring for clients with dementia, addressing restlessness and agitation is a priority as it can lead to distress, safety risks, and potential harm to the client or others. Restlessness and agitation are common behavioral symptoms of dementia and can indicate unmet needs, discomfort, or confusion. Managing these symptoms promptly can help improve the client's quality of life and prevent complications such as falls, injuries, or escalation of challenging behaviors. While other issues like mild confusion, incontinence, and wandering are also important to address, managing restlessness and agitation takes precedence due to its immediate impact on the client's well-being and safety.
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