ATI LPN
PN ATI Capstone Proctored Comprehensive Assessment Form A Questions
Question 1 of 5
When a nurse is interviewing a client who is requesting oral contraceptives, which finding in the client's history is a contraindication to combined oral contraceptives?
Correct Answer: C
Rationale: The correct answer is C: Impaired liver function. Impaired liver function is a contraindication to the use of oral contraceptives because they are metabolized in the liver.
Choices A, B, and D are incorrect. Thyroid disease, allergy to penicillin, and abnormal blood glucose levels are not contraindications to combined oral contraceptives.
Question 2 of 5
A client had a pituitary tumor removed. Which of the following findings requires further assessment?
Correct Answer: D
Rationale: The correct answer is D. Increased urinary output greater than fluid intake can indicate diabetes insipidus, a common complication after pituitary surgery. Diabetes insipidus is characterized by the excretion of a large volume of dilute urine, leading to dehydration and electrolyte imbalances. This finding requires immediate assessment and intervention.
Choice A, a Glasgow scale score of 15, indicates normal neurological functioning.
Choice B, blood drainage on dressing measuring 3 cm, may require monitoring but is not a priority over the potential complication of diabetes insipidus.
Choice C, a report of dry mouth, is a common complaint postoperatively and can be managed with oral care measures.
Question 3 of 5
A nurse is teaching a client who is lactose intolerant about dietary choices. Which food should the nurse recommend to increase calcium intake?
Correct Answer: A
Rationale: The correct answer is A: Spinach. Spinach is rich in calcium, making it a suitable choice for individuals with lactose intolerance who need to avoid dairy products. Peanut butter, ground beef, and carrots are not significant sources of calcium compared to spinach, and therefore, not the best recommendation for increasing calcium intake in lactose-intolerant individuals.
Question 4 of 5
A nurse is reviewing a prescription for doxazosin with a client. Which instruction should the nurse include?
Correct Answer: C
Rationale: The correct answer is C: 'Rise slowly when sitting up.' Doxazosin can cause orthostatic hypotension, a sudden drop in blood pressure when standing up, leading to dizziness or fainting. Instructing the client to rise slowly helps prevent this adverse effect.
Choices A, B, and D are incorrect. A decrease in caloric intake to reduce weight gain, an increase in dietary fiber to prevent constipation, and taking the medication each morning are not specific instructions related to managing the side effects of doxazosin.
Question 5 of 5
A client with preeclampsia is receiving magnesium sulfate intravenously. What action should the nurse take if the client develops toxicity?
Correct Answer: C
Rationale: In cases of magnesium sulfate toxicity, calcium gluconate is the antidote as it helps reverse the effects. Positioning the client supine (
Choice
A) may not directly address magnesium sulfate toxicity. Administering dextrose 5% (
Choice
B) is not the correct intervention for magnesium sulfate toxicity. Methylergonovine IM (
Choice
D) is used to manage postpartum hemorrhage, not magnesium sulfate toxicity.