ATI LPN
ATI PN Comprehensive Predictor 2023 Quizlet
1. What is the most important intervention when managing a client with delirium?
- A. Administer a sedative to reduce agitation
- B. Identify any reversible causes of delirium
- C. Increase environmental stimulation
- D. Limit noise and provide a calm environment
Correct answer: B
Rationale: The correct answer is B: 'Identify any reversible causes of delirium.' When managing a client with delirium, it is crucial to first identify and address any reversible factors contributing to the delirium. Administering sedatives (Choice A) may worsen delirium and is not the primary intervention. Increasing environmental stimulation (Choice C) can exacerbate symptoms. Limiting noise and providing a calm environment (Choice D) are beneficial but not as crucial as identifying reversible causes.
2. A client with heart failure is receiving digoxin (Lanoxin). Which finding indicates that the medication is effective?
- A. Increased heart rate.
- B. Decreased pedal edema.
- C. Elevated blood pressure.
- D. Improved urine output.
Correct answer: B
Rationale: In a client with heart failure, decreased pedal edema is a positive indicator of improved cardiac output and reduced fluid retention. Digoxin works by increasing the strength of the heart's contractions, leading to improved circulation and reduced symptoms of heart failure, such as edema. Monitoring for decreased pedal edema is essential to assess the effectiveness of digoxin therapy. Choices A, C, and D are incorrect because an increased heart rate, elevated blood pressure, and improved urine output are not specific indicators of digoxin's effectiveness in managing heart failure. Instead, the focus should be on improvements related to fluid retention and cardiac function, like decreased pedal edema.
3. A high blood cholesterol level appears to be associated with the development of:
- A. chronic kidney disease.
- B. coronary heart disease.
- C. Alzheimer’s disease.
- D. Addison’s disease.
Correct answer: B
Rationale: A high blood cholesterol level is associated with an increased risk of developing coronary heart disease. Elevated cholesterol levels can lead to the buildup of plaque in the arteries, increasing the risk of heart disease. Choices A, C, and D are incorrect as high blood cholesterol is not primarily linked to chronic kidney disease, Alzheimer’s disease, or Addison’s disease.
4. Major nutrients supplied by foods in the Vegetables group of MyPlate include:
- A. potassium and vitamin A.
- B. iron and vitamin C.
- C. calcium and vitamin B12.
- D. sodium and vitamin E.
Correct answer: A
Rationale: The correct answer is A: potassium and vitamin A. Vegetables are an excellent source of potassium and vitamin A, both essential for maintaining overall health. Iron and vitamin C (choice B) are commonly found in foods from the Protein and Fruits groups, respectively. Calcium and vitamin B12 (choice C) are more abundant in dairy products and animal-based foods. Sodium and vitamin E (choice D) are not the major nutrients typically supplied by vegetables.
5. When teaching about safety risks for adolescents, what should be included?
- A. Adolescents are more likely to follow rules
- B. Peer influence to participate in high-risk behaviors can lead to injury
- C. Most injuries occur during sports activities
- D. Adolescents are aware of the dangers of substance use
Correct answer: B
Rationale: When educating about safety risks for adolescents, it is crucial to address the impact of peer influence on engaging in high-risk behaviors, which can result in injuries. Choice A is incorrect because adolescents are known to sometimes take risks and not always follow rules. Choice C is incorrect as injuries among adolescents can also happen outside of sports activities. Choice D is incorrect as adolescents may not always be fully aware of the dangers of substance use.
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