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PN ATI Capstone Proctored Comprehensive Assessment 2020 B with NGN
1. A nurse is preparing to administer a dose of warfarin. Which of the following should the nurse do?
- A. Check INR levels
- B. Administer it with food
- C. Monitor blood glucose
- D. Assess liver function
Correct answer: A
Rationale: The correct answer is to check INR levels. Before administering warfarin, it is crucial to check the INR levels to ensure they are within the therapeutic range. This helps to prevent complications such as bleeding or clotting. Choice B, administering it with food, is incorrect as warfarin should typically be taken on an empty stomach. Choice C, monitoring blood glucose, is unrelated to the administration of warfarin. Choice D, assessing liver function, is important but not the immediate action required before administering warfarin.
2. A nurse is assessing a client for signs of deep vein thrombosis (DVT). Which of the following findings should the nurse look for?
- A. Swelling in the limb
- B. Decreased heart rate
- C. Increased appetite
- D. Improved mobility
Correct answer: A
Rationale: The correct answer is A: Swelling in the limb. Swelling, particularly in one limb, is a common sign of deep vein thrombosis (DVT) and should be assessed. This swelling is often accompanied by pain, redness, and warmth in the affected area. Choices B, C, and D are incorrect because decreased heart rate, increased appetite, and improved mobility are not typically associated with DVT. The main focus in assessing for DVT is recognizing the signs and symptoms related to venous thrombosis.
3. A client has been prescribed nitroglycerin for chest pain. Which of the following should the nurse include in the teaching?
- A. Take one tablet every hour for chest pain.
- B. Store nitroglycerin tablets in a cool, dark place.
- C. Take nitroglycerin with food to reduce stomach upset.
- D. Take nitroglycerin with an antacid to prevent heartburn.
Correct answer: B
Rationale: The correct answer is B. Nitroglycerin tablets should be stored in a cool, dark place to maintain their potency. Storing them correctly ensures that they remain effective when needed. Choices A, C, and D are incorrect. Taking one tablet every hour is not the correct dosing regimen for nitroglycerin. Nitroglycerin is usually taken as needed at the onset of chest pain, with specific instructions from the healthcare provider. Taking nitroglycerin with food or antacids is not necessary, as it is usually placed under the tongue for rapid absorption.
4. A healthcare provider is teaching a client about the use of sertraline. Which of the following should be included?
- A. It can cause weight gain
- B. It is an antipsychotic
- C. Monitor for suicidal thoughts
- D. It has no side effects
Correct answer: C
Rationale: Correct answer: Monitoring for suicidal thoughts is essential when a client is prescribed sertraline, an antidepressant. Choice A is incorrect because weight gain is not typically associated with sertraline. Choice B is incorrect as sertraline is not an antipsychotic medication. Choice D is incorrect because all medications, including sertraline, have potential side effects.
5. A home health nurse is providing teaching to a family of a client who has seizure manifestations as a result of an inoperable brain tumor. What intervention should the nurse include in the teaching?
- A. Administer antiseizure medications promptly.
- B. Use oral airway devices during seizures.
- C. Pad the side rails of the bed.
- D. Apply restraints during the seizure to prevent injury.
Correct answer: C
Rationale: The correct intervention the nurse should include in the teaching is to pad the side rails of the bed. By padding the side rails, the nurse can help prevent injury if the patient experiences a seizure. Administering antiseizure medications promptly (Choice A) is typically the responsibility of a healthcare provider or according to a prescribed schedule. Using oral airway devices during seizures (Choice B) can pose risks and should be managed by healthcare professionals. Applying restraints during a seizure (Choice D) is not recommended as it can lead to further injury and complications.
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