ATI LPN
PN ATI Capstone Fundamentals Quiz
1. A client is found on the floor of their room experiencing a seizure. Which of the following actions is the priority for the nurse?
- A. Place the client on their side with their head forward
- B. Call for help
- C. Protect the client's head
- D. Restrain the client
Correct answer: A
Rationale: During a seizure, the priority action for the nurse is to place the client on their side with their head forward. This position helps maintain an open airway and prevents aspiration, which is crucial in managing the client's safety during a seizure. Calling for help is important but ensuring the client's immediate safety by positioning them correctly takes precedence. Protecting the client's head can be done concurrently while positioning the client. Restraint is not appropriate during a seizure as it can lead to injuries and complications.
2. What is the primary purpose of administering Vitamin K to newborns?
- A. To prevent infection
- B. To promote growth
- C. To prevent bleeding disorders
- D. To enhance immune function
Correct answer: C
Rationale: Vitamin K is administered to newborns primarily to prevent bleeding disorders. Newborns have low levels of Vitamin K at birth, which can lead to a condition called vitamin K deficiency bleeding (VKDB). Administering Vitamin K helps prevent this potentially life-threatening bleeding disorder.
3. A healthcare provider is providing education on the use of atorvastatin. Which of the following should be included?
- A. Monitor for liver function
- B. It can cause muscle pain
- C. It is safe to take during pregnancy
- D. Both A and B
Correct answer: D
Rationale: Atorvastatin requires monitoring for liver function due to its potential to cause liver abnormalities. It can also lead to muscle pain or weakness, a condition known as myopathy. Choice C is incorrect as atorvastatin is contraindicated during pregnancy due to potential harm to the fetus, making choices A and B the correct options to include in patient education.
4. Which intervention is most appropriate for a patient experiencing a severe manic episode?
- A. Providing a structured and low-stimulation environment
- B. Encouraging the patient to engage in group activities
- C. Providing detailed information about the patient's condition
- D. Allowing the patient to have unsupervised time
Correct answer: A
Rationale: During a severe manic episode, it is crucial to provide a structured and low-stimulation environment to help manage the symptoms effectively. This environment aims to reduce stimuli that can exacerbate manic behavior and provide a sense of predictability and safety for the individual. Group activities, detailed information provision, or unsupervised time may not be suitable during a severe manic episode as they can potentially worsen the condition or pose safety risks.
5. Gilbert, age 19, is described by his parents as a ‘moody child’ with an onset of odd behavior at age 14, which caused Gilbert to suffer academically and socially. Gilbert has lost the ability to complete household chores, is reluctant to leave the house, and is obsessed with the locks on the windows and doors. Due to Gilbert’s early and slow onset of what is now recognized as schizophrenia, his prognosis is considered:
- A. Favorable with medication
- B. In the relapse stage
- C. Improvable with psychosocial interventions
- D. To have a less positive outcome
Correct answer: D
Rationale: A person like Gilbert, with an early and slow onset of schizophrenia along with severe symptoms such as loss of daily functioning and obsessions, is likely to have a less positive outcome. Early and severe symptoms are often associated with a more chronic and debilitating course of schizophrenia, which can make treatment and recovery more challenging. Therefore, Gilbert's prognosis is considered to have a less positive outcome. Choices A, B, and C are incorrect because Gilbert's condition, with its early onset and severe symptoms impacting daily life, suggests a more challenging prognosis that is less likely to be favorable with just medication or psychosocial interventions. Being in the relapse stage is not the primary concern here; the focus is on the overall outcome which is expected to be less positive given the early and severe nature of Gilbert's symptoms.
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