ATI LPN
PN ATI Capstone Proctored Comprehensive Assessment 2020 A with NGN
1. A healthcare professional is preparing to administer a dose of naloxone. Which of the following should the healthcare professional assess?
- A. Heart rate
- B. Respiratory rate
- C. Blood pressure
- D. Temperature
Correct answer: B
Rationale: Correct. Naloxone is used to reverse opioid overdose, which can cause respiratory depression. Assessing the respiratory rate before administering naloxone is crucial to monitor the patient's breathing. Choices A, C, and D are important assessments in general patient care but are not specifically crucial before administering naloxone for opioid overdose.
2. A nurse is teaching postoperative care to the parents of a toddler following a cleft palate repair. Which of the following should be included in the teaching?
- A. Provide an orthodontic pacifier for comfort
- B. Offer fluids using a straw
- C. Cleanse the suture line with a cotton-tip swab
- D. Remove elbow splints periodically to perform range of motion
Correct answer: D
Rationale: The correct answer is D. Elbow splints are utilized to prevent the child from touching the surgical site. However, it is essential to remove them periodically to conduct range-of-motion exercises to prevent joint stiffness. Choices A, B, and C are incorrect because providing an orthodontic pacifier, offering fluids using a straw, and cleansing the suture line with a cotton-tip swab are not directly related to postoperative care following a cleft palate repair.
3. A nurse is teaching a client about the use of aspirin. Which of the following should be included?
- A. It can cause drowsiness
- B. It should be taken with food
- C. Monitor for signs of bleeding
- D. It is safe during pregnancy
Correct answer: C
Rationale: The correct answer is C: 'Monitor for signs of bleeding.' Aspirin is known to increase the risk of bleeding, so clients should be monitored for this potential side effect. Choice A is incorrect because aspirin is not typically associated with causing drowsiness. Choice B is not a specific consideration for aspirin use; it is not necessary to take it with food. Choice D is incorrect because aspirin is not considered safe during pregnancy and should be avoided, especially in the third trimester, as it may cause complications for the mother and the baby.
4. A nurse in a mental health facility receives a change-of-shift report on four clients. Which of the following clients should the nurse assess first?
- A. Client placed in restraints for aggressive behavior
- B. A new client with a history of a 4.5 kg weight loss in the past two months
- C. Client who received a PRN dose of haloperidol 2 hours ago for increased anxiety
- D. Client who will be receiving his first ECT treatment today
Correct answer: A
Rationale: A client in restraints due to aggressive behavior needs immediate assessment to ensure safety and well-being. The nurse should assess this client first to address any potential risks, such as circulation issues, skin integrity problems, and ongoing agitation. Choices B, C, and D do not present immediate safety concerns that require urgent assessment compared to a client restrained for aggressive behavior.
5. A nurse is assessing a newborn following a vaginal delivery. Which of the following findings should the nurse report to the provider?
- A. Vernix caseosa
- B. Head circumference of 34 cm
- C. Jaundice at 24 hours of age
- D. Respiratory rate of 50/min
Correct answer: C
Rationale: Jaundice within the first 24 hours of life is considered pathological and may indicate hemolytic disease or another serious condition, requiring further investigation.
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