ATI LPN
ATI PN Comprehensive Predictor 2023 with NGN
1. What are the risk factors for stroke, and how can it be prevented?
- A. High cholesterol and hypertension; prevent with regular exercise
- B. Obesity and smoking; prevent with medication and weight loss
- C. Diabetes and alcohol consumption; prevent with regular checkups
- D. Lack of exercise and poor diet; prevent with lifestyle changes
Correct answer: A
Rationale: The correct answer is A. High cholesterol and hypertension are significant risk factors for stroke. Regular exercise is an effective way to prevent stroke by managing these risk factors. Choice B is incorrect as while obesity and smoking are risk factors, preventing stroke through medication and weight loss is not the primary method. Choice C is incorrect as diabetes and alcohol consumption are risk factors, but preventing stroke through regular checkups is not as direct as managing cholesterol and hypertension. Choice D is incorrect as lack of exercise and a poor diet are indeed risk factors, but the prevention of stroke through lifestyle changes needs to specifically address high cholesterol and hypertension.
2. 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.
3. What are the key signs of infection after surgery?
- A. Redness
- B. Swelling
- C. Fever
- D. All of the above
Correct answer: D
Rationale: After surgery, key signs of infection include redness, swelling, and fever. Redness and swelling can indicate inflammation at the surgical site, while fever is a systemic response to infection. Choosing 'All of the above' (Option D) is the correct answer because all three signs are commonly associated with post-surgical infections. Options A, B, and C are incorrect as each of them individually can be a sign of infection, but considering all three together provides a more comprehensive assessment for post-operative infection.
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 nurse has agreed to serve as an interpreter for an older adult client who is assigned to another nurse. Which of the following statements by the nurse indicates an understanding of this role?
- A. I will let the client know that I am available as the interpreter.
- B. I will receive a small fee for interpreting for this client.
- C. I am glad I am available today, but when I am not, you can use a family member.
- D. I will let the client know that an interpreter is unavailable during the night shift.
Correct answer: A
Rationale: Choice A is correct because the nurse should inform the client of their availability to interpret, ensuring that communication is clear and culturally appropriate. Choice B is incorrect as interpreters in healthcare settings usually do not receive fees for providing interpretation services. Choice C is incorrect because suggesting the use of a family member as an interpreter may not ensure accurate communication, as they may not be trained or impartial. Choice D is incorrect because stating that an interpreter is unavailable during the night shift does not address the current situation where the nurse has agreed to interpret for the client.
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