ATI LPN
ATI Community Health Proctored Exam 2019 Quizlet
1. Which of the following individuals should be considered as special targets for family planning?
- A. Individuals with two or more children
- B. Individuals with medical conditions such as anemia
- C. Individuals younger than 20 years or older than 35 years
- D. Individuals who have had a delivery within the past 15 months
Correct answer: D
Rationale: Individuals who have had a delivery within the past 15 months should be considered special targets for family planning because the ideal birth spacing is at least two years. By waiting two years (15 months post-delivery + 9 months of pregnancy), the individual can give their body enough time to recover and reduce potential health risks associated with closely spaced pregnancies.
2. What are the common signs and symptoms of dehydration in the elderly?
- A. Dry mouth, confusion, and decreased skin turgor
- B. Increased heart rate and muscle cramps
- C. Fever, rapid breathing, and increased urine output
- D. Increased thirst and difficulty walking
Correct answer: A
Rationale: Corrected Rationale: Dehydration in the elderly is often signaled by dry mouth, confusion, and decreased skin turgor due to reduced fluid intake. Choice A is the correct answer as these are common signs and symptoms of dehydration in the elderly.\nIncorrect Rationales: Option B (Increased heart rate and muscle cramps) are more associated with conditions like hyperthyroidism or electrolyte imbalances rather than dehydration. Option C (Fever, rapid breathing, and increased urine output) are signs of other medical conditions such as infections or diabetes insipidus. Option D (Increased thirst and difficulty walking) can be seen in various situations but are not specific signs of dehydration in the elderly.
3. A client with gout is prescribed allopurinol. The nurse should instruct the client to discontinue taking the medication for which of the following adverse effects?
- A. Nausea
- B. Metallic taste
- C. Fever
- D. Drowsiness
Correct answer: C
Rationale: The correct answer is C: Fever. Fever can indicate a serious hypersensitivity reaction to allopurinol, known as allopurinol hypersensitivity syndrome, which can be severe and even life-threatening. Nausea and drowsiness are common side effects of allopurinol but not necessarily indications to discontinue the medication. Metallic taste is not typically associated with allopurinol use. Therefore, the nurse should emphasize to the client the importance of reporting any signs of fever promptly for further evaluation and management.
4. Which therapeutic communication technique is being used when the nurse says, 'Tell me more about what you are feeling right now'?
- A. Restating
- B. Clarification
- C. Reflection
- D. Exploration
Correct answer: D
Rationale: The correct answer is D, Exploration. In this scenario, the nurse is using the exploration technique to encourage the patient to elaborate further on their feelings. Exploration involves prompting the patient to delve deeper into their thoughts and emotions, fostering a more comprehensive discussion and understanding of their experiences.
5. How can a healthcare provider prevent deep vein thrombosis (DVT) in post-operative patients?
- A. Encourage early ambulation
- B. Administer anticoagulants
- C. Apply compression stockings
- D. All of the above
Correct answer: D
Rationale: All of the above options are essential in preventing deep vein thrombosis (DVT) in post-operative patients. Encouraging early ambulation helps prevent blood stasis in the lower extremities, reducing the risk of DVT. Administering anticoagulants can prevent blood clots from forming. Compression stockings promote blood flow, reducing the likelihood of clot formation. Each intervention plays a crucial role in DVT prevention, making the correct answer 'All of the above.' Choices A, B, and C are not exclusive of each other but rather work synergistically to provide comprehensive prevention against DVT.
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