ATI LPN
PN ATI Capstone Proctored Comprehensive Assessment Form B
1. When designing a program for young adults regarding safe sexual practices, which strategy might reach the greatest number in the target group?
- A. Web-based applications
- B. Print-based media such as newspapers
- C. Television advertisements
- D. Brochures in kiosks in malls
Correct answer: A
Rationale: Web-based applications are the most effective strategy for reaching young adults in the target group regarding safe sexual practices. Young adults today are highly engaged with mobile technology and the internet, making web-based applications the most accessible and convenient method to disseminate information. Print-based media like newspapers may not have the same reach and engagement among young adults. Television advertisements might reach a broader audience, but they may not be as targeted to the specific demographic of young adults. Brochures in kiosks in malls are less likely to reach a large number of young adults compared to web-based applications, which can be accessed anytime and anywhere through mobile devices.
2. A client at 28 weeks of gestation received terbutaline. Which of the following findings should the nurse expect?
- A. Fetal heart rate 100/min
- B. Weakened uterine contractions
- C. Enhanced production of fetal lung surfactant
- D. Maternal blood glucose 63 mg/dL
Correct answer: B
Rationale: Terbutaline is a tocolytic medication that works by relaxing the uterine muscles, leading to weakened uterine contractions. This effect helps to prevent preterm labor. Therefore, the nurse should expect weakened uterine contractions in a client who has received terbutaline at 28 weeks of gestation. Choices A, C, and D are incorrect. Terbutaline administration would not directly affect the fetal heart rate, enhance fetal lung surfactant production, or cause maternal hypoglycemia.
3. A client has a new prescription for sertraline. Which of the following statements by the client indicates an understanding of the teaching?
- A. I should take this medication at bedtime.
- B. I may experience sexual dysfunction.
- C. I should avoid drinking grapefruit juice.
- D. I may experience weight loss while taking this medication.
Correct answer: B
Rationale: The correct answer is B. Sexual dysfunction is a common side effect of sertraline. When the client mentions this potential side effect, it indicates an understanding of the teaching about the medication's effects. This response shows awareness of a significant adverse effect that the client should be informed about when starting sertraline. Choices A, C, and D are incorrect because taking sertraline at bedtime, avoiding grapefruit juice, or experiencing weight loss are not key teaching points associated with this medication.
4. When determining whether resources were maximized in implementing Ligtas Tigdas, what is being evaluated?
- A. Effectiveness
- B. Efficiency
- C. Adequacy
- D. Appropriateness
Correct answer: B
Rationale: Efficiency is the correct answer because it assesses whether the desired outcomes were achieved with the least amount of resources expended. In the context of Ligtas Tigdas, evaluating efficiency would involve determining if the program goals were met in a cost-effective manner, optimizing the use of resources to achieve the best results.
5. What are key signs of a urinary tract infection (UTI) in older adults?
- A. Confusion and increased temperature
- B. Painful urination and frequent urination
- C. Dizziness and headache
- D. Back pain and fever
Correct answer: A
Rationale: The correct answer is A. In older adults, key signs of a UTI often include confusion and increased temperature. Confusion is a common symptom in the elderly when they have a UTI, and an increase in body temperature can indicate an infection. Choices B, C, and D are incorrect because while painful urination and frequent urination are common UTI symptoms in general, they may not be as prominent in older adults. Dizziness, headache, back pain, and fever can be associated with other conditions but are not typically key signs of a UTI in older adults.
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