ATI LPN
PN ATI Capstone Proctored Comprehensive Assessment 2020 B with NGN
1. A nurse is planning a staff education session regarding biological weapons of mass destruction. What should the nurse include in the session?
- A. Rabies, cholera, meningitis
- B. Smallpox, anthrax, botulism
- C. Ebola, hepatitis B, tetanus
- D. Tuberculosis, influenza, measles
Correct answer: B
Rationale: The correct answer is B: Smallpox, anthrax, botulism. These are known biological weapons that can be used in mass casualty situations. Rabies, cholera, and meningitis (Choice A) are not typically used as biological weapons. Ebola, hepatitis B, and tetanus (Choice C) are serious diseases but are not commonly associated with biological warfare. Tuberculosis, influenza, and measles (Choice D) are infectious diseases but are not typically used as biological weapons of mass destruction.
2. Before administering digoxin (Lanoxin) to a client diagnosed with heart failure, the nurse should perform which assessment?
- A. Check the blood pressure.
- B. Obtain an electrocardiogram (ECG).
- C. Assess the apical pulse.
- D. Review the latest electrolyte levels.
Correct answer: C
Rationale: Assessing the apical pulse is crucial before administering digoxin because the medication can lead to bradycardia. Monitoring the apical pulse helps determine the heart rate, and digoxin is typically withheld if the pulse is below 60 beats per minute. This assessment is essential to prevent potential adverse effects associated with digoxin administration. Checking the blood pressure (Choice A) is important but not specific to digoxin administration. Obtaining an electrocardiogram (ECG) (Choice B) may provide valuable information but is not the primary assessment needed before administering digoxin. Reviewing the latest electrolyte levels (Choice D) is important for assessing the overall condition but is not the immediate assessment required before administering digoxin.
3. Which of the following family interactions would the nurse most likely interpret as being atypical?
- A. Mr. R states that he and his brother always had a cordial, though somewhat distant, relationship but that they are now quite close.
- B. Mrs. D describes being a grandparent as 'having all the benefits of having children without the headaches and responsibilities.'
- C. Mr. and Mrs. N had a tumultuous relationship for decades but now appear more at ease with one another.
- D. Mr. A states that his ideal living situation would be himself and his adult son and daughter all under the same roof.
Correct answer: D
Rationale: The correct answer is D. While marital reconciliation, rekindled relationships with siblings, and satisfaction in the role of grandparent are common phenomena among older adults, it is less common for parents and children to see cohabitation as an ideal situation or first preference. Choices A, B, and C reflect common positive family dynamics experienced by older adults, such as improved relationships with siblings, contentment in the grandparent role, and easing of marital tensions over time. On the other hand, choice D stands out as atypical as it suggests an unconventional living arrangement where adult children live with their parent, which is less commonly preferred by older adults.
4. What is the difference between mediation and binding arbitration based on the statement provided?
- A. Mediation is sanctioned by the National Labor Relations Board (NLRB) to formally discuss concerns with management and labor
- B. Mediation uses a trained person to facilitate negotiations without making a final decision
- C. Binding arbitration is a formal process where an arbitrator's decision is final and must be adhered to by both parties
- D. Binding arbitration requires both labor and management to engage in discussions to find the least harmful resolution
Correct answer: C
Rationale: The key difference between mediation and binding arbitration lies in the finality of the decision. In binding arbitration, the arbitrator's decision is ultimate, and both parties are obligated to comply with it. This differs from mediation, where a neutral third party facilitates negotiations but does not make a final decision. Choice A is incorrect as mediation is not necessarily sanctioned by the NLRB; it can be conducted independently. Choice B is incorrect because mediation does not involve a final decision-maker but focuses on facilitating discussions. Choice D is incorrect as binding arbitration does not aim to find the least harmful resolution but rather a final and binding decision by the arbitrator.
5. A client who signed an informed consent form for surgery but has since expressed doubts about the need for surgery is being assisted by a nurse. Which of the following statements should the nurse make?
- A. You should not worry about it
- B. The surgeon will answer your questions before surgery
- C. It’s too late to cancel the surgery
- D. You need to trust the medical team
Correct answer: B
Rationale: The correct answer is B because the nurse should encourage the client to express concerns and ensure that the surgeon addresses any questions prior to the procedure. Choice A is incorrect as it dismisses the client's worries. Choice C is incorrect because it does not respect the client's autonomy in decision-making. Choice D is incorrect as it does not address the client's doubts directly or provide reassurance.
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