ATI LPN
PN ATI Capstone Proctored Comprehensive Assessment 2020 A Questions
Question 1 of 5
A nurse is caring for a client who has a new prescription for ergotamine. The nurse should recognize that ergotamine is administered to treat which of the following conditions?
Correct Answer: B
Rationale: Ergotamine is used to treat migraine headaches by constricting blood vessels in the brain.
Therefore, the correct answer is B.
Choice A, Raynaud's phenomenon, is incorrect as ergotamine is not indicated for this condition.
Choice C, Ulcerative colitis, is incorrect as ergotamine is not used to treat this gastrointestinal disorder.
Choice D, Anemia, is incorrect as ergotamine is not prescribed for anemia.
Question 2 of 5
A client is receiving IV gentamicin three times daily. Which of the following findings indicates that the client is experiencing an adverse effect of this medication?
Correct Answer: B
Rationale: The correct answer is B: Proteinuria. Proteinuria can indicate nephrotoxicity, a known adverse effect of gentamicin. Gentamicin is known to cause kidney damage, leading to proteinuria. Hypoglycemia is not typically associated with gentamicin use but may be related to insulin administration or other medical conditions. Nasal congestion is not a common adverse effect of gentamicin. Visual disturbances are also not typically reported with gentamicin use.
Question 3 of 5
A nurse is caring for an older adult client who has a new prescription for amitriptyline to treat depression. Which of the following diagnostic tests should the nurse plan to perform prior to starting the client on this medication?
Correct Answer: C
Rationale: The correct answer is C: Electrocardiogram. Amitriptyline can cause cardiac arrhythmias, so an electrocardiogram is necessary before starting treatment. A hearing examination (choice
A) is not required before initiating amitriptyline. A glucose tolerance test (choice
B) is not indicated for starting this medication. Pulmonary function tests (choice
D) are not necessary before initiating amitriptyline for depression.
Question 4 of 5
A nurse is planning to administer chlorothiazide 20 mg/kg/day PO divided equally and administered twice daily for a toddler who weighs 28.6 lb. The amount available is chlorothiazide oral suspension 250 mg/5 mL. How many mL should the nurse administer per dose? (Round to the nearest tenth)
Correct Answer: A
Rationale:
To find the dose per administration, first convert the toddler's weight to kg: 28.6 lb · 2.2 = 13 kg.
Then calculate the total daily dose: 20 mg/kg 13 kg = 260 mg/day. Since it is divided into two doses, each dose is 130 mg. The concentration of the oral suspension is 250 mg/5 mL = 50 mg/mL.
Therefore, to find the volume needed per dose, divide the dose by the concentration: 130 mg · 50 mg/mL = 2.6 mL per dose. Hence, the nurse should administer 2.6 mL per dose.
Choices B, C, and D are incorrect as they do not accurately calculate the dosage of chlorothiazide needed per dose based on the toddler's weight and the concentration of the oral suspension.
Question 5 of 5
A client with ulcerative colitis has been prescribed sulfasalazine. The nurse should instruct the client to monitor for which of the following adverse effects of this medication?
Correct Answer: A
Rationale: The correct answer is A: Jaundice. Sulfasalazine can cause liver damage as a possible adverse effect, which can manifest as jaundice. Monitoring for jaundice is crucial to detect liver-related adverse effects early.
Choices B, C, and D are incorrect. Constipation, oral candidiasis, and sedation are not typically associated with sulfasalazine use.
Therefore, the nurse should focus on educating the client specifically about monitoring for jaundice.