ATI LPN
PN ATI Capstone Proctored Comprehensive Assessment A
1. A nurse on the medical-surgical unit is receiving reports on four clients. Which of the following clients should the nurse assess first?
- A. A client who is receiving warfarin and has an INR of 3.3
- B. A client who has acute kidney injury, creatinine 4 mg/dL, and BUN 52 mg/dL
- C. A client who had an NG tube inserted 6 hours ago and has abdominal distention
- D. A client who is 4 hours postoperative following a thyroidectomy and reports fullness in the throat
Correct answer: D
Rationale: The client who is 4 hours postoperative following a thyroidectomy and reports fullness in the throat should be assessed first. This client may be experiencing airway obstruction due to hematoma or swelling, making it a priority. Options A, B, and C have concerning findings as well, but airway compromise takes precedence over other issues.
2. A client has developed phlebitis at the IV site. What is the most appropriate next step?
- A. Apply a warm compress over the IV site
- B. Notify the provider and discontinue the IV infusion
- C. Increase the IV flow rate to clear the blockage
- D. Elevate the extremity and apply an ice pack
Correct answer: B
Rationale: Phlebitis, inflammation of a vein, is a complication that requires prompt action. The most appropriate next step is to discontinue the IV infusion and notify the healthcare provider. Applying a warm compress, increasing the IV flow rate, or applying an ice pack are not appropriate interventions for phlebitis. Warm compresses may worsen inflammation, increasing the IV flow rate could exacerbate the condition, and ice packs are not recommended for phlebitis.
3. In which individual does negative nitrogen balance occur?
- A. Adult who engages in a weight-training program.
- B. Woman who is pregnant or lactating.
- C. Child who is growing.
- D. Older adult with anorexia.
Correct answer: D
Rationale: Negative nitrogen balance occurs when the body loses more nitrogen than it gains. This imbalance is often seen in conditions like anorexia in older adults, where insufficient protein intake leads to muscle breakdown and negative nitrogen balance. Choices A, B, and C do not typically lead to negative nitrogen balance as seen in anorexia in older adults.
4. Which of the following is the most prominent feature of public health nursing?
- A. Providing home care to sick people who are not confined in the hospital
- B. Providing free services to people within the catchment area
- C. Functioning as part of a team to provide a public health nursing service
- D. Focusing on preventive, not curative services
Correct answer: D
Rationale: The most prominent feature of public health nursing is its focus on preventive services rather than curative ones. Public health nursing aims to prevent diseases and promote health within the community by implementing interventions that target the population as a whole. This focus distinguishes public health nursing from other types of nursing that primarily provide curative care to individuals. Preventive services play a significant role in improving the overall health outcomes of communities and reducing the burden of disease.
5. A patient with depression is prescribed fluoxetine. What is an important side effect for the nurse to monitor?
- A. Weight gain
- B. Bradycardia
- C. Dry mouth
- D. Suicidal thoughts
Correct answer: D
Rationale: When a patient with depression is prescribed fluoxetine, the nurse should be vigilant for the potential side effect of increased risk of suicidal thoughts. Fluoxetine, like other antidepressants, may elevate the risk of suicidal thoughts, particularly during the initial phases of treatment. Monitoring the patient for any indications of heightened depression or suicidal ideation is crucial to ensure appropriate interventions are implemented promptly.
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