ATI LPN
PN ATI Capstone Proctored Comprehensive Assessment B Quizlet Questions
Question 1 of 5
A nurse is planning an education session for a client who has type 1 diabetes mellitus. Which of the following should the nurse plan to include when teaching the client to monitor for hypoglycemia?
Correct Answer: A
Rationale: The correct answer is A: Diaphoresis. Diaphoresis (sweating) is a classic symptom of hypoglycemia, along with shakiness, confusion, and irritability. These signs help indicate low blood sugar levels. Choices B, C, and D are incorrect. Polyuria (excessive urination), abdominal pain, and thirst are not typical symptoms associated with hypoglycemia. It is crucial for clients with type 1 diabetes mellitus to recognize the early signs of hypoglycemia to take prompt corrective action.
Question 2 of 5
A nurse is planning care for a client who has a new diagnosis of dysphagia. Which of the following foods should be included when initiating feeding?
Correct Answer: B
Rationale: Oatmeal is a soft, easy-to-swallow food, making it appropriate for clients with dysphagia, as it minimizes the risk of aspiration compared to liquids or hard foods. Beef broth (Choice A) is a liquid and may pose a risk of aspiration. Apple juice (Choice C) is a liquid and can also be a choking hazard for individuals with dysphagia. Toast (Choice D) is a hard food that may be difficult for a client with dysphagia to swallow safely.
Question 3 of 5
A nurse receives a change-of-shift report. Which of the following clients should the nurse attend to first?
Correct Answer: C
Rationale: The correct answer is C. Cool feet bilaterally in a client with a long leg cast may indicate compromised circulation, which is a medical emergency that requires immediate intervention. Choices A, B, and D do not present immediate life-threatening conditions. Tingling in the fingers following a thyroidectomy may indicate hypocalcemia but does not require immediate attention. Dark, foul-smelling urine with decreased urine output indicates a possible urinary tract infection or dehydration but can be addressed after attending to the client with compromised circulation. A productive cough and a normal oral temperature do not suggest an urgent condition compared to compromised circulation in a client with a long leg cast.
Question 4 of 5
A client with lactose intolerance, who has eliminated dairy products from the diet, should increase consumption of which of the following foods?
Correct Answer: A
Rationale: Spinach is the correct answer because it is a good source of calcium, which is important for clients with lactose intolerance who are not consuming dairy products. Peanut butter, ground beef, and carrots do not provide as much calcium as spinach and are not the best choices for meeting the calcium needs of clients with lactose intolerance.
Question 5 of 5
A client who is 8 hours postpartum asks the nurse if she will need to receive Rh immune globulin. The client is gravida 2, para 2, and her blood type is AB negative. The newborn's blood type is B positive. Which of the following statements is appropriate?
Correct Answer: B
Rationale: The correct answer is B. Rh-negative mothers who give birth to an Rh-positive baby should receive Rh immune globulin within 72 hours of delivery to prevent the development of antibodies in future pregnancies. Choice A is incorrect because Rh-negative individuals are the ones who require Rh immune globulin. Choice C is incorrect as the administration of Rh immune globulin is time-sensitive and not typically scheduled for a 6-week appointment. Choice D is incorrect because Rh immune globulin is necessary to prevent sensitization regardless of the number of pregnancies.