ATI LPN
PN ATI Capstone Proctored Comprehensive Assessment 2020 A with NGN
1. A nurse is caring for an older adult client with delirium. Which intervention will most effectively reduce the client's risk for falls?
- A. Using a night-light
- B. Demonstrating how to use the call light
- C. Placing the bedside table in close proximity
- D. Hourly rounding by the nurse
Correct answer: D
Rationale: Hourly rounding by the nurse is the most effective intervention to reduce the risk of falls in older adult clients with delirium. This intervention ensures that the nurse regularly checks on the client, assesses their needs, and assists them with any activities, thereby minimizing the chances of falls. Using a night-light (choice A) may help improve visibility but does not provide continuous assistance and monitoring. Demonstrating how to use the call light (choice B) is important but may not prevent falls directly. Placing the bedside table in close proximity (choice C) is helpful for convenience but does not address the continuous monitoring and assistance needed to prevent falls in this case.
2. What is the primary goal of health education?
- A. To diagnose diseases
- B. To change behavior for improved health
- C. To provide emergency medical care
- D. To perform surgeries
Correct answer: B
Rationale: The primary goal of health education is to empower individuals with knowledge and skills to make informed decisions and adopt behaviors that lead to improved health outcomes. It focuses on promoting healthy habits, disease prevention, and overall well-being.
3. What should a healthcare provider monitor in a client with constipation?
- A. Monitor the client's bowel sounds every 4 hours
- B. Increase the client's activity to stimulate bowel movement
- C. Encourage the client to use a stool softener
- D. Encourage the client to rest in bed until constipation resolves
Correct answer: C
Rationale: Encouraging the client to use a stool softener is the appropriate intervention for constipation. Stool softeners help to soften the stool, making it easier to pass and relieving constipation without straining the client. Monitoring bowel sounds (Choice A) may be relevant for other gastrointestinal issues but is not specifically indicated for constipation. Increasing activity (Choice B) can be helpful in some cases, but it is not the first-line intervention for constipation. Encouraging bed rest (Choice D) can worsen constipation by reducing mobility and promoting inactivity.
4. A nurse is planning care for a preschool-age child who is in the acute phase of Kawasaki disease. Which of the following interventions should the nurse include in the plan of care?
- A. Administer scheduled doses of acetaminophen every 6 hr.
- B. Monitor the child's cardiac status.
- C. Administer antibiotics via intermittent IV bolus for 24 hr.
- D. Provide stimulation with children of the same age in the playroom.
Correct answer: B
Rationale: Monitoring cardiac status is crucial during the acute phase of Kawasaki disease because of the potential for coronary artery complications. Acetaminophen may be used for fever management but is not the priority intervention. Antibiotics are not indicated as Kawasaki disease is not caused by a bacterial infection. Providing stimulation in the playroom is important for the child's emotional well-being but does not address the immediate physiological concern of cardiac monitoring.
5. The sugar to which all other sugars are converted during human metabolism is:
- A. sucrose
- B. fructose
- C. glucose
- D. maltose
Correct answer: C
Rationale: Glucose is the primary sugar used by the body for energy and is converted from other sugars during metabolism. Sucrose is a disaccharide composed of glucose and fructose, not the end product of sugar metabolism. Fructose is a simple sugar found in fruits but needs to be converted to glucose for cellular energy. Maltose is a disaccharide composed of two glucose units and is not the final product of sugar metabolism in humans.
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