ATI LPN
PN ATI Capstone Proctored Comprehensive Assessment 2020 B with NGN
1. A nurse is teaching a client about the use of levetiracetam. Which of the following should be included in the teaching?
- A. It can cause weight loss
- B. Monitor for mood changes
- C. It is an over-the-counter medication
- D. It has no side effects
Correct answer: B
Rationale: The correct answer is B. Levetiracetam can cause mood changes and behavioral side effects, so clients should be monitored for these effects. Choice A is incorrect because levetiracetam is not typically associated with weight loss. Choice C is incorrect as levetiracetam is a prescription medication, not available over the counter. Choice D is incorrect as all medications, including levetiracetam, have potential side effects.
2. A client has a new diagnosis of GERD. Which of the following statements should the nurse include in the teaching about dietary management?
- A. You should increase your intake of high-fat foods.
- B. You should decrease your intake of high-fat foods.
- C. You should avoid foods that contain gluten.
- D. You should increase your intake of dairy products.
Correct answer: B
Rationale: The correct answer is to decrease the intake of high-fat foods. High-fat foods can exacerbate symptoms of GERD by delaying stomach emptying and increasing the risk of reflux. By reducing high-fat foods in the diet, the client can help manage symptoms of GERD and decrease the likelihood of complications. Choice A is incorrect because increasing high-fat foods can worsen GERD symptoms. Choice C is unrelated as gluten is not a specific concern for GERD. Choice D is incorrect as increasing dairy products may lead to increased fat intake, which is not recommended for GERD.
3. When performing CPR on an infant with suspected sudden infant death syndrome (SIDS), an important aspect to consider is:
- A. Focusing all of your attention on the infant, with minimal parental interaction.
- B. Carefully inspecting the environment in which the infant was found.
- C. Understanding that most infants with SIDS can be successfully resuscitated.
- D. Encouraging the presence of the parents during your resuscitation attempt.
Correct answer: B
Rationale: When dealing with a suspected case of SIDS, it is crucial to carefully inspect the environment in which the infant was found. This inspection can provide valuable information that may help determine the cause and support further investigation into the incident. By examining the surroundings, potential hazards or clues related to the sudden event may be identified, aiding in understanding the circumstances and potentially preventing similar incidents in the future.
4. A nurse is preparing to administer a dose of insulin. Which of the following should the nurse do first?
- A. Check the expiration date
- B. Verify the client's blood glucose level
- C. Obtain the client's weight
- D. Assess for signs of hypoglycemia
Correct answer: B
Rationale: The correct answer is to verify the client's blood glucose level first before administering insulin. This step is crucial to determine the appropriate dose of insulin based on the client's current blood glucose level. Checking the expiration date (Choice A) is important but not the first step in this scenario. Obtaining the client's weight (Choice C) is not directly related to the immediate administration of insulin. Assessing for signs of hypoglycemia (Choice D) should be done after administering insulin to monitor for potential side effects or adverse reactions.
5. A nurse is contributing to the plan of care for a client following a transurethral resection of the prostate (TURP). Which of the following interventions should the nurse include?
- A. Administer antibiotics
- B. Irrigate the bladder using sterile technique
- C. Avoid irrigating the bladder
- D. Insert a urinary catheter
Correct answer: B
Rationale: Irrigating the bladder using sterile technique is crucial in the care of a client following a transurethral resection of the prostate (TURP). This intervention helps prevent infection and maintains patency of the urinary catheter, promoting healing. Administering antibiotics (Choice A) may be necessary if there is an infection present, but it is not a routine intervention following TURP. Avoiding bladder irrigation (Choice C) is not recommended as it can lead to clot retention and other complications. Inserting a urinary catheter (Choice D) is usually already done during the TURP procedure and is not a postoperative intervention.
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