ATI RN
ATI Capstone Exam 1 Questions
Question 1 of 5
A nurse is providing discharge teaching to the parent of a child who is prescribed diphenhydramine 25 mg elixir every 4 hours as needed. The amount available is diphenhydramine elixir 12.5 mg/mL. How many mL should the nurse administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 2
Rationale:
Correct
Answer: 2 mL
Rationale:
To calculate the mL per dose, divide the prescribed mg by the concentration in mg/mL. 25 mg ÷ 12.5 mg/mL = 2 mL. This dosage ensures the correct amount of diphenhydramine is administered.
Summary of Other
Choices:
A: Incorrect, as it does not calculate the dosage correctly.
B-G: Irrelevant as they do not provide any calculations or rationale for the correct dosage.
Question 2 of 5
A nurse is caring for a client whose family member requests to view the client’s medical record. Which of the following responses should the nurse make?
Correct Answer: D
Rationale: The correct response is D: The client must provide permission to share the records with you. This is the correct answer because under HIPAA regulations, a client's medical records are confidential and can only be shared with the client's explicit permission. The nurse cannot disclose the records to a family member without the client's consent. Option A is incorrect because the ethics committee does not handle individual requests for medical records. Option B is incorrect as the nursing supervisor cannot release medical records without proper authorization. Option C is incorrect as the healthcare provider cannot share the information without the client's consent.
Question 3 of 5
A nurse is preparing a community health program for adults at risk for cardiovascular disease. Which of the following should the nurse include as a modifiable risk factor?
Correct Answer: D
Rationale: The correct answer is D: Cigarette smoking. Smoking is a modifiable risk factor for cardiovascular disease as individuals can quit smoking to reduce their risk. Family history (
A) and increasing age (
B) are non-modifiable risk factors. Diabetes (
C) is a risk factor but not modifiable in this context. Other choices not provided.
Question 4 of 5
A nurse is providing discharge teaching for a client who has a new prescription for home oxygen. Which of the following instructions should the nurse include in the teaching?
Correct Answer: B
Rationale: The correct answer is B: Do not adjust the oxygen flow rate. It is essential not to adjust the oxygen flow rate as it is prescribed by a healthcare provider based on the client's condition. Incorrectly adjusting the flow rate can lead to inadequate oxygen delivery or oxygen toxicity.
Choice A is incorrect as wool blankets can generate static electricity, which can be dangerous around oxygen.
Choice C is incorrect because oxygen tanks should be stored vertically to prevent accidents.
Choice D is incorrect as oxygen equipment should be checked daily for safety and functionality.
Question 5 of 5
A nurse is attending a social event when another guest coughs weakly once, grasps his throat, and cannot talk. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Perform the Heimlich maneuver. This action is appropriate for a choking individual who is unable to speak, cough weakly, and grasp their throat, indicating a partial airway obstruction. The Heimlich maneuver is designed to dislodge the obstruction by applying abdominal thrusts. This is the most effective intervention in this scenario to clear the airway and restore breathing. Slapping the client on the back (
B) may not effectively remove the obstruction. Mouth-to-mouth resuscitation (
C) is not indicated for a conscious choking person. Observing the client (
D) without taking immediate action can lead to a worsening situation.