ATI LPN
PN ATI Capstone Proctored Comprehensive Assessment Form B Questions
Question 1 of 5
A nurse is providing dietary teaching to a client who is at risk for cardiovascular disease. Which of the following foods should the nurse recommend?
Correct Answer: B
Rationale: Oatmeal is high in fiber, which helps lower cholesterol levels, making it a heart-healthy food option for clients at risk for cardiovascular disease. Fried chicken, bacon, and whole milk are high in saturated fats and cholesterol, which can increase the risk of heart disease and should be limited in the diet of individuals at risk for cardiovascular issues.
Question 2 of 5
A client who has osteoporosis is being discharged with a new prescription for alendronate. Which of the following instructions should the nurse provide?
Correct Answer: B
Rationale: The correct answer is to take the medication with a full glass of water. Alendronate should be taken with a full glass of water to prevent esophageal irritation. Additionally, the client should remain upright for 30 minutes after taking it to prevent potential adverse effects.
Choice A is incorrect because alendronate should not be taken at bedtime, but rather in the morning on an empty stomach.
Choice C is incorrect because alendronate should be taken on an empty stomach, not with food.
Choice D is incorrect because the client should remain upright, not lie down, for 30 minutes after taking the medication.
Question 3 of 5
A client is experiencing suicidal thoughts and states, 'Why not end my misery?' What is the best response by the nurse?
Correct Answer: B
Rationale: The correct answer is B: 'Do you have a plan to end your life?' When a client expresses suicidal thoughts, it is crucial to assess the immediate risk. Inquiring about a specific plan can help determine the seriousness of the situation.
Choice A is less direct and may not provide a clear indication of the immediate risk.
Choice C focuses on the interpretation of 'misery' rather than assessing the risk of suicide.
Choice D offers support but does not address the critical assessment of the client's immediate safety.
Question 4 of 5
A nurse is caring for a client who is 2 hours postpartum following a vaginal birth. The client reports heavy bleeding and passing large clots. What is the priority action for the nurse to take?
Correct Answer: B
Rationale: Performing fundal massage is the priority action to take in this situation. Fundal massage helps stimulate uterine contractions, which can reduce postpartum bleeding. Uterine atony, the most common cause of early postpartum hemorrhage, can be addressed effectively through fundal massage. Administering oxytocin IV, although important, should come after initiating fundal massage. Checking vital signs is also crucial but not the immediate priority. Encouraging the client to void does not directly address the heavy bleeding and passing of large clots; hence, it is not the priority action.
Question 5 of 5
A nurse is caring for a newborn immediately following birth. What should the nurse do first?
Correct Answer: D
Rationale: Drying the newborn is the first priority to prevent heat loss, which can occur rapidly in newborns due to their large surface area and lack of body fat. This helps maintain the newborn's body temperature and prevent hypothermia. Instilling erythromycin ophthalmic ointment, placing identification bracelets, and weighing the newborn can be important steps but should come after ensuring the newborn is dried to maintain their body temperature.