ATI LPN
ATI PN Comprehensive Predictor 2023 with NGN
1. What are the key considerations for managing a patient with chronic obstructive pulmonary disease (COPD)?
- A. Airway Management
- B. Oxygen Therapy
- C. Smoking Cessation
- D. Pulmonary Rehabilitation
Correct answer: A
Rationale: The key considerations for managing a patient with COPD include airway management, ensuring adequate oxygenation, promoting smoking cessation, and incorporating pulmonary rehabilitation. While airway management is crucial for maintaining patency and preventing exacerbations, oxygen therapy helps improve oxygen levels in the blood. Smoking cessation is essential to slow down disease progression and reduce exacerbation risk. Pulmonary rehabilitation plays a vital role in enhancing exercise tolerance and overall quality of life for COPD patients. Therefore, while all options are important in managing COPD, airway management is the most critical aspect.
2. A client with an acute myocardial infarction is concerned about extreme fatigue. What is the best strategy to promote independence in self-care?
- A. Instruct the client to limit all activity until fully rested
- B. Encourage the client to gradually resume self-care tasks with rest periods
- C. Assign assistive personnel to complete self-care tasks
- D. Ask the client's family to assist with self-care
Correct answer: B
Rationale: Encouraging the client to gradually resume self-care tasks with rest periods is the best strategy to promote independence in self-care for a client with acute myocardial infarction. This approach allows the client to regain independence while considering the need for rest to prevent overexertion. Instructing the client to limit all activity until fully rested (Choice A) may hinder independence by promoting inactivity. Assigning assistive personnel to complete self-care tasks (Choice C) does not promote the client's independence. Asking the client's family to assist with self-care (Choice D) may not foster the client's self-reliance and may not always be feasible.
3. How should a healthcare professional assess and manage a patient with delirium?
- A. Assess for confusion and reorient the patient
- B. Provide a quiet environment and administer sedatives
- C. Provide oxygen therapy and monitor vital signs
- D. Provide pain relief and monitor for signs of recovery
Correct answer: A
Rationale: The correct way to assess and manage a patient with delirium is by assessing for confusion and reorienting the patient. Delirium is characterized by acute confusion and disturbance in attention, so reorienting the patient to time, place, and person can help improve their awareness and cognition. Providing a quiet environment is important to reduce stimuli that can exacerbate delirium, but administering sedatives may worsen the condition. Oxygen therapy and monitoring vital signs are essential aspects of general patient care but are not specific to managing delirium. Providing pain relief is important for overall patient comfort but may not directly address the core issue of delirium.
4. A nurse is teaching a client with heart failure about dietary restrictions. What food should be limited?
- A. Bananas
- B. Leafy green vegetables
- C. Potatoes
- D. Whole grains
Correct answer: A
Rationale: The correct answer is A: Bananas. Bananas are high in potassium, which should be limited in clients with heart failure to prevent electrolyte imbalances. While leafy green vegetables and whole grains are generally healthy options, they are not typically restricted in heart failure patients. Potatoes, although they contain potassium, are not as high in potassium as bananas and are not usually restricted as strictly.
5. A client is reinforcing teaching with a nurse about how to use an incentive spirometer. Which of the following actions by the client indicates an understanding of the teaching?
- A. The client exhales deeply before inhaling
- B. The client attempts to elevate the cylinder by inhaling deeply
- C. The client inhales quickly through the spirometer
- D. The client inhales several short breaths
Correct answer: B
Rationale: The correct answer is B because inhaling deeply and slowly elevates the cylinder on the spirometer, promoting lung expansion. Choice A is incorrect as exhaling deeply before inhaling is not the correct technique for using an incentive spirometer. Choice C is incorrect as inhaling quickly through the spirometer does not promote optimal lung expansion. Choice D is incorrect as inhaling several short breaths does not facilitate the proper use of an incentive spirometer.
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