ATI LPN
PN ATI Capstone Proctored Comprehensive Assessment 2020 B
1. A charge nurse is discussing HIPAA with a newly licensed nurse. Which action should the charge nurse include in the teaching as an example of a HIPAA violation?
- A. Faxing a patient’s discharge summary to the pharmacy.
- B. Emailing the patient’s positive hepatitis results from an unencrypted server.
- C. Discussing the patient’s care plan during bedside rounds.
- D. Placing the patient’s chart in a secure location at the nurse’s station.
Correct answer: B
Rationale: Emailing patient information from an unencrypted server violates HIPAA because it exposes sensitive health information to potential breaches. Choice A is not a violation as long as the fax is sent to the correct recipient. Choice C is not a violation if the discussion is done discreetly and within an appropriate setting. Choice D is a recommended practice to ensure patient information is kept secure.
2. Which of the following is a benefit of providing Vitamin A supplements to children?
- A. Improves cognitive development
- B. Reduces the risk of severe measles
- C. Prevents iron deficiency anemia
- D. Enhances physical growth
Correct answer: B
Rationale: The correct benefit of providing Vitamin A supplements to children is reducing the risk of severe measles. Vitamin A supplementation is known to lower the risk of severe measles and its associated complications, making it an important intervention in regions where measles is prevalent.
3. How can a student demonstrate care for classmates?
- A. Preparing for class discussion by reading the assigned chapter
- B. Calling the instructor to explain the reason for arriving late
- C. Ducking behind a book to hide eye rolling
- D. Arriving for class on time and prepared
Correct answer: D
Rationale: Arriving for class on time and prepared is the correct way for a student to demonstrate care for classmates. This action shows respect for their peers' time and contributes positively to the learning environment. Being punctual and ready for class helps create a conducive atmosphere for everyone's learning and demonstrates consideration for classmates. Choices A, B, and C do not directly show care for classmates. Choice A focuses on individual preparation, which is beneficial for personal learning but not directly for classmates. Choice B involves the instructor but not classmates, and it is more about personal responsibility. Choice C reflects negative behavior that does not benefit classmates and instead may contribute to a negative classroom environment.
4. A nurse is caring for a client who has a new prescription for enalapril. The nurse should monitor the client for which of the following adverse effects of this medication?
- A. Ecchymosis
- B. Jaundice
- C. Hypotension
- D. Hypokalemia
Correct answer: C
Rationale: The correct answer is C: Hypotension. Enalapril, an ACE inhibitor, can lead to hypotension, especially after the first dose. Choices A, B, and D are incorrect because enalapril is not typically associated with ecchymosis, jaundice, or hypokalemia as common adverse effects. Therefore, the nurse should primarily monitor the client for signs of hypotension.
5. A healthcare professional is reviewing laboratory results for a client who has been taking carbamazepine. Which of the following findings should the healthcare professional report to the provider?
- A. WBC count 3,000/mm3
- B. Platelet count 150,000/mm3
- C. Hemoglobin 14 g/dL
- D. Serum potassium 4.5 mEq/L
Correct answer: A
Rationale: A WBC count of 3,000/mm3 indicates leukopenia, a serious side effect of carbamazepine. Leukopenia can increase the risk of infections due to decreased white blood cell count, which is important to report to the provider for further evaluation and management. Platelet count within normal range (choice B), hemoglobin level within normal range (choice C), and serum potassium level within normal range (choice D) are not directly associated with carbamazepine use and do not require immediate reporting as they do not indicate a serious adverse effect.
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