LPN LPN
PN ATI Capstone Proctored Comprehensive Assessment 2020 B with NGN
1. A community health nurse is teaching a group of clients about first aid for wounds. Which client statement indicates understanding?
- A. Remove blood-saturated dressings
- B. Apply clean dressings over the saturated ones and hold pressure
- C. Elevate the wound above heart level
- D. Leave the wound open to air
Correct answer: B
Rationale: The correct answer is B. Applying clean dressings over blood-saturated ones and holding pressure helps to control bleeding and prevent tissue disruption. Removing blood-saturated dressings can cause further damage by disrupting the forming clot. Elevating the wound above heart level is beneficial to reduce swelling, but it is not the best immediate action for a blood-saturated dressing. Leaving the wound open to air can increase the risk of infection and slow down the healing process.
2. A nurse working in a mobile health clinic is assessing a migrant farm worker. What finding should the nurse identify as a priority?
- A. Report of fatigue and fever
- B. Report of muscle twitching and skin rash
- C. Report of blurred vision
- D. Report of nasal congestion
Correct answer: B
Rationale: Muscle twitching and a skin rash may indicate exposure to pesticides, which requires immediate intervention due to potential toxicity. Fatigue and fever (Choice A) are non-specific symptoms that may indicate various conditions but do not directly indicate pesticide exposure. Blurred vision (Choice C) and nasal congestion (Choice D) are also non-specific symptoms and are less likely to be related to pesticide exposure compared to muscle twitching and a skin rash.
3. A client with a cystocele is encouraged to exercise to strengthen pelvic floor muscles and prevent pelvic organ prolapse. What exercise will the client need to perform?
- A. Kegel exercises
- B. Isometric exercises
- C. Circumduction exercises
- D. Uterine extension exercises
Correct answer: A
Rationale: Corrected Rationale: The client with a cystocele should perform Kegel exercises to strengthen the pelvic floor muscles, reducing the risk of pelvic organ prolapse and stress urinary incontinence. Kegel exercises specifically target the muscles that support the pelvic organs. Isometric exercises focus on static muscle contractions and may not be as effective as Kegel exercises for strengthening the pelvic floor. Circumduction exercises involve circular movements at joints and are not specific to pelvic floor muscle strengthening. Uterine extension exercises do not directly target the pelvic floor muscles and are not indicated for cystocele management.
4. A client has a new prescription for levothyroxine. What should the nurse teach the client?
- A. It should be taken at night
- B. Monitor for symptoms of hypothyroidism
- C. Take it with calcium supplements
- D. Take it on an empty stomach
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.
5. When educating a client about valproic acid, which instruction is essential?
- A. Monitor for rash
- B. Expect weight loss
- C. Consider it safe during pregnancy
- D. Purchase it over-the-counter
Correct answer: A
Rationale: The correct answer is to instruct the client to monitor for rash. Valproic acid can lead to severe skin rashes, and patients must be vigilant to report any rash promptly. Choice B is incorrect as valproic acid is more likely to cause weight gain. Choice C is incorrect because valproic acid is associated with birth defects and should be avoided during pregnancy. Choice D is incorrect as valproic acid is a prescription medication and not available over-the-counter.
Similar Questions
Access More Features
ATI LPN Basic
$69.99/ 30 days
- 50,000 Questions with answers
- All ATI courses Coverage
- 30 days access @ $69.99
ATI LPN Premium
$149.99/ 90 days
- 50,000 Questions with answers
- All ATI courses Coverage
- 30 days access @ $149.99