ATI LPN
ATI Proctored Community Health
1. What is the appropriate action to take if a child is found to have a fever on the day of immunization?
- A. Administer the vaccine as scheduled
- B. Delay the immunization until the fever subsides
- C. Give a lower dose of the vaccine
- D. Administer an antipyretic before the vaccine
Correct answer: B
Rationale: When a child is found to have a fever on the day of immunization, it is recommended to delay the immunization until the fever subsides. This is important to ensure the child's safety and the vaccine's effectiveness. Administering the vaccine with a fever can potentially worsen the child's condition and reduce the vaccine's ability to generate an appropriate immune response.
2. A nurse has provided education to a client regarding prescribed levothyroxine sodium. Which of the following client statements demonstrates understanding of medication administration?
- A. I should take the medication in the morning to prevent insomnia.
- B. I can take the medication at night before bed.
- C. I will stop the medication if I start to feel better.
- D. I will take the medication only when I feel symptoms.
Correct answer: A
Rationale: The correct answer is A. Levothyroxine should be taken in the morning on an empty stomach to prevent insomnia and ensure proper absorption of the medication. Choice B is incorrect because taking levothyroxine at night may interfere with sleep and absorption. Choice C is incorrect as stopping the medication without consulting the healthcare provider can lead to negative health outcomes. Choice D is incorrect because levothyroxine is a daily medication that should be taken consistently, not just when symptoms are present.
3. When planning to perform a sterile dressing change for a client, which of the following actions should a healthcare professional take?
- A. Wear sterile gloves to remove the old dressing.
- B. Cleanse the wound with an antiseptic solution.
- C. Use clean gloves to apply the new dressing.
- D. Open sterile supplies before donning sterile gloves.
Correct answer: D
Rationale: Opening sterile supplies before donning sterile gloves is a critical step in maintaining the sterility of the supplies during a dressing change procedure. By doing so, the healthcare professional ensures that they do not touch non-sterile surfaces with their hands once sterile gloves are worn, reducing the risk of introducing pathogens to the wound and minimizing the potential for contamination.
4. A client with a diagnosis of schizophrenia is being treated with risperidone (Risperdal). Which finding should the nurse report to the healthcare provider immediately?
- A. Weight gain.
- B. Dry mouth.
- C. Muscle rigidity.
- D. Drowsiness.
Correct answer: C
Rationale: Muscle rigidity is a crucial finding to report immediately as it can indicate neuroleptic malignant syndrome (NMS), a rare but potentially life-threatening reaction to antipsychotic medications. NMS is characterized by muscle rigidity, high fever, autonomic dysfunction, and altered mental status. Prompt recognition and intervention are essential to prevent serious complications or death.
5. A nurse in a long-term care facility is assisting with an in-service for newly hired assistive personnel about legal issues within the facility. Which of the following should the nurse include as an example of assault?
- A. Threatening to withhold food from a client
- B. Informing a client about an upcoming procedure
- C. Informing a client about risks of refusing treatment
- D. Informing a client that they will be given an injection against their will
Correct answer: D
Rationale: The correct answer is D because assault involves threatening a client with harm or unwanted procedures. In this scenario, informing a client that they will be given an injection against their will constitutes assault. Choices A, B, and C do not involve the element of threatening harm or unwanted procedures, making them incorrect. Choice A is more related to neglect, choice B is related to informing the client about a procedure, and choice C is related to informed consent and refusal of treatment, not assault.
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