ATI RN
ATI RN Capstone Proctored Comprehensive Assessment A Questions
Extract:
Question 1 of 5
A nurse is teaching a client who has a new prescription for levothyroxine (T4) about thyrotoxicosis. The nurse should instruct the client to monitor and report which of the following findings?
Correct Answer: C
Rationale: The correct answer is C: Fever. Thyrotoxicosis is a condition characterized by excessive thyroid hormone levels, leading to symptoms such as increased metabolism and body temperature, which can manifest as fever. The client should monitor and report fever as it may indicate worsening of the condition. Weight gain (
A) is not typically associated with thyrotoxicosis, as it usually causes weight loss. Bradycardia (
B) is a symptom of hypothyroidism, not thyrotoxicosis. Drowsiness (
D) is also not a common symptom of thyrotoxicosis, which is more likely to cause insomnia or restlessness.
Question 2 of 5
A nurse is teaching a client who has GERD about appropriate dietary choices. Which of the following food choices by the client indicates an understanding of the teaching?
Correct Answer: D
Rationale: The correct answer is D: Bran cereal. This choice is appropriate for a client with GERD because bran cereal is high in fiber which helps with digestion and can reduce symptoms of GERD. Fried chicken (
A) is high in fat and can trigger GERD symptoms.
Tomato soup (
B) is acidic and can worsen GERD. Hot cocoa (
C) is also acidic and can irritate the esophagus. In summary, bran cereal is the best choice as it is low in fat and acidity, making it a suitable option for someone with GERD.
Question 3 of 5
A nurse is teaching a client who has a new prescription for oral prednisone about minimizing the adverse effects of the medication. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: D
Rationale: The correct answer is D: "I will take a walk every day." Walking daily helps counteract some of the adverse effects of prednisone, such as weight gain, muscle weakness, and bone loss. Physical activity also helps improve mood and overall well-being.
Choice A is incorrect because prednisone should be taken with food to minimize stomach irritation.
Choice B is incorrect because aspirin can interact with prednisone and increase the risk of gastrointestinal bleeding.
Choice C is incorrect because reducing the dosage of prednisone during times of stress can lead to adrenal insufficiency.
Question 4 of 5
A nurse is teaching a client who is at 20 weeks of gestation about how to manage heartburn. Which of the following instructions should the nurse include?
Correct Answer: C
Rationale: The correct answer is C: Sip carbonated beverages throughout the day. Carbonated beverages can help alleviate heartburn by promoting burping and reducing stomach acidity. This is beneficial for managing heartburn during pregnancy without causing harm to the fetus.
A: Lying down after meals can worsen heartburn by allowing stomach acid to flow back up the esophagus.
B: Eating a high-fat snack at bedtime can trigger heartburn due to delayed digestion and increased stomach acid production.
D: Hot herbal tea may aggravate heartburn symptoms as it can relax the lower esophageal sphincter, allowing acid to reflux.
Overall, option C is the most appropriate choice for managing heartburn during pregnancy.
Question 5 of 5
A nurse is performing an admission assessment of a school-age child who has spina bifida. The parent states that the child is allergic to latex. The nurse should assess further for cross-sensitivity to which of the following foods?
Correct Answer: B
Rationale: The correct answer is B: Bananas. This is because individuals allergic to latex may also exhibit cross-sensitivity to certain fruits such as bananas due to shared allergenic proteins. This phenomenon is known as latex-fruit syndrome. Bananas contain similar proteins to those found in latex, leading to potential allergic reactions in susceptible individuals. Almonds, strawberries, and hazelnuts are not commonly associated with latex cross-sensitivity.
Therefore, the nurse should prioritize assessing the child's potential sensitivity to bananas to ensure proper management and avoid potential allergic reactions.