ATI RN
ATI Capstone Fundamentals Assessment Proctored
1. A healthcare provider is performing a cultural assessment of a group of clients to maintain respect for their value systems and beliefs. Which of the following should the provider identify as examples of cultural variables?
- A. Health literacy, income, gender
- B. Eye contact, personal space, touch
- C. Physical activity, ethnicity, eye contact
- D. Body language, facial expressions, religion
Correct answer: B
Rationale: The correct answer is B: Eye contact, personal space, and touch are cultural variables that can influence healthcare interactions. These factors vary across cultures and can impact how individuals perceive communication and interactions. Choices A, C, and D include elements that are not specifically cultural variables affecting communication and interactions in the same way as eye contact, personal space, and touch.
2. A patient on a low-sodium diet should avoid which of the following foods?
- A. Fresh fruits
- B. Unsalted nuts
- C. Canned soup
- D. Plain rice
Correct answer: C
Rationale: Canned soup is the correct answer. Canned soups are often high in sodium due to added salt and should be avoided on a low-sodium diet. Fresh fruits (Choice A) are typically low in sodium and a good choice for a low-sodium diet. Unsalted nuts (Choice B) are also low in sodium and can be included in a low-sodium diet. Plain rice (Choice D) is a low-sodium food and can be part of a low-sodium diet.
3. A nurse is performing a nutritional evaluation for a client who reports paresthesia of the hands and feet. The nurse should identify this manifestation as an indication of which of the following dietary deficiencies?
- A. Iron
- B. Riboflavin
- C. Vitamin C
- D. Vitamin B12
Correct answer: D
Rationale: Vitamin B12 deficiency can lead to neurological symptoms, including paresthesia (tingling or numbness) of the hands and feet, due to its role in nerve health.
4. A client is prescribed levothyroxine for hypothyroidism. Which of the following findings should indicate to the nurse that the medication is effective?
- A. Decreased heart rate
- B. Increased energy levels
- C. Weight loss
- D. Improved mental clarity
Correct answer: B
Rationale: Increased energy levels are a key indicator of the effectiveness of levothyroxine in treating hypothyroidism. Levothyroxine works to regulate thyroid hormone levels, which can lead to improved energy levels as the body's metabolism is restored. While the other options may also improve with treatment, increased energy levels directly reflect the correction of the thyroid hormone imbalance. Decreased heart rate can be an indicator of overmedication, weight loss can be attributed to increased metabolism but may not directly reflect the effectiveness of levothyroxine, and improved mental clarity is a more general cognitive improvement that may not directly relate to thyroid function.
5. Which of the following is one important factor in sustaining employee satisfaction?
- A. Organization culture
- B. Individual performance
- C. Performance evaluation
- D. Job satisfaction
Correct answer: D
Rationale: Job satisfaction is a crucial factor in sustaining employee satisfaction. Studies have shown that higher levels of job satisfaction lead to lower turnover rates and higher productivity. Choice A, organization culture, is important but focuses more on the overall environment rather than individual satisfaction. Choice B, individual performance, is relevant but doesn't directly address employee satisfaction. Choice C, performance evaluation, is a process rather than a factor in sustaining satisfaction.
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