ATI RN
ATI Capstone Fundamentals Assessment Proctored
1. A client who is postoperative following abdominal surgery is at risk for constipation due to which behavior?
- A. Increased fiber intake
- B. Decreased fluid intake
- C. Frequent urge suppression
- D. Increased physical activity
Correct answer: B
Rationale: Postoperative clients are at risk for constipation due to various factors, including decreased fluid intake. Insufficient fluid consumption can lead to hardening of stools, making them difficult to pass. Increased fiber intake (choice A) is actually beneficial for preventing constipation as it adds bulk to the stool. Frequent urge suppression (choice C) can contribute to constipation by disrupting normal bowel habits. Increased physical activity (choice D) generally helps promote bowel movements and reduce the risk of constipation.
2. When caring for a patient with systemic lupus erythematosus (SLE), the disease the nurse is dealing with is an example of:
- A. Autoimmunity
- B. Alloimmunity
- C. Homoimmunity
- D. Alleimmunity
Correct answer: A
Rationale: When a nurse cares for a patient with systemic lupus erythematosus (SLE), the nurse is dealing with an autoimmune disease. In autoimmune diseases like SLE, the immune system mistakenly attacks the body's own tissues. Choice A, 'Autoimmunity,' is the correct answer because SLE is an example of the immune system attacking self-antigens, leading to tissue damage and inflammation. Choices B, C, and D are incorrect. Alloimmunity refers to the immune response against foreign antigens from members of the same species, homoimmunity is not a recognized term in immunology, and alleimmunity is not a valid term in this context.
3. Men with even tiny amounts of dioxin in their bloodstream father __________.
- A. nearly twice as many girls as boys
- B. nearly three times as many boys as girls
- C. more twins and triplets than unaffected men
- D. fewer children than unaffected men
Correct answer: A
Rationale: Men with even tiny amounts of dioxin in their bloodstream father nearly twice as many girls as boys. This is due to the impact of dioxin exposure on sperm cells, leading to a skewed ratio of female to male offspring. Choice B is incorrect as the question specifically mentions that men father more girls than boys. Choice C is incorrect as dioxin exposure does not necessarily lead to more twins and triplets. Choice D is incorrect as men with dioxin in their bloodstream father more girls, not fewer children overall.
4. A client is undergoing chemotherapy and expresses concern about hair loss. What is the best response?
- A. Reassure the client that hair loss is not permanent.
- B. Provide resources for wigs or hairpieces.
- C. Encourage the client to cut their hair short in advance.
- D. Advise the client that chemotherapy causes temporary hair loss.
Correct answer: D
Rationale: The best response when a client undergoing chemotherapy expresses concern about hair loss is to advise them that chemotherapy causes temporary hair loss. This response provides accurate information to the client about the side effect they are experiencing. Choice A is incorrect because it may provide false reassurance as for some individuals, hair loss can be a challenging experience. Choice B is not the best initial response as addressing the client's concerns and providing information should come first. Choice C is not the most appropriate response as cutting hair short may not necessarily prevent hair loss and does not address the client's concerns about the temporary nature of chemotherapy-induced hair loss.
5. A nurse is teaching a client who has a new prescription for lisinopril. Which of the following statements should the nurse include?
- A. You should expect to develop a dry cough while taking this medication.
- B. This medication can cause a slow heart rate.
- C. You should increase your intake of foods high in potassium.
- D. You should avoid using salt substitutes while taking this medication.
Correct answer: D
Rationale: The correct statement to include when teaching a client prescribed with lisinopril is that they should avoid using salt substitutes while taking this medication. Lisinopril can cause hyperkalemia, which is an elevated level of potassium in the blood. Therefore, using salt substitutes that contain potassium can worsen this condition. Choices A, B, and C are incorrect because lisinopril is not typically associated with causing a dry cough or a slow heart rate, and increasing potassium intake can be harmful in the presence of lisinopril-induced hyperkalemia.
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