ATI LPN
PN ATI Capstone Proctored Comprehensive Assessment 2020 B with NGN Questions
Question 1 of 5
A nurse is assessing a client with a history of heart failure. Which of the following findings should the nurse monitor?
Correct Answer: B
Rationale: The correct answer is B: Peripheral edema. In heart failure, the heart's inability to pump effectively can lead to fluid backup, causing swelling in the extremities, known as peripheral edema. Monitoring for peripheral edema is crucial as it is a common sign of worsening heart failure.
Choices A, C, and D are incorrect because increased energy, elevated heart rate, and improved lung sounds are not typical findings in heart failure. Increased energy is not usually associated with heart failure, an elevated heart rate may occur as a compensatory mechanism but is not a direct sign of heart failure, and improved lung sounds are not expected in heart failure which often presents with crackles or wheezes due to pulmonary congestion.
Question 2 of 5
A client has a new prescription for levothyroxine. What should the nurse teach the client?
Correct Answer: D
Rationale: The correct answer is to take levothyroxine on an empty stomach. This is because levothyroxine should be taken in the morning on an empty stomach to ensure proper absorption. Option A is incorrect because levothyroxine is usually advised to be taken in the morning. Option B is not the priority teaching point as monitoring for hypothyroidism symptoms is ongoing care. Option C is incorrect as levothyroxine should not be taken with calcium supplements as they can interfere with its absorption.
Question 3 of 5
A client is prescribed insulin glargine. Which of the following should the nurse instruct the client to do regarding administration of this medication?
Correct Answer: C
Rationale: The correct answer is C: Administer insulin glargine once daily at bedtime. Insulin glargine is a long-acting insulin that provides a basal level of insulin throughout the day. It should be given at the same time each day, usually at bedtime, to maintain a consistent blood sugar level.
Choices A, B, and D are incorrect. Injecting insulin glargine before a meal (
Choice
A) is not necessary as it is a long-acting insulin. Shaking the insulin vial (
Choice
B) is not recommended as it may cause bubbles to form, affecting the accuracy of the dose. Taking insulin glargine with short-acting insulin (
Choice
D) is not a typical practice as insulin glargine is used for basal insulin coverage.
Question 4 of 5
A nurse is teaching a client about the use of levetiracetam. Which of the following should be included in the teaching?
Correct Answer: B
Rationale: The correct answer is B. Levetiracetam can cause mood changes and behavioral side effects, so clients should be monitored for these effects.
Choice A is incorrect because levetiracetam is not typically associated with weight loss.
Choice C is incorrect as levetiracetam is a prescription medication, not available over the counter.
Choice D is incorrect as all medications, including levetiracetam, have potential side effects.
Question 5 of 5
A client is being taught about the use of metformin. Which of the following should be included?
Correct Answer: A
Rationale: Corrected
Rationale: Metformin should be taken with food to minimize gastrointestinal side effects.
Choice A is the correct answer as taking metformin with meals can help reduce the likelihood of experiencing gastrointestinal side effects like diarrhea and nausea, which are common side effects of metformin.
Choice B is incorrect because metformin actually helps lower blood sugar levels and does not cause hyperglycemia.
Choice C is incorrect as metformin is usually taken twice or even three times a day, not just once daily.
Choice D is incorrect because metformin is an oral medication, not an injectable one.