ATI LPN
PN ATI Capstone Proctored Comprehensive Assessment Form B
1. What is an example of a culturally sensitive response from a healthcare provider when a patient mentions feeling uncomfortable with a treatment plan?
- A. Asking why they feel this way
- B. Explaining that the treatment is standard
- C. Inviting the patient to share concerns
- D. Offering alternative treatments
Correct answer: C
Rationale: Inviting the patient to share concerns is an example of a culturally sensitive response as it acknowledges the patient's feelings and provides a safe space for them to express their discomfort. This approach shows respect for the patient's cultural beliefs and values by valuing their perspective. Choice A, asking why they feel this way, can be perceived as confrontational and may not encourage open communication. Choice B, explaining that the treatment is standard, dismisses the patient's feelings and does not address their discomfort. Choice D, offering alternative treatments, may be premature without fully understanding the patient's concerns first.
2. A patient with chronic heart failure is prescribed carvedilol. What is the primary purpose of this medication?
- A. Increase cardiac output
- B. Reduce fluid retention
- C. Decrease heart rate
- D. Lower blood pressure
Correct answer: C
Rationale: Carvedilol, a beta-blocker, is primarily prescribed in patients with chronic heart failure to decrease heart rate and reduce the workload on the heart. By lowering the heart rate, carvedilol helps the heart function more efficiently and improves symptoms in patients with heart failure.
3. A nurse is providing teaching to an adolescent who has type 1 diabetes mellitus. Which of the following goals should the nurse include in the teaching?
- A. HbA1c level greater than 8%.
- B. Blood glucose level greater than 200 mg/dL at bedtime.
- C. Blood glucose level less than 60 mg/dL before breakfast.
- D. HbA1c level less than 7%.
Correct answer: D
Rationale: The correct answer is D. An HbA1c level less than 7% indicates good long-term glucose control for clients with diabetes. This goal reflects optimal glycemic control and reduces the risk of long-term complications. Choices A, B, and C are incorrect because they do not represent appropriate goals for managing type 1 diabetes in an adolescent. An HbA1c level greater than 8% (choice A) signifies poor glucose control, while a blood glucose level greater than 200 mg/dL at bedtime (choice B) and a blood glucose level less than 60 mg/dL before breakfast (choice C) are not within the target ranges for safe and effective diabetes management.
4. In a study on the factors contributing to the high mortality rate due to heart diseases in the municipality, which branch of epidemiology is being practiced?
- A. Descriptive
- B. Analytical
- C. Therapeutic
- D. Evaluation
Correct answer: B
Rationale: Analytical epidemiology focuses on studying factors or determinants that affect the patterns of disease occurrence and distribution in a community. In this scenario, the nurse is analyzing various factors contributing to the high mortality rate due to heart diseases, which aligns with the principles of analytical epidemiology.
5. What is the term for a condition where there is a failure of the pituitary to produce sufficient growth hormone to sustain normal growth in children, with 80% of cases being idiopathic? It may present with familial patterns, affecting males more than females.
- A. Cretinism
- B. Growth hormone deficiency
- C. Hypothyroidism
- D. Precocious puberty
Correct answer: B
Rationale: Growth hormone deficiency refers to a condition where there is inadequate production of growth hormone by the pituitary gland. This results in impaired growth in children. While 80% of cases are of unknown cause (idiopathic), some may have familial patterns. It is more common in males than females. Cretinism is a condition of severe hypothyroidism during infancy, not related to growth hormone. Hypothyroidism is a disorder involving low thyroid hormone levels, and precocious puberty is the early onset of puberty. Therefore, the correct answer is 'Growth hormone deficiency.'
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