ATI LPN
PN ATI Capstone Proctored Comprehensive Assessment Form A Questions
Question 1 of 5
A nurse is providing discharge teaching to a client with a new prescription for furosemide. Which client statement indicates a need for further teaching?
Correct Answer: D
Rationale: The correct answer is D. Furosemide is a diuretic that does not require a reduction in fish consumption.
Therefore, the statement 'I will limit my intake of fish' indicates a misunderstanding of dietary considerations.
Choices A, B, and C are all appropriate actions related to furosemide therapy. Taking pills with food or milk can help reduce stomach upset, daily weight monitoring is crucial due to the diuretic effect of furosemide, and notifying the nurse about muscle cramps is important as it can be a sign of electrolyte imbalance, a potential side effect of furosemide.
Question 2 of 5
A nurse is caring for a client who has mild anxiety. Which of the following findings should the nurse expect?
Correct Answer: D
Rationale: In mild anxiety, the client is expected to have a heightened perceptual field. This means that their perception is increased, enhancing their awareness and ability to concentrate. Feelings of dread (
Choice
A) are more common in moderate to severe anxiety. Rapid speech (
Choice
B) and purposeless activity (
Choice
C) are more indicative of moderate to severe anxiety where the individual may exhibit signs of agitation and restlessness.
Question 3 of 5
A client with chronic renal failure needs dietary instructions. Which of the following should the nurse provide?
Correct Answer: C
Rationale: The correct answer is to instruct the client to restrict protein intake. In chronic renal failure, the kidneys are unable to effectively filter waste products, so limiting protein helps reduce the buildup of waste in the body. Increasing calcium intake (
Choice
A) is not typically necessary unless there is a specific deficiency. Providing a diet high in potassium (
Choice
B) is contraindicated as potassium levels need to be monitored and controlled in renal failure. Increasing fluid intake (
Choice
D) may be necessary depending on the individual's condition, but restricting protein intake is a more critical dietary instruction for clients with chronic renal failure.
Question 4 of 5
A postpartum client with AB negative blood whose newborn is B positive requires what intervention?
Correct Answer: A
Rationale: The correct intervention is to administer Rh immune globulin within 72 hours of delivery. This is essential to prevent the mother from forming antibodies against Rh-positive blood, which could cause complications in future pregnancies.
Choice B is incorrect as the administration should be immediate postpartum.
Choice C is incorrect as Rh immune globulin is needed for each Rh-incompatible pregnancy.
Choice D is incorrect as only the mother, who is Rh-negative, needs Rh immune globulin.
Question 5 of 5
A nurse is providing teaching to a client with a new diagnosis of diabetes mellitus. Which instruction should the nurse give to the client to monitor for hypoglycemia?
Correct Answer: B
Rationale: The correct answer is B: 'Monitor for diaphoresis.' Diaphoresis, which refers to excessive sweating, is a common symptom of hypoglycemia. It indicates a low blood sugar level and should prompt immediate treatment. Polyuria (excessive urination), abdominal pain, and thirst are not typically associated with hypoglycemia. Polyuria is more commonly linked to hyperglycemia, while abdominal pain and thirst are not specific symptoms of hypoglycemia.