ATI LPN
ATI Community Health Proctored Exam 2019 Quizlet
1. In the conduct of a census, the method of population assignment based on the actual physical location of the people is termed:
- A. De jure
- B. De locus
- C. De facto
- D. De novo
Correct answer: C
Rationale: The correct term for the method of population assignment based on the actual physical location of the people is 'de facto.' On the other hand, 'de jure' is the method based on the usual place of residence of the people.
2. A nurse is teaching a client about the use of fluoxetine. Which of the following should be included?
- A. It can take several weeks for effects to be noticed
- B. It is an antipsychotic medication
- C. It should be taken at night
- D. It has no side effects
Correct answer: A
Rationale: Corrected Rationale: When educating a client about fluoxetine, it is essential to mention that it can take several weeks for the therapeutic effects to be noticed. This is because fluoxetine is an SSRI that requires time to build up in the body and start producing its intended effects. Choice B is incorrect as fluoxetine is not an antipsychotic medication but an SSRI. Choice C is inaccurate because fluoxetine can be taken at any time of the day, and there is no specific requirement to take it at night. Choice D is incorrect as all medications, including fluoxetine, have potential side effects that should be discussed with the client.
3. A client with a new diagnosis of hypertension is being taught about lifestyle changes. Which of the following statements should the nurse include in the teaching?
- A. You should limit your alcohol intake to no more than one drink per day.
- B. You should increase your sodium intake to at least 2,300 mg per day.
- C. You should limit your physical activity to avoid increasing your blood pressure.
- D. You should avoid eating dairy products to help lower your blood pressure.
Correct answer: A
Rationale: The correct statement to include in teaching a client with hypertension is to limit alcohol intake to no more than one drink per day. Excessive alcohol consumption can raise blood pressure and lead to complications. Increasing sodium intake, limiting physical activity, and avoiding dairy products are not recommended for managing hypertension. Clients with hypertension should follow a heart-healthy diet low in sodium, engage in regular physical activity, and monitor their blood pressure regularly to control hypertension effectively.
4. A client with type 1 diabetes mellitus is experiencing nausea and vomiting. What advice should the nurse give regarding insulin administration?
- A. Skip your insulin dose until you can eat.
- B. Take your insulin as prescribed, but monitor your blood glucose closely.
- C. Reduce your insulin dose by half.
- D. Only take your long-acting insulin.
Correct answer: B
Rationale: The correct advice for a client with type 1 diabetes mellitus experiencing nausea and vomiting is to take insulin as prescribed but monitor blood glucose closely. It is essential to continue insulin therapy even if not eating normally to prevent complications from high blood sugar levels. Skipping insulin doses can lead to dangerous fluctuations in blood glucose levels. Reducing the insulin dose without proper guidance can also result in uncontrolled blood sugar. Taking only long-acting insulin may not provide adequate coverage for mealtime blood sugar elevation. Therefore, the best course of action is to take prescribed insulin doses while closely monitoring blood glucose levels.
5. A client with gout is being taught about dietary management. Which of the following statements by the client indicates an understanding of the teaching?
- A. I should increase my intake of purine-rich foods.
- B. I should decrease my intake of purine-rich foods.
- C. I should increase my intake of sodium-rich foods.
- D. I should decrease my intake of potassium-rich foods.
Correct answer: B
Rationale: The correct answer is B. Decreasing the intake of purine-rich foods is essential in managing gout as purines break down into uric acid, contributing to gout symptoms. Increasing purine-rich foods would exacerbate the condition by increasing uric acid levels. Therefore, choice A is incorrect. Choices C and D are also incorrect as increasing sodium-rich foods (choice C) is not recommended for gout management, and decreasing potassium-rich foods (choice D) is unrelated to gout.
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