ATI LPN
PN ATI Capstone Proctored Comprehensive Assessment A Questions
Question 1 of 5
A nurse is teaching a newly licensed nurse about contraindications to ceftriaxone. The nurse should include that a severe allergy to which of the following medications is a contraindication to ceftriaxone?
Correct Answer: C
Rationale: The correct answer is C. Ceftriaxone, a cephalosporin antibiotic, has a cross-sensitivity with penicillin antibiotics like piperacillin.
Therefore, a severe allergy to penicillin or penicillin-related antibiotics would be a contraindication to ceftriaxone.
Choices A, B, and D are incorrect because they are not associated with a known cross-sensitivity with ceftriaxone.
Question 2 of 5
A nurse on a medical unit is preparing to administer alendronate 40 mg PO for an older adult client who has Paget's disease of the bone. Which of the following actions should be the nurse's priority?
Correct Answer: A
Rationale: The correct answer is to administer the medication to the client before breakfast in the morning. Alendronate should be taken on an empty stomach before breakfast to ensure optimal absorption.
Choice B is incorrect because assisting the client to a chair is not directly related to the administration of alendronate.
Choice C is incorrect as there is no specific requirement to avoid taking alendronate with milk.
Choice D is also incorrect as the priority at this moment is the correct administration of the medication in the hospital setting.
Question 3 of 5
A nurse is preparing a discharge teaching plan for a client who is to begin long-term oral prednisone for asthma. Which of the following instructions should the nurse include in the plan?
Correct Answer: C
Rationale: When initiating long-term oral prednisone therapy for asthma, it is essential to schedule the medication on alternate days. This approach helps reduce the risk of adverse effects commonly associated with corticosteroid use.
Choice A is incorrect because abrupt discontinuation of prednisone can lead to adrenal insufficiency.
Choice B is incorrect as prednisone should be taken with food to minimize gastrointestinal side effects.
Choice D is incorrect because using an extra dose of prednisone to treat shortness of breath is not appropriate and can lead to overdosing.
Question 4 of 5
A nurse is providing teaching to a client who has cirrhosis and a new prescription for lactulose. The nurse should instruct the client that lactulose has which of the following therapeutic effects?
Correct Answer: D
Rationale: The correct answer is D: Reduces ammonia levels. Lactulose is used to reduce blood ammonia levels in clients with hepatic encephalopathy. Options A, B, and C are incorrect because lactulose does not have the therapeutic effect of increasing blood pressure, preventing esophageal bleeding, or decreasing heart rate.
Question 5 of 5
A nurse is preparing to administer furosemide 4 mg/kg/day PO divided into 2 equal doses daily to a toddler who weighs 22 lb. How many mg should the nurse administer per dose? (Round the answer to the nearest whole number)
Correct Answer: A
Rationale:
To calculate the dosage per dose, first, convert the toddler's weight from pounds to kilograms: 22 lb / 2.2 = 10 kg.
Then, multiply the weight by the dosage: 4 mg 10 kg = 40 mg/day. Since this total daily dose is divided into 2 equal doses, the nurse should administer 20 mg per dose.
Therefore, the correct answer is 20 mg.
Choice B (15 mg) is incorrect because it does not account for the correct weight conversion and dosage calculation.
Choice C (10 mg) is incorrect as it only considers the weight conversion but doesn't multiply it by the dosage.
Choice D (30 mg) is incorrect as it miscalculates the dosage by not dividing the total daily dose into 2 equal parts.