ATI LPN
PN ATI Capstone Proctored Comprehensive Assessment B Quizlet Questions
Question 1 of 5
A nurse is providing teaching to a client who has a new prescription for lisinopril. Which of the following statements by the client indicates a need for further teaching?
Correct Answer: C
Rationale: The correct answer is C. Clients taking lisinopril should avoid potassium-rich foods because ACE inhibitors can increase potassium levels, potentially leading to hyperkalemia.
Choices A, B, and D are all correct statements. Clients should notify their doctor if they develop a cough as it can indicate a potential side effect of lisinopril. Avoiding salt substitutes is important as they may contain potassium chloride, which can also raise potassium levels. Monitoring blood pressure regularly is essential when taking an antihypertensive medication like lisinopril.
Question 2 of 5
A nurse is caring for a client who has a nasogastric (NG) tube and is receiving enteral feedings. The client reports feeling nauseated. Which of the following actions should the nurse take first?
Correct Answer: B
Rationale: The correct action for the nurse to take first when a client with a nasogastric tube reports feeling nauseated is to check the client's bowel sounds. This assessment helps the nurse evaluate for possible complications, such as a blockage or decreased gastric motility, that could be causing the nausea. Administering an antiemetic (
Choice
A) should not be the first action without assessing the underlying cause of the nausea. Slowing the rate of the feeding (
Choice
C) may be appropriate but is not the priority until further assessment is done. Placing the client in a supine position (
Choice
D) is not typically indicated for managing nausea in this situation.
Question 3 of 5
A nurse is preparing to insert an indwelling urinary catheter into a female client. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct action for the nurse to take when inserting an indwelling urinary catheter into a female client is to inflate the catheter balloon after urine begins to flow. Inflating the balloon before urine starts flowing can lead to incorrect placement in the urethra, causing trauma. Cleansing the labia and meatus should be done before the insertion, but the crucial step of inflating the balloon should occur after the catheter is correctly placed. Asking the client to bear down is not necessary during catheter insertion.
Question 4 of 5
A nurse is providing teaching to a client who has tuberculosis (TB) and is prescribed rifampin. Which of the following statements should the nurse include in the teaching?
Correct Answer: A
Rationale: The correct answer is A. Rifampin can cause harmless red-orange discoloration of bodily fluids, including urine, sweat, and tears. Clients should be informed about this side effect.
Choice B is incorrect because the duration of rifampin therapy for TB is typically longer than 6 months.
Choice C is incorrect as there is no need to avoid dairy products while on rifampin.
Choice D is incorrect as rifampin does not cause sensitivity to sunlight.
Question 5 of 5
A client has been taking propranolol. Which of the following findings indicates a need to withhold the medication?
Correct Answer: D
Rationale: A pulse of 54/min indicates bradycardia, which is a side effect of propranolol, a beta-blocker. The medication should be withheld if the client's pulse drops below 60/min. The other findings (sodium levels, blood pressure, and potassium levels) are not directly indicative of the need to withhold propranolol.