ATI LPN
PN ATI Capstone Proctored Comprehensive Assessment Form A
1. A client with mild persistent asthma is being taught about montelukast by a nurse. Which statement by the client indicates understanding?
- A. I will use this for asthma attacks.
- B. I should take this before exercise.
- C. This medication will decrease swelling and mucus production.
- D. I can stop this medication after 10 days.
Correct answer: C
Rationale: The correct answer is C: 'This medication will decrease swelling and mucus production.' Montelukast is a leukotriene receptor antagonist that works by reducing swelling and mucus production in the airways, helping to manage asthma symptoms in the long term. Choices A, B, and D are incorrect because montelukast is not used for immediate relief during asthma attacks, pre-exercise prophylaxis, or short-term treatment; instead, it is taken regularly for asthma control.
2. In the pediatric ward at Nyamebekyere teaching hospital, when should oxygen be applied to children?
- A. Central cyanosis
- B. Respiratory rate >70 breaths per minute
- C. Grunting noted on assessment
- D. All of the above
Correct answer: D
Rationale: All the listed conditions, central cyanosis, respiratory rate >70 breaths per minute, and grunting on assessment, are indicative of the need for oxygen therapy. Central cyanosis suggests severe hypoxemia, a respiratory rate >70 breaths per minute can indicate respiratory distress, and grunting is a sign of increased work of breathing. Administering oxygen in these situations can help improve oxygenation and support the child's respiratory function, making option D the correct choice.
3. When educating a patient about gabapentin use, what should the nurse include?
- A. It can cause sedation
- B. It can be taken with alcohol
- C. It is a pain reliever
- D. It has no side effects
Correct answer: A
Rationale: The correct answer is A: 'It can cause sedation.' Gabapentin is known to cause sedation, and patients should be advised about this side effect, especially regarding activities that require alertness. Choice B is incorrect because gabapentin should not be taken with alcohol as it can increase the risk of central nervous system depression. Choice C is incorrect because while gabapentin is used to treat nerve pain, it is not classified as a traditional pain reliever. Choice D is incorrect because gabapentin, like any medication, can have side effects, such as dizziness, drowsiness, and fatigue.
4. What is the factor most likely to stimulate digestive secretions?
- A. Smelling or seeing food
- B. Grocery shopping
- C. Fasting
- D. Exercise
Correct answer: A
Rationale: The correct answer is A: Smelling or seeing food. When an individual smells or sees food, it can trigger the body to start producing digestive secretions in anticipation of food consumption. This physiological response helps prepare the digestive system for the incoming meal. Choices B, C, and D are incorrect because grocery shopping, fasting, and exercise do not directly stimulate digestive secretions in the same way that the sight or smell of food does.
5. A nurse is reviewing the plan of care for a client who is undergoing total parenteral nutrition (TPN). Which of the following interventions should the nurse include?
- A. Monitor the client's electrolyte levels daily
- B. Weigh the client daily
- C. Monitor the client's blood glucose levels every 6 hours
- D. Change the TPN tubing every 24 hours
Correct answer: D
Rationale: The correct intervention for the nurse to include in the plan of care for a client undergoing total parenteral nutrition (TPN) is to change the TPN tubing every 24 hours. Changing the tubing at regular intervals helps reduce the risk of infection associated with central venous catheters. Monitoring electrolyte levels daily (Choice A) is important but not specific to TPN. Weighing the client daily (Choice B) is important for monitoring fluid status but not directly related to TPN. Monitoring blood glucose levels every 6 hours (Choice C) is essential for clients receiving TPN, but changing the tubing is a more critical intervention to prevent infections.
Similar Questions
Access More Features
ATI Basic
- 50,000 Questions with answers
- All ATI courses Coverage
- 30 days access @ $69.99
ATI Basic
- 50,000 Questions with answers
- All ATI courses Coverage
- 90 days access @ $149.99