ATI LPN
PN ATI Capstone Proctored Comprehensive Assessment 2020 A with NGN
1. A healthcare professional is assessing a client for signs of hypoglycemia. Which of the following findings should the healthcare professional look for?
- A. Increased thirst
- B. Fatigue
- C. Weight gain
- D. Elevated blood pressure
Correct answer: B
Rationale: The correct answer is B: Fatigue. Fatigue, along with symptoms like shakiness and irritability, are common signs of hypoglycemia. Increased thirst (Choice A) is more indicative of hyperglycemia. Weight gain (Choice C) is not typically associated with hypoglycemia. Elevated blood pressure (Choice D) is not a common sign of hypoglycemia.
2. A nurse is caring for a client receiving anticoagulation therapy. Which of the following should the nurse monitor?
- A. INR levels
- B. Blood glucose
- C. Serum creatinine
- D. Liver function
Correct answer: A
Rationale: Corrected Rationale: When caring for a client receiving anticoagulation therapy, the nurse should monitor the INR levels. INR (International Normalized Ratio) reflects the blood's ability to clot properly. It is crucial to monitor INR levels to ensure the anticoagulation therapy is within the therapeutic range and to prevent bleeding complications. Monitoring blood glucose levels (Choice B) is more relevant for clients with diabetes or those on medications affecting blood sugar. Serum creatinine (Choice C) is typically monitored to assess kidney function. Liver function (Choice D) is assessed through tests like AST, ALT, and bilirubin levels, and it is more relevant for assessing liver health rather than monitoring anticoagulation therapy.
3. A nurse is collecting data from a client who has Tourette syndrome. The client reports taking haloperidol 0.5 mL orally three times a day at home. Which of the following components of the prescription should the nurse question?
- A. Frequency
- B. Dosage
- C. Timing of doses
- D. Route
Correct answer: B
Rationale: The nurse should question the dosage of haloperidol as it is typically administered in milligrams (mg) and not milliliters (mL). The dosage should be expressed in a standardized unit for accuracy and to prevent medication errors. Frequency, timing of doses, and route are also important components of a prescription, but in this case, the nurse should focus on the unusual dosage form.
4. What may the patient's statement, 'I cannot read until I get my glasses,' indicate?
- A. The patient is embarrassed about needing glasses
- B. The patient has visual impairment
- C. The patient may be illiterate
- D. The patient is being uncooperative
Correct answer: C
Rationale: The patient stating they cannot read until they get their glasses suggests a potential issue with literacy rather than visual impairment or unwillingness to cooperate. This statement should prompt further assessment to determine the patient's reading abilities and potential literacy needs. Choice A is incorrect as the statement does not directly imply embarrassment. Choice B is incorrect as the statement does not necessarily indicate a visual impairment. Choice D is incorrect as there is no clear evidence of the patient being uncooperative based on the provided statement.
5. In addition to active transport, which process is involved in absorbing food in the small intestine?
- A. pinocytosis
- B. excretion
- C. phagocytosis
- D. electrochemical diffusion
Correct answer: A
Rationale: The correct answer is pinocytosis. Pinocytosis is a process where cells in the small intestine absorb nutrients by engulfing them. This process is different from phagocytosis, which involves engulfing large particles, and excretion, which is the removal of waste products. Electrochemical diffusion is not directly involved in the absorption of food in the small intestine.
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