ATI LPN
PN ATI Capstone Proctored Comprehensive Assessment 2020 B with NGN
1. A community health nurse is reviewing information about infectious diseases with the nurses on her team. The nurse should remind the team that which of the following diseases is included in the list of nationally notifiable infectious diseases?
- A. Influenza
- B. Tuberculosis
- C. Gonorrhea
- D. Hepatitis B
Correct answer: C
Rationale: The correct answer is Gonorrhea. Gonorrhea is a reportable sexually transmitted disease, and healthcare providers must report cases to the CDC to track and prevent outbreaks. Influenza, Tuberculosis, and Hepatitis B are not nationally notifiable infectious diseases. Influenza is monitored for its epidemiology and impact on public health, but it is not classified as nationally notifiable. Tuberculosis and Hepatitis B are not included in the list of diseases that healthcare providers are required to report to public health authorities.
2. Which of the following indicators is used to measure the health status of a population?
- A. Literacy rate
- B. Gross domestic product (GDP)
- C. Infant mortality rate
- D. Employment rate
Correct answer: C
Rationale: The infant mortality rate is a crucial indicator used to assess the health status of a population. It reflects the number of deaths among infants under one year of age per 1,000 live births. A high infant mortality rate is often indicative of inadequate healthcare services, poor sanitation, and other factors that impact the overall health of a population. Therefore, monitoring and improving the infant mortality rate is essential for evaluating and addressing the health needs of a community.
3. A nurse is caring for a client prescribed levetiracetam. Which of the following should the nurse monitor?
- A. Liver function
- B. Blood glucose levels
- C. Serum creatinine
- D. Blood pressure
Correct answer: C
Rationale: The correct answer is C: Serum creatinine. Levetiracetam requires monitoring of renal function, specifically serum creatinine levels, as it is primarily eliminated by the kidneys. Monitoring liver function (Choice A) is not necessary for levetiracetam. Blood glucose levels (Choice B) are typically not affected by levetiracetam. While monitoring blood pressure (Choice D) is important in general patient care, it is not specifically required for clients prescribed levetiracetam.
4. While preparing a client for a cardiac catheterization, the client expresses a preference to speak with their doctor rather than the nurse. Which response by the nurse should be therapeutic?
- A. Your doctor expects me to prepare you for this procedure.
- B. That's fine, if that's what you want. I'll call your health care provider.
- C. So you're saying that you want to talk to your health care provider?
- D. I'm concerned with the way you've dismissed me. I know what I am doing.
Correct answer: C
Rationale: The therapeutic response by the nurse in this situation involves reflecting the client's feelings back to them, which demonstrates active listening and empathy. By restating the client's preference to talk to their doctor, the nurse acknowledges and validates the client's feelings, thereby fostering a positive therapeutic relationship and promoting open communication. Choices A and B do not acknowledge the client's preference and may come off as dismissive. Choice D is confrontational and defensive, which can lead to a breakdown in communication and trust between the nurse and the client.
5. What is the best dietary recommendation for a patient with chronic kidney disease?
- A. Low-protein diet
- B. High-protein diet
- C. Low-sodium diet
- D. High-sodium diet
Correct answer: A
Rationale: The correct answer is a low-protein diet for a patient with chronic kidney disease. In chronic kidney disease, the kidneys may have difficulty filtering waste products from protein metabolism, leading to a buildup of toxins in the body. Therefore, reducing protein intake can help lessen the workload on the kidneys. Choices B, C, and D are incorrect. A high-protein diet would increase the workload on the kidneys, while a low-sodium diet is beneficial for conditions like hypertension or heart failure but not specifically targeted for chronic kidney disease. A high-sodium diet can worsen fluid retention and hypertension in patients with kidney disease.
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