ATI LPN
PN ATI Capstone Proctored Comprehensive Assessment 2020 B with NGN Questions
Question 1 of 5
A client has a new prescription for levothyroxine. What should the nurse teach the client?
Correct Answer: D
Rationale: The correct answer is to take levothyroxine on an empty stomach. This is because levothyroxine should be taken in the morning on an empty stomach to ensure proper absorption. Option A is incorrect because levothyroxine is usually advised to be taken in the morning. Option B is not the priority teaching point as monitoring for hypothyroidism symptoms is ongoing care. Option C is incorrect as levothyroxine should not be taken with calcium supplements as they can interfere with its absorption.
Question 2 of 5
A nurse is caring for a client with a history of hypertension. Which of the following should the nurse monitor?
Correct Answer: B
Rationale: The correct answer is B: Blood pressure. When caring for a client with a history of hypertension, monitoring blood pressure is crucial as it allows the nurse to assess the effectiveness of management and adjust treatment if necessary. Monitoring fluid intake (Choice A) is important for conditions like heart failure, but in hypertension, the focus is primarily on blood pressure. Monitoring serum potassium levels (Choice C) is relevant in clients taking certain medications like diuretics, and weight (Choice D) is important for overall health assessment but is not the primary parameter to monitor in hypertension.
Question 3 of 5
A nurse is preparing to administer a dose of iron supplement. Which of the following should the nurse do?
Correct Answer: B
Rationale: The correct answer is B: Administer it on an empty stomach. Iron supplements are best absorbed on an empty stomach to enhance their absorption. It is important to avoid giving them with milk or dairy products as these can inhibit iron absorption. Checking blood pressure and monitoring for allergic reactions are not directly related to the administration of iron supplements and are not the primary considerations in this case.
Question 4 of 5
A nurse is providing education on the use of corticosteroids. Which of the following should be included?
Correct Answer: A
Rationale: The correct answer is to monitor for signs of hyperglycemia when educating on corticosteroids. Corticosteroids can increase blood glucose levels, making it essential to watch for hyperglycemia, especially in diabetic patients. Choice B is incorrect because corticosteroids should not be abruptly stopped due to the risk of adrenal insufficiency. Choice C is incorrect as corticosteroids are associated with various adverse effects, making long-term use risky. Choice D is incorrect as dehydration is not typically a primary concern directly related to corticosteroid use.
Question 5 of 5
A nurse is teaching a client about the use of nitrofurantoin. Which of the following should be included?
Correct Answer: A
Rationale: The correct answer is A. Nitrofurantoin can cause a harmless brown discoloration of urine. Choice B is also correct as it should be taken with food to enhance absorption. Choice C is incorrect as nitrofurantoin does have side effects, such as gastrointestinal disturbances. Choice D is incorrect as nitrofurantoin is not recommended during the last month of pregnancy due to potential risks to the fetus.