ATI LPN
PN ATI Capstone Proctored Comprehensive Assessment B Quizlet Questions
Question 1 of 5
A client with chronic kidney disease is being educated by a nurse about managing their condition. Which of the following statements shows an understanding of the teaching?
Correct Answer: A
Rationale: The correct answer is A. Clients with chronic kidney disease often develop anemia due to reduced erythropoietin production, leading to decreased red blood cell production. Iron supplementation is frequently required to enhance red blood cell production.
Choices B, C, and D are incorrect because in chronic kidney disease, there is a need to restrict phosphorus intake, control carbohydrate intake for blood sugar management, and monitor electrolytes and fluid balance rather than blood glucose levels.
Question 2 of 5
A nurse is providing discharge instructions to a client following a below-the-knee amputation. Which of the following instructions should the nurse include?
Correct Answer: A
Rationale: The correct answer is to instruct the client to avoid sitting in a chair for prolonged periods. This is important to prevent contractures from developing in the residual limb. Sleeping with a pillow under the residual limb can contribute to contracture formation rather than prevent it. While elevation of the limb is important for reducing swelling and promoting circulation, continuous elevation for 48 hours is not necessary and may not be practical. Applying lotion to the residual limb daily is generally not recommended immediately post-amputation as the wound site needs to heal without interference from lotions or creams.
Question 3 of 5
A nurse is planning to administer an injection of morphine to a client. Which of the following actions should the nurse take to ensure client safety?
Correct Answer: D
Rationale: The correct answer is to have naloxone available in case of respiratory depression. Morphine is an opioid that can lead to respiratory depression, especially in higher doses. Naloxone is the antidote for opioid overdose and should be readily accessible when administering morphine to reverse respiratory depression if it occurs. Instructing the client to take a deep breath during administration (choice
A) is not directly related to ensuring safety in this scenario. Administering the medication over 30 seconds (choice
B) may help with the comfort of the client but does not address the potential risk of respiratory depression. Verifying the client's pain level (choice
C) is important but not the primary action to ensure safety when administering morphine.
Question 4 of 5
A client with heart failure is receiving discharge teaching. Which statement by the client indicates an understanding of the teaching?
Correct Answer: D
Rationale: The correct answer is D. Swelling in the feet can indicate worsening heart failure due to fluid retention, and clients should report this to their healthcare provider immediately.
Choices A, B, and C are incorrect because weighing once a week may not provide timely information on fluid retention, timing of diuretic medication is usually advised in the morning to prevent nocturia, and limiting fluid intake to 3 liters per day may not be appropriate for all clients with heart failure.
Question 5 of 5
A client who has a new prescription for simvastatin is receiving teaching from a nurse. Which of the following client statements indicates an understanding of the teaching?
Correct Answer: B
Rationale: The correct answer is B. Grapefruit juice can increase the risk of toxicity with simvastatin, so clients should avoid consuming it while on the medication.
Choice A is incorrect because the timing of medication administration should be based on healthcare provider instructions.
Choice C is incorrect because simvastatin is prescribed to lower cholesterol levels.
Choice D is incorrect as monitoring kidney function is not specifically related to simvastatin therapy.