ATI LPN
PN ATI Capstone Proctored Comprehensive Assessment 2020 B with NGN Questions
Question 1 of 5
A healthcare professional is preparing to administer a dose of hydrocodone. Which of the following should the healthcare professional assess first?
Correct Answer: A
Rationale: When administering hydrocodone, a healthcare professional should assess the respiratory rate first because hydrocodone is an opioid that can lead to respiratory depression. Monitoring the respiratory rate helps to detect any signs of respiratory distress or depression early on. Assessing blood pressure, pain level, or heart rate is also important but not the priority when administering hydrocodone, as the risk of respiratory depression is a more critical concern.
Question 2 of 5
A nurse is teaching a client who is taking prednisone about the adverse effects of this medication. Which of the following should the nurse emphasize?
Correct Answer: C
Rationale: The correct adverse effect of prednisone that the nurse should emphasize is hyperglycemia. Prednisone is known to increase blood sugar levels, leading to hyperglycemia. While weight gain and other metabolic changes are possible side effects, hyperglycemia is a more critical concern due to the risk of uncontrolled blood sugar levels and its impact on overall health. Insomnia and hypertension are not typically associated with prednisone use, making them less relevant to emphasize during client education.
Question 3 of 5
A client has been prescribed enoxaparin. Which of the following instructions should the nurse provide regarding self-administration?
Correct Answer: A
Rationale: The correct answer is to pinch the skin and inject at a 45-degree angle when administering enoxaparin. This technique helps ensure proper administration of the medication. Massaging the injection site after administering is unnecessary and could increase the risk of bleeding. Administering at a 90-degree angle is not recommended for enoxaparin injections. Rotating injection sites is important to prevent tissue damage and irritation.
Question 4 of 5
A client has been prescribed nitroglycerin for chest pain. Which of the following should the nurse include in the teaching?
Correct Answer: B
Rationale: The correct answer is B. Nitroglycerin tablets should be stored in a cool, dark place to maintain their potency. Storing them correctly ensures that they remain effective when needed. Choices A, C, and D are incorrect. Taking one tablet every hour is not the correct dosing regimen for nitroglycerin. Nitroglycerin is usually taken as needed at the onset of chest pain, with specific instructions from the healthcare provider. Taking nitroglycerin with food or antacids is not necessary, as it is usually placed under the tongue for rapid absorption.
Question 5 of 5
A healthcare provider is teaching a client about the use of sertraline. Which of the following should be included?
Correct Answer: C
Rationale: Correct answer: Monitoring for suicidal thoughts is essential when a client is prescribed sertraline, an antidepressant. Choice A is incorrect because weight gain is not typically associated with sertraline. Choice B is incorrect as sertraline is not an antipsychotic medication. Choice D is incorrect because all medications, including sertraline, have potential side effects.
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