ATI RN
ATI Capstone Exam 1 Questions
Question 1 of 5
A nurse is preparing to administer fluconazole 400 mg by intermittent IV bolus daily. Available is fluconazole 400 mg in 0.9% sodium chloride (NaCl) 200 mL to infuse over 2 hours. The nurse should set the IV pump to deliver how many mL/hr? (Round the answer to the nearest tenth/whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 100
Rationale:
Correct
Answer: 100
Rationale:
To calculate the IV pump rate, use the formula: (Volume to be infused in mL) / (Time in hours). In this case, 200 mL over 2 hours. 200 / 2 = 100 mL/hr.
Summary:
A. Incorrect. Not the correct calculation for the IV pump rate.
B. Incorrect. Not the correct calculation for the IV pump rate.
C. Incorrect. Not the correct calculation for the IV pump rate.
D. Incorrect. Not the correct calculation for the IV pump rate.
E. Incorrect. Not the correct calculation for the IV pump rate.
F. Incorrect. Not the correct calculation for the IV pump rate.
G. Incorrect. Not the correct calculation for the IV pump rate.
Question 2 of 5
A nurse is caring for a toddler who is 24 hours postoperative following a cleft palate repair. Which of the following actions should the nurse take?
Correct Answer: C
Rationale:
Correct
Answer: C. Implement a soft diet.
Rationale: A soft diet is appropriate post-cleft palate repair to minimize trauma to the surgical site and promote healing. It helps prevent injury and discomfort to the surgical area, allowing for adequate nutrition without causing harm.
Incorrect
Choices:
A: Applying bilateral wrist restraints is unnecessary and could potentially harm the toddler, leading to increased agitation and discomfort.
B: Administering opioids for pain may not be necessary for a toddler post-cleft palate repair unless there are specific indications for severe pain.
D: Offering fluids through a straw can increase the risk of aspiration and compromise the surgical site's healing process. It is not recommended post-cleft palate repair.
Question 3 of 5
A nurse is caring for a client who develops an airway obstruction from a foreign body but remains conscious. Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: The correct answer is D: Administer the abdominal thrust maneuver. This action should be taken first because it is the appropriate intervention for a conscious individual with an airway obstruction. The abdominal thrust maneuver helps dislodge the foreign body by creating pressure to expel it. Performing a blind finger sweep (
A) can push the object further down the airway. Turning the client to the side (
B) may not effectively clear the airway obstruction. Inserting an oral airway (
C) could worsen the obstruction if not inserted correctly.
Therefore, administering the abdominal thrust maneuver is the priority to clear the airway obstruction in a conscious individual.
Question 4 of 5
A nurse is reviewing the laboratory test results from a client who has prerenal acute kidney injury (AKI). Which of the following electrolyte imbalances should the nurse expect?
Correct Answer: B
Rationale: The correct answer is B: Hyperkalemia. In prerenal AKI, decreased blood flow to the kidneys leads to reduced filtration and impaired excretion of potassium, resulting in hyperkalemia. Hypophosphatemia (
A), hypercalcemia (
C), and hypernatremia (
D) are not typically associated with prerenal AKI. In prerenal AKI, there is usually no significant change in phosphate levels, calcium levels are typically normal or low due to volume depletion, and sodium levels may be normal or decreased due to reduced renal perfusion.
Question 5 of 5
A nurse is assessing a client who has hypothyroidism. Which of the following findings should the nurse expect?
Correct Answer: C
Rationale:
Rationale: Hypothyroidism is characterized by decreased thyroid hormone levels, leading to symptoms such as lethargy due to slowed metabolism. Exophthalmos (bulging eyes) is associated with hyperthyroidism. Photophobia (sensitivity to light) is not a common symptom of hypothyroidism. Weight loss is more indicative of hyperthyroidism due to increased metabolism.
Therefore, the correct answer is C: Lethargy, as it aligns with the expected findings in hypothyroidism.