ATI LPN
PN ATI Capstone Adult Medical-Surgical 1 Quiz Questions
Question 1 of 5
A client with a permanent spinal cord injury is scheduled for discharge. Which of the following client statements indicates that the client is coping effectively?
Correct Answer: A
Rationale: Choice A is the correct answer. This statement demonstrates effective coping as the client is showing acceptance of their disability and planning for the future with realistic goals. Choice B reflects denial of the permanent disability by stating that they will only be in a wheelchair temporarily. Choice C shows distress and a lack of acceptance by questioning why the injury happened and why they are not improving. Choice D indicates feelings of hopelessness and being a burden, which are not signs of effective coping.
Question 2 of 5
A client is at high risk for iron deficiency anemia. Which of the following foods should the nurse instruct the client to increase in their diet?
Correct Answer: C
Rationale: The correct answer is C: Raisins. Raisins are a good source of iron, which can help prevent or address iron deficiency anemia. Yogurt (Choice A) and cheddar cheese (Choice D) are not significant sources of iron. While apples (Choice B) are a healthy fruit, they do not contain as much iron as raisins.
Question 3 of 5
A nurse is providing discharge teaching to a client following a heart transplant. Which of the following information should the nurse include in the teaching?
Correct Answer: B
Rationale: The correct answer is B because shortness of breath is an indication of transplant rejection, along with other manifestations like fatigue, edema, bradycardia, and hypotension. Choice A is incorrect because immunosuppressant medications are usually taken for life to prevent rejection. Choice C is incorrect as the surgical site may take longer to heal fully. Choice D is incorrect as the initiation of exercise post-heart transplant should be gradual and individualized based on the client's condition.
Question 4 of 5
A nurse is providing discharge teaching to a client who is starting to take carbidopa/levodopa to treat Parkinson's disease. Which of the following instructions should the nurse include in the teaching?
Correct Answer: A
Rationale: The correct instruction the nurse should provide is that the medication can cause the client's urine to turn a dark color, which is a harmless effect of carbidopa/levodopa. This is due to the metabolites of levodopa. Immediate relief is not expected after taking the medication because it may take weeks to months to achieve the full therapeutic effect. Taking the medication with a high-protein food is not recommended as protein can interfere with the absorption of levodopa. Skipping a dose of the medication if the client experiences dizziness is incorrect as dizziness may be a side effect of the medication, and doses should not be skipped without consulting a healthcare provider.
Question 5 of 5
A nurse is caring for a client who has increased intracranial pressure (ICP). Which of the following interventions should the nurse implement?
Correct Answer: C
Rationale: Keeping the client's neck in a midline position is essential when caring for a client with increased intracranial pressure (ICP) as it helps promote optimal blood flow and reduces the risk of further increasing ICP. Placing pillows behind the client's head (Choice A) may not be recommended as it could potentially increase ICP. Putting the client in a Sims' position (Choice B) and maintaining hip flexion at a 90° angle (Choice D) are not directly related to managing increased ICP and are not the priority interventions in this situation.