ATI LPN
PN ATI Capstone Proctored Comprehensive Assessment A
1. A nurse is reviewing dietary assessment findings for a client who is Jewish and observes kosher dietary practices. Which of the following behaviors should the nurse expect to find?
- A. Leavened bread may be eaten during Passover
- B. Shellfish is commonly consumed in the diet
- C. Meat and dairy products are eaten separately
- D. Fasting from meat occurs during Hanukkah
Correct answer: C
Rationale: The correct answer is C. According to kosher dietary laws, meat and dairy products cannot be consumed together. This practice stems from the prohibition in Jewish law against cooking a young animal in its mother's milk. Therefore, the nurse should expect to find that meat and dairy products are eaten separately. Choices A, B, and D are incorrect. Leavened bread is not eaten during Passover (Choice A), shellfish is not consumed in the kosher diet (Choice B), and fasting from meat does not occur during Hanukkah (Choice D).
2. An example of government nutrition policy is:
- A. MyPlate Food Guidance System.
- B. Dietary Guidelines for Americans 2010.
- C. Healthy People 2020.
- D. Dietary Reference Intakes (DRIs).
Correct answer: C
Rationale: The correct answer is C: Healthy People 2020. Healthy People 2020 is a government initiative that sets goals for improving the health of Americans, including specific nutritional objectives. Choices A, B, and D are not examples of government nutrition policies. MyPlate Food Guidance System is a visual tool to help individuals make healthy food choices, Dietary Guidelines for Americans 2010 provide evidence-based advice for Americans two years and older, and Dietary Reference Intakes (DRIs) are a set of nutrient reference values.
3. A child is prescribed ferrous sulfate. Which of the following instructions should the nurse include?
- A. Take with meals
- B. Take at bedtime
- C. Take with a glass of milk
- D. Take with a glass of orange juice
Correct answer: D
Rationale: The correct answer is to take ferrous sulfate with a glass of orange juice. Vitamin C, found in orange juice, enhances iron absorption. Taking iron with milk (choice C) is not recommended as it reduces iron absorption. Taking it with meals (choice A) can hinder its absorption due to other food components. Taking it at bedtime (choice B) doesn't affect absorption but might cause gastrointestinal upset in some individuals.
4. A nurse working in a mobile health clinic is assessing a migrant farm worker. What finding should the nurse identify as a priority?
- A. Report of fatigue and fever
- B. Report of muscle twitching and skin rash
- C. Report of blurred vision
- D. Report of nasal congestion
Correct answer: B
Rationale: Muscle twitching and a skin rash may indicate exposure to pesticides, which requires immediate intervention due to potential toxicity. Fatigue and fever (Choice A) are non-specific symptoms that may indicate various conditions but do not directly indicate pesticide exposure. Blurred vision (Choice C) and nasal congestion (Choice D) are also non-specific symptoms and are less likely to be related to pesticide exposure compared to muscle twitching and a skin rash.
5. What are the primary causes of respiratory acidosis?
- A. Hypoventilation and lung disease
- B. Hyperventilation and pneumonia
- C. Increased oxygen saturation and tachypnea
- D. Dehydration and hypoxia
Correct answer: A
Rationale: The correct answer is A: Hypoventilation and lung disease. Respiratory acidosis occurs when there is an accumulation of CO2 in the body due to inadequate ventilation. Hypoventilation, which reduces the elimination of CO2, and lung diseases that impair gas exchange are the primary causes. Choice B is incorrect because hyperventilation, not hypoventilation, leads to respiratory alkalosis, not acidosis. Choice C is incorrect because increased oxygen saturation and tachypnea do not directly cause respiratory acidosis. Choice D is incorrect as dehydration and hypoxia do not typically lead to respiratory acidosis.
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