ATI RN
RN ATI Capstone Proctored Comprehensive Assessment 2019 B
1. A nurse is caring for an older adult client. The nurse informs the client that straining while defecating can cause which of the following?
- A. Diarrhea
- B. Gastric ulcer
- C. Dilated pupils
- D. Dysrhythmias
Correct answer: D
Rationale: The correct answer is D: Dysrhythmias. Straining while defecating can lead to dysrhythmias due to increased vagal stimulation. Choices A, B, and C are incorrect. Straining while defecating is not typically associated with causing diarrhea, gastric ulcers, or dilated pupils.
2. What is an expected outcome for Lithium use in patients with bipolar disorder?
- A. Reduced risk of myocardial infarction
- B. Reduced risk of GI ulcers
- C. Decrease in respiratory distress
- D. Decreased incidence of acute manic episodes
Correct answer: D
Rationale: The correct answer is D: Decreased incidence of acute manic episodes. Lithium is commonly used to treat bipolar disorder by helping to stabilize mood and reduce the intensity and frequency of manic episodes. This leads to better overall management of the disorder. Choices A, B, and C are incorrect because lithium is not known to reduce the risk of myocardial infarction, GI ulcers, or respiratory distress in patients with bipolar disorder.
3. A client has a new prescription for Hydrochlorothiazide. Which of the following information should the nurse include?
- A. Take the medication with food.
- B. Plan to take the medication at bedtime.
- C. Expect increased swelling of the ankles.
- D. Limit fluid intake in the morning.
Correct answer: A
Rationale: When educating a client about taking Hydrochlorothiazide, the nurse should advise taking the medication with food or after meals to prevent gastrointestinal upset. This medication is a diuretic, so it is important to maintain adequate fluid intake throughout the day to prevent dehydration. Taking it at bedtime is not necessary, and increased swelling of the ankles is not an expected side effect of this medication. Limiting fluid intake in the morning is not necessary and could lead to dehydration, which is a potential side effect of this diuretic.
4. Scientific research has demonstrated the __________ parenting style is most likely to lead to healthy psychological development in children.
- A. Authoritarian
- B. Permissive
- C. Authoritative
- D. Neglectful
Correct answer: C
Rationale: Scientific research has demonstrated that the authoritative parenting style is most likely to lead to healthy psychological development in children. Authoritative parents are responsive to their children's emotional needs, set clear boundaries, and encourage independence. This balance fosters a positive environment for children to thrive emotionally and psychologically. Authoritarian parenting (choice A) focuses on strict rules without much warmth, which can lead to obedience but may hinder emotional development. Permissive parenting (choice B) lacks structure and rules, potentially resulting in children feeling insecure. Neglectful parenting (choice D) is characterized by a lack of responsiveness and involvement, leading to various negative outcomes for the child's development.
5. A patient is prescribed fluconazole (Diflucan) for a vaginal yeast infection. The nurse should be concerned if the patient is also taking which medication?
- A. Losartan (Cozaar)
- B. Simvastatin (Zocor)
- C. Lisinopril (Zestril)
- D. Hydrochlorothiazide (HCTZ)
Correct answer: B
Rationale: When fluconazole is taken with statins like simvastatin, it can increase the levels of the statin in the blood, potentially leading to adverse effects such as muscle pain and weakness. Therefore, the nurse should be concerned if the patient is taking simvastatin along with fluconazole.
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