ATI LPN
PN ATI Capstone Proctored Comprehensive Assessment Form A
1. A client has a stool culture positive for C. difficile. What action should the nurse take?
- A. Place the client in a negative pressure room
- B. Use alcohol-based hand rub after providing care
- C. Wear a face shield before entering the room
- D. Place the client in a private room
Correct answer: D
Rationale: When caring for a client with a C. difficile infection, it is essential to isolate them in a private room to prevent the spread of spores through contact with surfaces. Placing the client in a negative pressure room (Choice A) is not necessary for C. difficile. Using alcohol-based hand rub (Choice B) and wearing a face shield (Choice C) are important infection control measures but are not specific to the isolation requirements for C. difficile.
2. What is the basis of MyPlate food guidance?
- A. Percentage of calories from each macronutrient.
- B. Exchange Lists for Meal Planning.
- C. Appropriate amounts of food from each food group.
- D. Amounts of macronutrients and micronutrients.
Correct answer: C
Rationale: The correct answer is C: 'Appropriate amounts of food from each food group.' MyPlate food guidance focuses on portion sizes from different food groups to promote a balanced diet. Choices A, B, and D are incorrect because MyPlate emphasizes the consumption of a variety of foods from different food groups rather than focusing solely on macronutrient percentages, exchange lists, or specific nutrient amounts.
3. Freedom of choice is one of the policies of the Family Planning Program of the Philippines. Which of the following illustrates this principle?
- A. Information dissemination about the need for family planning
- B. Support for research and development in family planning methods
- C. Adequate information for couples regarding the different methods
- D. Encouragement for couples to take family planning as a joint responsibility
Correct answer: C
Rationale: The principle of freedom of choice in family planning programs emphasizes providing couples with adequate information about the different methods available. This enables them to make informed decisions based on their preferences and needs. By ensuring couples have access to comprehensive information, they can freely choose the family planning method that best suits their circumstances, promoting autonomy and informed decision-making.
4. Which vaccine leaves a permanent scar at the site of injection?
- A. BCG
- B. DPT
- C. Hepatitis B vaccine
- D. Measles vaccine
Correct answer: A
Rationale: The BCG vaccine, which is used for tuberculosis, is known to leave a permanent scar at the site of injection. This distinctive scar formation is one of the characteristic features of receiving the BCG vaccine and is used as a marker of vaccination in some regions.
5. Before drying off the newborn after birth, which assessment finding should the healthcare professional document to ensure an accurate gestational rating on the Ballard gestational assessment tool?
- A. Amount and area of vernix coverage
- B. Creases on the sole
- C. Size of the areola
- D. Body surface temperature
Correct answer: A
Rationale: To ensure an accurate gestational rating on the Ballard gestational assessment tool, healthcare professionals should document the amount and area of vernix coverage before drying the newborn. Drying the baby after birth could disturb the vernix, potentially affecting the gestational age assessment. Assessing and documenting the vernix coverage beforehand enables a more precise evaluation using the Ballard gestational assessment tool. Choices B, C, and D are incorrect as they are not directly related to gestational rating on the Ballard assessment tool.
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