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ATI LPN · ATI LPN Capstone · PN ATI Capstone Proctored Comprehensive Assessment 2020 A with NGN

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

A nurse is caring for a client prescribed gabapentin. Which of the following should the nurse monitor?

A. Liver function tests
B. Renal function
C. Blood glucose levels
D. Cardiac rhythm

Expert Explanatory Rationale

Correct Answer: Renal function

Question 2 of 5

A nurse is assessing a client who has Parkinson's disease. Which of the following manifestations should the nurse expect?

A. Pruritus
B. Hypertension
C. Bradykinesia
D. Xerostomia

Expert Explanatory Rationale

Correct Answer: Bradykinesia

Question 3 of 5

A nurse is preparing to administer a blood transfusion. Which of the following actions should the nurse take first?

A. Obtain the client's consent
B. Verify the blood type and crossmatch
C. Take baseline vital signs
D. Prime the IV with normal saline

Expert Explanatory Rationale

Correct Answer: Verify the blood type and crossmatch

Question 4 of 5

A client has been prescribed amlodipine for hypertension. Which of the following adverse effects should the nurse instruct the client to report?

A. Dry cough
B. Dizziness
C. Rash
D. Headache

Expert Explanatory Rationale

Correct Answer: Dizziness

Option B: Dizziness is a significant adverse effect of amlodipine that may indicate hypotension or other cardiovascular issues. Clients should be instructed to report dizziness to ensure timely assessment and management of potential complications.

Option A: Dry cough is typically associated with ACE inhibitors, not calcium channel blockers like amlodipine. Therefore, it is not a relevant adverse effect to monitor in this context.

Option C: Rash can occur with various medications, but it is not a common or significant adverse effect of amlodipine. Clients should monitor for other more critical symptoms.

Option D: Headache may occur with amlodipine use but is generally not a serious adverse effect that requires immediate reporting unless it is severe or persistent.

Takeaways: Monitoring for dizziness is crucial when administering amlodipine, as it may indicate hypotension or other serious issues; clients should be educated on the importance of reporting such symptoms to ensure safety and effective management of hypertension. For more information on managing hypertension, refer to CDC guidelines on hypertension.

Question 5 of 5

When educating a patient about gabapentin use, what should the nurse include?

A. It can cause sedation
B. It can be taken with alcohol
C. It is a pain reliever
D. It has no side effects

Expert Explanatory Rationale

Correct Answer: It can cause sedation

Option A: It can cause sedation. Gabapentin is known to have sedative effects, which can impact a patient's ability to perform tasks that require alertness, such as driving. Educating patients about this potential side effect is crucial for their safety and awareness of how the medication may affect them.

Option B: It can be taken with alcohol. Combining gabapentin with alcohol can enhance sedative effects, increasing the risk of respiratory depression and other adverse effects. Patients should be advised to avoid alcohol while taking this medication.

Option C: It is a pain reliever. Gabapentin is primarily used for neuropathic pain and seizures, but it is not classified as a traditional pain reliever like NSAIDs or opioids. This distinction is important for patient understanding of its use.

Option D: It has no side effects. Gabapentin does have side effects, including dizziness, fatigue, and sedation. Providing accurate information about potential side effects is essential for informed patient consent and safety.

Takeaways: Educating patients about gabapentin includes discussing its potential to cause sedation and the importance of avoiding alcohol, as well as clarifying its role in managing neuropathic pain rather than being a conventional pain reliever. For more detailed information, refer to gabapentin patient education resources.

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