ATI LPN
PN ATI Capstone Proctored Comprehensive Assessment Form A
1. A nurse is preparing to teach a client about the management of hypoglycemia. Which sign should the nurse instruct the client to monitor for?
- A. Diaphoresis
- B. Polyuria
- C. Abdominal pain
- D. Thirst
Correct answer: A
Rationale: The correct answer is A: Diaphoresis. Diaphoresis, which refers to excessive sweating, is a classic symptom of hypoglycemia. Instructing the client to monitor for diaphoresis is crucial as it can help them recognize and address hypoglycemic events promptly. Polyuria (excessive urination), abdominal pain, and thirst are not typical signs of hypoglycemia. Polyuria is more commonly associated with conditions like diabetes mellitus, while abdominal pain and thirst are not specific indicators of low blood sugar levels.
2. A healthcare provider is educating a new mother on discharge. They told the mother to look for the following danger signs.
- A. Poor Feeding
- B. High Temperature
- C. Convulsions
- D. All of the Above
Correct answer: D
Rationale: It is crucial for new mothers to be aware of potential danger signs after discharge. Poor feeding, high temperature, and convulsions are all critical symptoms that should prompt immediate medical attention. Poor feeding may indicate issues with feeding or underlying health problems. High temperature could be a sign of infection or illness. Convulsions are a serious symptom that could indicate neurological problems or other medical emergencies. By being vigilant and recognizing these signs early, the mother can help ensure the well-being of her newborn. Therefore, the correct answer is 'All of the Above' as all these signs require prompt medical attention to ensure the baby's health and safety.
3. A client with diabetes is being discharged. What is the most important teaching point?
- A. Monitor blood sugar levels once in the morning
- B. Administer insulin before meals as prescribed
- C. Take medication only when feeling unwell
- D. Monitor glucose levels weekly
Correct answer: B
Rationale: The most important teaching point for a client with diabetes being discharged is to administer insulin before meals as prescribed. This is crucial for managing blood sugar levels effectively and preventing complications. Monitoring blood sugar levels once in the morning (Choice A) is not sufficient for proper diabetes management, as levels can fluctuate throughout the day. Taking medication only when feeling unwell (Choice C) is not recommended as diabetes treatment is based on a regular schedule. Monitoring glucose levels weekly (Choice D) is not frequent enough to provide the necessary information for managing diabetes on a day-to-day basis.
4. A healthcare provider decides to put a client who has a psychotic disorder in seclusion overnight because the unit is very short-staffed, and the client frequently fights with other clients. The healthcare provider’s actions are an example of which of the following torts?
- A. Invasion of privacy
- B. False imprisonment
- C. Assault
- D. Battery
Correct answer: B
Rationale: The correct answer is B: False imprisonment. False imprisonment occurs when an individual is intentionally restricted in their freedom of movement without consent and without lawful justification. In this scenario, placing the client in seclusion overnight due to staffing shortages and behavioral issues constitutes false imprisonment as the client is confined against their will. Choice A, invasion of privacy, does not apply as the situation is about physical confinement, not privacy violation. Assault (choice C) involves the threat of harm, which is not the case here. Battery (choice D) refers to the intentional harmful or offensive touching of another person, which is not happening in this scenario.
5. When assisting a client with bilateral casts on her hands with feeding, what action should the nurse take?
- A. Sit at the bedside when feeding the client
- B. Provide pureed foods
- C. Ensure feedings are provided at room temperature
- D. Offer the client a drink of fluid after every bite
Correct answer: A
Rationale: When assisting a client with bilateral casts on her hands with feeding, the nurse should sit at the bedside. This action is crucial to provide the client with the nurse's full attention during the feeding process. Sitting at the bedside helps avoid appearing rushed and ensures a safe and comfortable environment for the client. Choices B, C, and D are incorrect because while they may be relevant in other situations, the priority when assisting a client with bilateral casts on her hands is to ensure proper attention and a comfortable setting during feeding.
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