ATI NCLEX PN Predictor Test

ATI NCLEX PN Predictor Test Related

Review ATI NCLEX PN Predictor Test related questions and content

How should a healthcare professional respond to a patient with diabetic ketoacidosis (DKA)?

  • A. Administer insulin
  • B. Administer IV fluids
  • C. Monitor blood glucose
  • D. All of the above
Correct Answer: D

Rationale: When managing a patient with diabetic ketoacidosis (DKA), it is crucial to administer insulin to lower blood sugar levels, administer IV fluids to correct dehydration and electrolyte imbalances, and monitor blood glucose levels regularly to ensure they are within the target range. Therefore, all of the above options are essential components of the comprehensive treatment plan for DKA. Administering insulin alone may lower blood sugar levels but will not address the fluid and electrolyte imbalances seen in DKA. Similarly, administering IV fluids alone may help with dehydration but will not address the high blood sugar levels or the need for insulin. Monitoring blood glucose alone is not sufficient to treat DKA; it must be accompanied by appropriate interventions to address the underlying causes and complications of the condition.

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A nurse is caring for a client who is constipated. What intervention is most appropriate?

  • A. Administer a laxative to relieve discomfort
  • B. Encourage the client to increase dietary fiber intake
  • C. Encourage the client to rest until symptoms resolve
  • D. Administer a stool softener as prescribed
Correct Answer: B

Rationale: The most appropriate intervention for constipation is to encourage the client to increase dietary fiber intake. Fiber helps promote bowel movements and relieve constipation by adding bulk to the stool. Administering a laxative (Choice A) should not be the first-line intervention as it can lead to dependence. Encouraging rest (Choice C) is not directly helpful in relieving constipation. While administering a stool softener (Choice D) can be beneficial, increasing fiber intake is generally preferred as the initial intervention.

What is a primary symptom of left-sided heart failure?

  • A. Shortness of breath
  • B. Edema
  • C. Rapid heartbeat
  • D. Confusion
Correct Answer: A

Rationale: Shortness of breath is a primary symptom of left-sided heart failure. In this condition, the heart's inability to pump effectively leads to fluid backing up into the lungs, causing difficulty breathing. Edema (swelling), rapid heartbeat, and confusion are more commonly associated with other conditions or right-sided heart failure. Edema is often seen in right-sided heart failure due to fluid accumulation in the body, rapid heartbeat can be a general sign of heart issues, and confusion is more related to decreased brain perfusion in severe heart failure cases.

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.

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.

A nurse is collecting data from a client who has bipolar disorder and is experiencing acute mania. Which of the following findings is the nurse's priority?

  • A. Pressured speech
  • B. Increased appetite
  • C. Lack of sleep
  • D. Mood swings
Correct Answer: C

Rationale: The correct answer is C: 'Lack of sleep.' In a client experiencing acute mania due to bipolar disorder, lack of sleep is the priority finding for the nurse to address. Sleep deprivation can exacerbate symptoms, lead to exhaustion, and increase the risk of further complications. Pressured speech, increased appetite, and mood swings are also common in acute mania, but addressing the lack of sleep takes precedence due to its significant impact on the client's well-being and recovery.

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