PN ATI Capstone Proctored Comprehensive Assessment A

Question 1 of 5

A client with rheumatoid arthritis is prescribed long-term prednisone therapy. What adverse effect should the client monitor for according to the nurse's instruction?

A. Stress fractures B. Orthostatic hypotension C. Gingival ulcerations D. Weight loss

Correct Answer: A

Rationale: The correct answer is A: Stress fractures. Long-term prednisone therapy can lead to osteoporosis, which increases the risk of stress fractures. Option B, orthostatic hypotension, is not a common adverse effect associated with prednisone use. Option C, gingival ulcerations, is more commonly associated with conditions like periodontal disease or poor oral hygiene rather than prednisone therapy. Option D, weight loss, is not a typical adverse effect of prednisone; in fact, weight gain is more common due to prednisone's impact on metabolism.

Question 2 of 5

A nurse is preparing to administer lactated Ringer's (LR) 1,000 mL IV to infuse over 8 hr. The drop factor of the manual IV tubing is 10 gtt/mL. The nurse should set the manual IV infusion to deliver how many gtt/min? (Round the answer to the nearest whole number).

A. 21 gtt/min B. 20 gtt/min C. 25 gtt/min D. 18 gtt/min

Correct Answer: A

Rationale:
To calculate the IV infusion rate in gtt/min: 1000 mL / 480 min 10 gtt/mL = 20.83 â‰ˆ 21 gtt/min.
Therefore, the correct answer is A.
Choice B (20 gtt/min) is incorrect because the calculation results in 20.83 gtt/min, rounded to 21.

Choices C (25 gtt/min) and D (18 gtt/min) are incorrect as they are not the closest whole number approximation to the calculated value.

Question 3 of 5

A nurse is providing teaching to a client who has a urinary tract infection and new prescriptions for phenazopyridine and ciprofloxacin. Which of the following statements by the client indicates the need for further teaching?

A. If the phenazopyridine upsets my stomach, I can take it with meals. B. The phenazopyridine will relieve my discomfort, but the ciprofloxacin will get rid of the infection. C. I need to drink 2 liters of fluid per day while I am taking the ciprofloxacin. D. I should notify my provider immediately if my urine turns an orange color.

Correct Answer: D

Rationale: Phenazopyridine can turn the urine orange, which is a normal side effect and not a cause for alarm. The client's statement about notifying the provider immediately if their urine turns orange indicates a need for further teaching because it shows a misunderstanding of the medication's side effects.

Choices A, B, and C demonstrate a good understanding of the prescribed medications and their effects, indicating the client has grasped the teaching provided on those aspects.

Question 4 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?

A. Gentamicin B. Clindamycin C. Piperacillin D. Sulfamethoxazole-trimethoprim

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 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)

A. 20 mg B. 15 mg C. 10 mg D. 30 mg

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.

Nurselytic

ATI LPN

ATI LPN