ATI NCLEX PN Predictor Test

ATI NCLEX PN Predictor Test Related

Review ATI NCLEX PN Predictor Test related questions and content

A nurse is teaching a client who has Parkinson's disease about dietary modifications. Which of the following instructions should the nurse include?

  • A. Eat high-protein, high-calorie meals
  • B. Drink milk with every meal
  • C. Avoid foods high in carbohydrates
  • D. Drink carbonated beverages with meals
Correct Answer: A

Rationale: The correct answer is A: 'Eat high-protein, high-calorie meals.' Individuals with Parkinson's disease benefit from consuming high-protein, high-calorie meals to help maintain muscle mass and energy levels. This dietary modification is important in managing the symptoms of Parkinson's disease. Choice B is incorrect because there is no specific requirement for drinking milk with every meal for individuals with Parkinson's disease. Choice C is incorrect as carbohydrates are also essential for a balanced diet and should not be completely avoided. Choice D is incorrect as carbonated beverages may interfere with the absorption of nutrients from food and are not recommended for individuals with Parkinson's disease.

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What are the key interventions for managing pneumonia?

  • A. Administer antibiotics and monitor oxygen levels
  • B. Administer bronchodilators and encourage deep breathing
  • C. Provide fluids and monitor for dehydration
  • D. Administer oxygen and provide bed rest
Correct Answer: A

Rationale: The correct answer is A: Administer antibiotics and monitor oxygen levels. Antibiotics are essential to treat the infection caused by bacteria in pneumonia, while monitoring oxygen levels helps ensure adequate oxygenation. Administering bronchodilators and encouraging deep breathing, as in choice B, are more commonly associated with managing conditions like asthma or COPD, not pneumonia. Providing fluids and monitoring for dehydration, as in choice C, are important for various conditions but not specific to pneumonia management. Administering oxygen and providing bed rest, as in choice D, may be supportive measures in pneumonia treatment, but the key intervention is administering antibiotics.

What is an early sign that suctioning is needed for a client with a tracheostomy?

  • A. Bradycardia
  • B. Irritability
  • C. Hypotension
  • D. Decreased oxygen saturation
Correct Answer: B

Rationale: Irritability is an early sign that suctioning is needed for a client with a tracheostomy. When secretions accumulate in the airway, it can lead to discomfort and irritability in the client. Bradycardia, hypotension, and decreased oxygen saturation are usually later signs of inadequate airway clearance and oxygenation. Bradycardia may indicate severe hypoxia, while hypotension and decreased oxygen saturation are consequences of prolonged airway obstruction.

What are the key signs of increased intracranial pressure (ICP) that a nurse should monitor for?

  • A. Monitor for changes in level of consciousness
  • B. Check for pupil dilation
  • C. Assess for bradycardia
  • D. Monitor for vomiting
Correct Answer: A

Rationale: The correct answer is A: 'Monitor for changes in the level of consciousness.' Key signs of increased intracranial pressure (ICP) include changes in the level of consciousness and pupil dilation. Assessing for bradycardia and monitoring for vomiting are not typically considered primary signs of increased ICP. While bradycardia and vomiting can occur with increased ICP, they are not as specific or sensitive as changes in consciousness and pupil dilation.

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.

A nurse in a provider's office is collecting data from a preschooler. Which of the following findings should the nurse report to the provider?

  • A. Heart rate 80/min
  • B. Heart rate 90/min
  • C. Respiratory rate 28/min
  • D. Heart rate 146/min
Correct Answer: D

Rationale: A heart rate of 146/min is abnormal for a preschooler and indicates tachycardia, which should be reported to the provider. Choices A, B, and C fall within normal ranges for a preschooler's heart rate (80-120/min) and respiratory rate (22-34/min), so they do not require immediate reporting. Option D is the correct answer as it deviates significantly from the normal range and may indicate an underlying health issue that needs attention.

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