Ati rn capstone proctored post assessment exam
Total Questions : 81
Showing 81 questions
Question 1: Report an IssueReport Wrong Answer
A nurse is assessing a client who is taking losartan.
Which of the following findings should the nurse identify as an
adverse effect of this medication?
A. Hypertension.
B. Double vision.
C. Dizziness.
D. Hyperactivity.
Explanation
Correct Answer : C
Losartan is an angiotensin II receptor blocker (ARB) which works by
preventing angiotensin II from binding to its receptors in vascular smooth
muscle, thereby causing vasodilation and lowering blood pressure.
Hypertension is the condition losartan is prescribed to treat, not an adverse
effect, because its mechanism directly counteracts the vasoconstrictive
effects of angiotensin II. The intended therapeutic effect is a reduction in
systemic vascular resistance and blood pressure.
Double vision, also known as diplopia, is not a recognized common or
significant adverse effect of losartan. The mechanism of action of losartan
primarily targets the renin-angiotensin-aldosterone system (RAAS),
influencing blood pressure regulation and fluid balance, not directly affecting
the central nervous system or ocular motor function. This symptom would be
more indicative of neurological or ophthalmological issues unrelated to the
medication's primary action.
Dizziness is a common adverse effect of losartan. This is a direct
consequence of its therapeutic action, which is to lower blood pressure. The
resulting vasodilation and reduced blood pressure can lead to orthostatic
hypotension, causing feelings of lightheadedness or dizziness, especially
when a person changes positions, like standing up. The brain's reduced
perfusion pressure triggers this sensation as a physiological response.
,to increased energy, restlessness, or hyperactivity. Such a finding would
likely be attributed to other factors or a different underlying condition, not
the pharmacological action of this medication. *.
Discussion Section
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Question 2: Report an IssueReport Wrong Answer
A nurse is teaching a client who has osteoarthritis about joint
protection strategies.
Which of the following instructions should the nurse include?
A. Sit in chairs with low, soft backs.
B. Use both hands to hold objects.
C. Push up from the bed with your fingers.
D. Turn doorknobs clockwise.
Explanation
Correct Answer : B
Sitting in chairs with low, soft backs can worsen osteoarthritis symptoms and
increase joint stress. Low chairs require more force from the hips and knees
to stand up, which can strain these joints. Soft backs provide inadequate
support, leading to poor posture and increased stress on the spine and other
joints. Proper joint protection involves maintaining good posture and
minimizing strain on affected joints.
Using both hands to hold objects distributes the weight and stress evenly
across multiple joints, such as those in both wrists and hands, thereby
reducing the workload on any single joint. This technique minimizes the risk
of joint deformation and pain associated with osteoarthritis by preventing
excessive force from being applied to a single joint, a key principle of joint
protection.
Pushing up from a bed with fingers puts a concentrated, high-impact force on
the small joints of the fingers, which are often affected by osteoarthritis. This
action can lead to pain, inflammation, and potential deformity over time.
Instead, individuals should use their palms or forearms to push up,
distributing the force over a larger, stronger surface area.
Turning doorknobs clockwise or in any specific direction with a forceful grip
can exacerbate joint pain and strain in the fingers and wrist. This motion
,places significant torque on the affected joints. To protect joints, clients
should be advised to use lever-style doorknobs or adaptive devices that
require less grip strength and a different motion. *.
Discussion Section
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Question 3: Report an IssueReport Wrong Answer
A nurse is providing dietary teaching to the guardian of a
preschooler who has celiac disease.
Which of the following foods should the nurse recommend including
in the preschooler's diet?
A. A corn tortilla with black beans.
B. Low sodium vegetable soup with barley.
C. Whole wheat pasta with shrimp.
D. A bologna sandwich on rye bread.
Explanation
Correct Answer : B
Sitting in chairs with low, soft backs can worsen osteoarthritis symptoms and
increase joint stress. Low chairs require more force from the hips and knees
to stand up, which can strain these joints. Soft backs provide inadequate
support, leading to poor posture and increased stress on the spine and other
joints. Proper joint protection involves maintaining good posture and
minimizing strain on affected joints.
Using both hands to hold objects distributes the weight and stress evenly
across multiple joints, such as those in both wrists and hands, thereby
reducing the workload on any single joint. This technique minimizes the risk
of joint deformation and pain associated with osteoarthritis by preventing
excessive force from being applied to a single joint, a key principle of joint
protection.
Pushing up from a bed with fingers puts a concentrated, high-impact force on
the small joints of the fingers, which are often affected by osteoarthritis. This
action can lead to pain, inflammation, and potential deformity over time.
Instead, individuals should use their palms or forearms to push up,
distributing the force over a larger, stronger surface area.
, A
A corn tortilla with black beans is an excellent recommendation for a child
with celiac disease. Corn is a naturally gluten-free grain, making corn tortillas
a safe choice. Black beans are also gluten-free and provide essential protein,
fiber, and iron, which are often deficient in a gluten-free diet. This meal
provides a balanced and safe option for the child.
Low sodium vegetable soup with barley is an inappropriate recommendation
because barley is a grain that contains gluten. Celiac disease is an
autoimmune disorder where the ingestion of gluten leads to damage in the
small intestine. Barley, along with wheat and rye, must be completely
avoided to prevent an immune response and associated symptoms and
intestinal damage.
Whole wheat pasta with shrimp is contraindicated for a child with celiac
disease. Whole wheat is a form of wheat, which is a major source of gluten.
Consuming whole wheat pasta would trigger an autoimmune reaction,
causing inflammation and damage to the small intestinal villi, leading to
malabsorption and a range of gastrointestinal symptoms.
Total Questions : 81
Showing 81 questions
Question 1: Report an IssueReport Wrong Answer
A nurse is assessing a client who is taking losartan.
Which of the following findings should the nurse identify as an
adverse effect of this medication?
A. Hypertension.
B. Double vision.
C. Dizziness.
D. Hyperactivity.
Explanation
Correct Answer : C
Losartan is an angiotensin II receptor blocker (ARB) which works by
preventing angiotensin II from binding to its receptors in vascular smooth
muscle, thereby causing vasodilation and lowering blood pressure.
Hypertension is the condition losartan is prescribed to treat, not an adverse
effect, because its mechanism directly counteracts the vasoconstrictive
effects of angiotensin II. The intended therapeutic effect is a reduction in
systemic vascular resistance and blood pressure.
Double vision, also known as diplopia, is not a recognized common or
significant adverse effect of losartan. The mechanism of action of losartan
primarily targets the renin-angiotensin-aldosterone system (RAAS),
influencing blood pressure regulation and fluid balance, not directly affecting
the central nervous system or ocular motor function. This symptom would be
more indicative of neurological or ophthalmological issues unrelated to the
medication's primary action.
Dizziness is a common adverse effect of losartan. This is a direct
consequence of its therapeutic action, which is to lower blood pressure. The
resulting vasodilation and reduced blood pressure can lead to orthostatic
hypotension, causing feelings of lightheadedness or dizziness, especially
when a person changes positions, like standing up. The brain's reduced
perfusion pressure triggers this sensation as a physiological response.
,to increased energy, restlessness, or hyperactivity. Such a finding would
likely be attributed to other factors or a different underlying condition, not
the pharmacological action of this medication. *.
Discussion Section
A
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Question 2: Report an IssueReport Wrong Answer
A nurse is teaching a client who has osteoarthritis about joint
protection strategies.
Which of the following instructions should the nurse include?
A. Sit in chairs with low, soft backs.
B. Use both hands to hold objects.
C. Push up from the bed with your fingers.
D. Turn doorknobs clockwise.
Explanation
Correct Answer : B
Sitting in chairs with low, soft backs can worsen osteoarthritis symptoms and
increase joint stress. Low chairs require more force from the hips and knees
to stand up, which can strain these joints. Soft backs provide inadequate
support, leading to poor posture and increased stress on the spine and other
joints. Proper joint protection involves maintaining good posture and
minimizing strain on affected joints.
Using both hands to hold objects distributes the weight and stress evenly
across multiple joints, such as those in both wrists and hands, thereby
reducing the workload on any single joint. This technique minimizes the risk
of joint deformation and pain associated with osteoarthritis by preventing
excessive force from being applied to a single joint, a key principle of joint
protection.
Pushing up from a bed with fingers puts a concentrated, high-impact force on
the small joints of the fingers, which are often affected by osteoarthritis. This
action can lead to pain, inflammation, and potential deformity over time.
Instead, individuals should use their palms or forearms to push up,
distributing the force over a larger, stronger surface area.
Turning doorknobs clockwise or in any specific direction with a forceful grip
can exacerbate joint pain and strain in the fingers and wrist. This motion
,places significant torque on the affected joints. To protect joints, clients
should be advised to use lever-style doorknobs or adaptive devices that
require less grip strength and a different motion. *.
Discussion Section
A
0 Pulse Checks
No comments
Question 3: Report an IssueReport Wrong Answer
A nurse is providing dietary teaching to the guardian of a
preschooler who has celiac disease.
Which of the following foods should the nurse recommend including
in the preschooler's diet?
A. A corn tortilla with black beans.
B. Low sodium vegetable soup with barley.
C. Whole wheat pasta with shrimp.
D. A bologna sandwich on rye bread.
Explanation
Correct Answer : B
Sitting in chairs with low, soft backs can worsen osteoarthritis symptoms and
increase joint stress. Low chairs require more force from the hips and knees
to stand up, which can strain these joints. Soft backs provide inadequate
support, leading to poor posture and increased stress on the spine and other
joints. Proper joint protection involves maintaining good posture and
minimizing strain on affected joints.
Using both hands to hold objects distributes the weight and stress evenly
across multiple joints, such as those in both wrists and hands, thereby
reducing the workload on any single joint. This technique minimizes the risk
of joint deformation and pain associated with osteoarthritis by preventing
excessive force from being applied to a single joint, a key principle of joint
protection.
Pushing up from a bed with fingers puts a concentrated, high-impact force on
the small joints of the fingers, which are often affected by osteoarthritis. This
action can lead to pain, inflammation, and potential deformity over time.
Instead, individuals should use their palms or forearms to push up,
distributing the force over a larger, stronger surface area.
, A
A corn tortilla with black beans is an excellent recommendation for a child
with celiac disease. Corn is a naturally gluten-free grain, making corn tortillas
a safe choice. Black beans are also gluten-free and provide essential protein,
fiber, and iron, which are often deficient in a gluten-free diet. This meal
provides a balanced and safe option for the child.
Low sodium vegetable soup with barley is an inappropriate recommendation
because barley is a grain that contains gluten. Celiac disease is an
autoimmune disorder where the ingestion of gluten leads to damage in the
small intestine. Barley, along with wheat and rye, must be completely
avoided to prevent an immune response and associated symptoms and
intestinal damage.
Whole wheat pasta with shrimp is contraindicated for a child with celiac
disease. Whole wheat is a form of wheat, which is a major source of gluten.
Consuming whole wheat pasta would trigger an autoimmune reaction,
causing inflammation and damage to the small intestinal villi, leading to
malabsorption and a range of gastrointestinal symptoms.
