ATI LPN
PN ATI Capstone Proctored Comprehensive Assessment 2020 A with NGN
1. A nurse is caring for a client prescribed hydroxychloroquine. Which of the following should the nurse monitor?
- A. Liver function tests
- B. Eye exams
- C. Blood glucose levels
- D. Complete blood count
Correct answer: B
Rationale: The correct answer is B: Eye exams. Hydroxychloroquine can cause retinal damage, making it essential for the nurse to monitor the client's eyes regularly for any changes. Monitoring liver function tests (choice A), blood glucose levels (choice C), or complete blood count (choice D) are not directly associated with the potential side effects of hydroxychloroquine.
2. Why is it important to understand standard serving sizes of foods?
- A. it is easy to eat too much of some nutrients when choosing healthful foods.
- B. serving sizes have generally decreased over the past few decades.
- C. most people have difficulty estimating the amount of food they eat.
- D. food portions need to be weighed to check serving sizes accurately.
Correct answer: C
Rationale: The correct answer is C. Understanding serving sizes is crucial because most people have difficulty estimating the amount of food they eat. It helps individuals accurately track their intake, which is essential for maintaining a healthy diet and avoiding overeating. Choice A is incorrect because the question focuses on portion sizes rather than specific nutrients. Choice B is incorrect as it presents an unsupported claim about serving sizes decreasing. Choice D is incorrect as weighing food portions is not always necessary to check serving sizes; understanding standard serving sizes allows for a more practical approach to portion control.
3. A nurse is caring for a client with Alzheimer’s disease. Which action should the nurse include in the plan of care to support the client’s cognitive function?
- A. Place a daily calendar in the kitchen
- B. Replace buttoned clothing with zippered items
- C. Replace the carpet with hardwood floors
- D. Create variation in the daily routine
Correct answer: A
Rationale: Placing a daily calendar in the kitchen is essential to help clients with Alzheimer's stay oriented to time and maintain cognitive function. It supports their ability to recall the day, date, and upcoming events, promoting a sense of control over their environment. Choices B, C, and D do not directly target cognitive function support in clients with Alzheimer's disease. While replacing buttoned clothing with zippered items may aid in dressing independently, changing the flooring or introducing variation in the daily routine does not specifically address cognitive function support.
4. Which of the following practices is essential for preventing the spread of healthcare-associated infections?
- A. Frequent handwashing
- B. Sharing medical equipment
- C. Reducing patient turnover
- D. Increasing hospital bed capacity
Correct answer: A
Rationale: Frequent handwashing is a crucial practice for preventing the spread of healthcare-associated infections. Washing hands frequently helps remove pathogens and reduces the risk of transmitting infections between patients, healthcare providers, and other individuals in healthcare settings.
5. Which of the following is an expected side effect of furosemide?
- A. Bradycardia
- B. Hypokalemia
- C. Increased blood pressure
- D. Increased urine output
Correct answer: B
Rationale: The correct answer is B, Hypokalemia. Furosemide is a loop diuretic that works by increasing the excretion of water and electrolytes, including potassium, leading to hypokalemia. Choice A, Bradycardia, is incorrect because furosemide does not typically cause a decrease in heart rate. Choice C, Increased blood pressure, is incorrect as furosemide is actually used to lower blood pressure by reducing fluid volume. Choice D, Increased urine output, is a common effect of furosemide due to its diuretic action but is not an adverse side effect.
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