ATI LPN
ATI Community Health Proctored Exam 2023 Quizlet
1. Which principle is CONTRARY to planning a home visit?
- A. A home visit should have a clear purpose or objective
- B. The plan should be centered around the family's health needs
- C. A home visit should strictly follow RHU guidelines
- D. Involving a responsible family member in continuing care planning is essential
Correct answer: C
Rationale: When planning a home visit, it is crucial for the visit to be tailored to the specific needs of the family. While guidelines are important, they should not restrict the flexibility and practicality of the plan. The plan should adapt to the family's unique circumstances, resources available, and the nurse's assessment, rather than being rigidly bound by preset guidelines.
2. A nurse is caring for a client who is 2 days postoperative following abdominal surgery and has a new prescription for a regular diet. For which of the following findings should the nurse notify the provider?
- A. Presence of bowel sounds
- B. Client reports nausea
- C. Client is vomiting
- D. Absent bowel sounds
Correct answer: D
Rationale: The correct answer is D. Absent bowel sounds are concerning as they indicate potential complications such as ileus, which is a risk after abdominal surgery. The absence of bowel sounds can suggest decreased or absent intestinal motility, which may lead to complications if not addressed promptly. The nurse should notify the provider immediately to assess the situation and intervene accordingly. Choices A and B are common postoperative occurrences and do not necessarily warrant immediate provider notification. Choice C, vomiting, while concerning, may be a common postoperative symptom; however, absent bowel sounds are a more critical finding that requires prompt attention.
3. A client with heart failure is prescribed furosemide (Lasix). Which instruction should the nurse include in the client's teaching plan?
- A. Take the medication before bedtime.
- B. Report any weight gain of more than 2 pounds in a day.
- C. Increase your intake of high-sodium foods.
- D. Limit your fluid intake to less than 1 liter per day.
Correct answer: B
Rationale: In heart failure, fluid retention is a concern. Furosemide helps manage this by promoting diuresis. Instructing the client to report weight gain exceeding 2 pounds in a day is crucial as it can indicate fluid accumulation, prompting timely intervention to prevent worsening heart failure symptoms and complications.
4. A client has a prescription for ciprofloxacin. Which of the following instructions should the nurse include?
- A. Take the medication with an antacid if you experience gastrointestinal upset.
- B. You should limit your caffeine intake while taking this medication.
- C. This medication may cause your urine to turn dark brown.
- D. You should avoid taking this medication with dairy products.
Correct answer: D
Rationale: The correct answer is D: 'You should avoid taking this medication with dairy products.' Ciprofloxacin should not be taken with dairy products as they can interfere with the absorption of the medication. Choice A is incorrect because ciprofloxacin should not be taken with antacids containing aluminum or magnesium. Choice B is incorrect as there is no specific limitation on caffeine intake associated with ciprofloxacin. Choice C is incorrect as ciprofloxacin does not typically cause urine to turn dark brown.
5. What are the key signs of increased intracranial pressure (ICP) that a nurse should monitor for?
- A. Monitor for changes in level of consciousness
- B. Check for pupil dilation
- C. Assess for bradycardia
- D. Monitor for vomiting
Correct answer: A
Rationale: The correct answer is A: 'Monitor for changes in the level of consciousness.' Key signs of increased intracranial pressure (ICP) include changes in the level of consciousness and pupil dilation. Assessing for bradycardia and monitoring for vomiting are not typically considered primary signs of increased ICP. While bradycardia and vomiting can occur with increased ICP, they are not as specific or sensitive as changes in consciousness and pupil dilation.
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