ATI RN
ATI Capstone Fundamentals Assessment Proctored
1. A client with diabetes mellitus is receiving discharge instructions about foot care from a nurse. Which statement indicates an understanding of the teaching?
- A. I will soak my feet in hot water daily
- B. I will wear shoes at all times
- C. I will cut my toenails in a rounded shape
- D. I will apply lotion between my toes after bathing
Correct answer: B
Rationale: The correct answer is B: 'I will wear shoes at all times.' This statement demonstrates an understanding of foot care for a client with diabetes. Wearing shoes at all times helps protect the feet, reducing the risk of injury and complications such as wounds or infections. Option A is incorrect because soaking feet in hot water can lead to skin dryness and increase the risk of burns or injury for individuals with diabetes. Option C is incorrect as cutting toenails in a rounded shape can cause ingrown toenails and potential infections. Option D is also incorrect as applying lotion between the toes can create a moist environment, increasing the risk of fungal infections.
2. Theorists who contend that powerful negative events in the first few years cannot be fully overcome by later, more positive ones emphasize __________.
- A. plasticity
- B. stability
- C. nurture
- D. discontinuity
Correct answer: B
Rationale: Theorists who emphasize stability argue that powerful negative events early in life cannot be completely overcome by later, more positive experiences. They believe that early experiences have a lasting impact on development and are not easily erased or reversed by subsequent events. This perspective contrasts with the idea of plasticity, which suggests that development can be influenced by experiences at any point in life, and that individuals have the capacity for change and growth throughout the lifespan. 'Nurture' does not directly address the concept of overcoming negative events, while 'discontinuity' refers to developmental stages being separate and distinct, not the idea that negative events early in life persist despite later positive experiences.
3. The client is on spironolactone (Aldactone). What is the most important dietary instruction?
- A. Avoid foods high in potassium.
- B. Increase intake of foods high in potassium.
- C. Avoid foods high in sodium.
- D. Increase intake of foods high in sodium.
Correct answer: A
Rationale: The correct answer is to avoid foods high in potassium. Spironolactone is a potassium-sparing diuretic, meaning it helps the body retain potassium and can lead to hyperkalemia if too much potassium is consumed. Choices B, C, and D are incorrect because increasing intake of potassium-rich foods can worsen hyperkalemia, while avoiding foods high in sodium is not the primary concern when taking spironolactone.
4. Plant stanols and sterols help to lower LDL cholesterol and are often added to which food product?
- A. margarine
- B. milk
- C. cereal
- D. yogurt
Correct answer: A
Rationale: Plant stanols and sterols are commonly added to margarine to help lower LDL cholesterol levels. Margarine acts as a vehicle for these compounds, making it easier for individuals to incorporate them into their daily diet. While milk, cereal, and yogurt are healthy food options, they are not typically enriched with plant stanols and sterols for cholesterol-lowering purposes, making them less likely candidates as the correct answer.
5. A nurse is preparing to insert an indwelling urinary catheter for a female client. Which of the following actions should the nurse take?
- A. Perform perineal care before the procedure.
- B. Apply sterile gloves before cleansing the perineal area.
- C. Place the client in a supine position.
- D. Lubricate the catheter with alcohol-based gel.
Correct answer: B
Rationale: Before inserting an indwelling urinary catheter for a female client, the nurse should apply sterile gloves before cleansing the perineal area to prevent infection. Performing perineal care before the procedure is incorrect as it should be done after catheter insertion. Placing the client in a side-lying position is not necessary for this procedure. Lubricating the catheter with petroleum jelly is not recommended as it can damage the catheter; using a water-soluble lubricant is preferred.
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