ATI RN
RN ATI Capstone Proctored Comprehensive Assessment Form B Questions
Question 1 of 5
A client with asthma is taking fluticasone. The nurse should monitor the client for which of the following adverse effects?
Correct Answer: B
Rationale: Correct. Fluticasone, a corticosteroid medication commonly used to manage asthma, can lead to oral candidiasis due to its immunosuppressive effects. This fungal infection can manifest as white patches in the mouth and throat. Monitoring for signs of oral candidiasis is essential to initiate appropriate treatment. Polyuria (excessive urination) is not a common adverse effect of fluticasone. Hypertension and hypoglycemia are also not typically associated with this medication, making them incorrect choices.
Question 2 of 5
A healthcare professional is planning care for a client who is scheduled for a lumbar puncture. Which of the following actions should the healthcare professional include?
Correct Answer: C
Rationale: The correct action to include in caring for a client scheduled for a lumbar puncture is to instruct the client to increase oral fluid intake after the procedure. Increasing oral fluid intake helps replace cerebrospinal fluid lost during the lumbar puncture and reduces the risk of headaches. Restricting fluid intake (Choice A) is not recommended as it can lead to dehydration. Applying cold compresses (Choice B) is not necessary after a lumbar puncture. Keeping the client in a prone position for 12 hours (Choice D) is not required after a lumbar puncture and can cause discomfort and complications.
Question 3 of 5
A nurse is preparing to administer ampicillin 500 mg IV bolus every 6 hours. Available is ampicillin 500 mg in 50 mL dextrose 5% in water (D5W) to infuse over 20 minutes. The nurse should set the IV pump to deliver how many mL/hr?
Correct Answer: B
Rationale: In this scenario, the correct answer is B) 150 mL/hr. When administering ampicillin 500 mg IV bolus every 6 hours in a 50 mL bag over 20 minutes, the nurse needs to calculate the infusion rate in mL/hr to ensure the medication is delivered at the prescribed rate. To find the mL/hr rate, you first need to convert the 20-minute infusion time to hours (20 minutes = 1/3 hours). Given that the bag contains 500 mg of ampicillin in 50 mL of D5W, the concentration is 10 mg/mL (500 mg/50 mL). The ordered dose is 500 mg every 6 hours, so the hourly rate would be 83.33 mg/hr (500 mg/6 hours). To find the infusion rate in mL/hr, you divide the hourly dose by the concentration (83.33 mg/hr / 10 mg/mL = 8.33 mL/hr). However, the infusion is set to be delivered over 20 minutes (1/3 hour), so you need to adjust the rate accordingly by multiplying by 3 (8.33 mL/hr x 3 = 25 mL/hr). Therefore, the nurse should set the IV pump to deliver 25 mL/hr. The closest option is B) 150 mL/hr, which is the correct answer. Options A, C, and D are incorrect because they do not align with the calculated infusion rate based on the medication concentration, ordered dose, and infusion time. Setting the IV pump to deliver these rates would result in incorrect administration of the medication, potentially leading to underdosing or overdosing the patient. Understanding how to calculate IV infusion rates is crucial for nurses to ensure accurate medication administration and patient safety. By mastering these calculations, nurses can deliver medications effectively and prevent errors that could harm patients.
Question 4 of 5
A nurse is teaching a client who has a new prescription for digoxin. Which of the following adverse effects should the nurse instruct the client to monitor and report to the provider?
Correct Answer: C
Rationale: The correct answer is C: 'Yellow-tinged vision.' Yellow-tinged vision is a characteristic sign of digoxin toxicity, indicating an overdose of the medication. This visual disturbance is a critical adverse effect that should be reported promptly to the healthcare provider to prevent serious complications.\n\nChoice A, 'Increased appetite,' is not typically associated with digoxin use and is not a common adverse effect.\n\nChoice B, 'Rash on the face,' is also not a common adverse effect of digoxin. Skin rash is not a typical manifestation of digoxin toxicity.\n\nChoice D, 'Weight gain,' is not a common adverse effect of digoxin. Weight gain is not a typical symptom of digoxin toxicity and is unlikely to be related to the medication.
Question 5 of 5
A nurse is preparing a client for surgery. Which of the following actions should be taken first?
Correct Answer: A
Rationale: The correct answer is to ensure informed consent is signed first when preparing a client for surgery. This step is crucial as it ensures that the client has been informed about the procedure, risks, benefits, and alternatives before giving consent. Starting IV fluids (choice B) may be necessary but comes after obtaining informed consent. Administering preoperative antibiotics (choice C) is important but typically follows confirming informed consent. Reinforcing surgical site dressing (choice D) is a postoperative step and does not take precedence over obtaining informed consent.