LPN LPN
ATI PN Comprehensive Predictor 2023
1. A nurse is providing discharge instructions for a client with diabetes. What is the most important teaching point?
- A. Monitor blood sugar levels weekly
- B. Administer insulin before meals as prescribed
- C. Take medication only when feeling unwell
- D. Monitor blood sugar only in the morning
Correct answer: B
Rationale: The correct answer is B: Administer insulin before meals as prescribed. This is the most important teaching point because insulin administration before meals helps manage blood sugar effectively in diabetic patients. Choice A is incorrect because monitoring blood sugar levels weekly may not provide timely information for managing diabetes. Choice C is incorrect as medications for diabetes should be taken as prescribed, not only when feeling unwell. Choice D is incorrect as blood sugar levels should be monitored at various times throughout the day, not just in the morning, to get a complete picture of the patient's condition.
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. A nurse is preparing to perform a sterile dressing change. Which of the following actions should the nurse take when setting up the sterile field?
- A. Place the cap from the solution sterile side up on a clean surface.
- B. Open the outermost flap of the sterile kit away from the body.
- C. Place the sterile dressing within 1.25 cm (0.5 in) of the edge of the sterile field.
- D. Set up the sterile field 5 cm (2 in) above waist level.
Correct answer: A
Rationale: To maintain the sterility of the field, the nurse should place the cap from the solution sterile side up on a clean surface. This action helps prevent contamination. Choice B is incorrect because opening the outermost flap toward the body increases the risk of introducing contaminants onto the sterile field. Choice C is incorrect as the sterile dressing should be placed at least 2.5 cm (1 in) from the edge of the sterile field to prevent accidental contamination. Choice D is incorrect because setting up the sterile field above waist level could lead to inadvertent contact and compromise the field's sterility.
4. How should a healthcare professional manage a patient with suspected myocardial infarction (MI)?
- A. Administer oxygen and call for emergency help
- B. Monitor vital signs and provide pain relief
- C. Provide nitroglycerin and thrombolytics
- D. Administer diuretics and provide a high-protein diet
Correct answer: A
Rationale: Administering oxygen and seeking emergency help are crucial initial steps in managing a patient with suspected myocardial infarction (MI). Oxygen helps to improve oxygenation to the heart muscle, reducing its workload and preventing further damage. Calling for emergency help ensures timely access to advanced medical care, including interventions like thrombolytics. Monitoring vital signs and providing pain relief are important but secondary to the immediate need for oxygen and emergency assistance. Providing nitroglycerin and thrombolytics should be done under medical supervision and following appropriate protocols, not as the first step. Administering diuretics and altering the patient's diet are not indicated in the acute management of MI.
5. What is the first intervention for a patient in shock?
- A. Administer fluids
- B. Monitor blood pressure
- C. Provide oxygen
- D. Call for assistance
Correct answer: A
Rationale: The correct answer is to administer fluids. In a patient experiencing shock, the priority is to address inadequate perfusion by restoring circulating blood volume. Administering fluids helps improve perfusion and oxygen delivery to vital organs. Monitoring blood pressure, providing oxygen, and calling for assistance are important steps but administering fluids is the initial and most critical intervention in the management of shock.
Similar Questions
Access More Features
ATI LPN Basic
$69.99/ 30 days
- 50,000 Questions with answers
- All ATI courses Coverage
- 30 days access @ $69.99
ATI LPN Premium
$149.99/ 90 days
- 50,000 Questions with answers
- All ATI courses Coverage
- 30 days access @ $149.99