ATI RN
RN ATI Capstone Proctored Comprehensive Assessment Form A Questions
Question 1 of 5
A nurse is preparing to administer aspirin 650mg PO every 12 hr. The amount available is aspirin 325mg tablets. How many tablets should the nurse administer?
Correct Answer: B
Rationale: The correct answer is 2 tablets. Each tablet of aspirin is 325mg. To achieve the required dose of 650mg, the nurse should administer 2 tablets. Choice A (1 tablet) is incorrect because it would only provide 325mg, which is half the required dose. Choices C (3 tablets) and D (4 tablets) are incorrect as they would exceed the required dose.
Question 2 of 5
When administering an IM injection into a client's deltoid muscle, which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is to inject the medication at a 90-degree angle when administering an IM injection into the deltoid muscle. This angle ensures proper delivery of the medication into the muscle tissue. Choice A is incorrect because the gauge of the needle for a deltoid IM injection is usually smaller, around 23-25 gauge. Choices C and D are incorrect as the injection site for the deltoid muscle is approximately 2.54 cm (1 in) below the acromion process, not 12.7 cm (5 in).
Question 3 of 5
A nurse is preparing to administer enoxaparin to a client. Which of the following actions should the nurse plan to take?
Correct Answer: D
Rationale: The correct action when administering enoxaparin is not to expel the air bubble in the prefilled syringe. Expelling the air bubble may lead to the loss of medication and result in an incomplete dose. Aspirating for a blood return (Choice A) is not necessary for subcutaneous injections like enoxaparin. Inserting the needle at a 45-degree angle (Choice B) is not specific to administering enoxaparin. Administering the medication 2.54 cm (1 in) from the umbilicus (Choice C) is not a standard guideline for enoxaparin administration.
Question 4 of 5
A client scheduled for a CT scan of the head with contrast is being taught by a nurse. Which of the following statements by the client indicates a need for further teaching?
Correct Answer: D
Rationale: The correct answer is D because metformin should be held before a contrast CT scan to prevent the risk of kidney damage. Choices A, B, and C are all correct statements regarding the preparation and experience of a CT scan with contrast. It is important to fast before the procedure, keep the head still during the scan, and expect a warm sensation when the dye is injected.
Question 5 of 5
A nurse is caring for a child who is allergic to penicillin. The nurse should verify which of the following prescriptions with the provider?
Correct Answer: B
Rationale: In this scenario, the correct answer is option B) Amoxicillin-clavulanate. This choice is appropriate because it does not contain penicillin and is a suitable alternative for a child allergic to penicillin. Amoxicillin-clavulanate is a combination antibiotic that does not belong to the penicillin class, making it a safe option for the child in this case. Option A) Amphotericin B is an antifungal medication and is not typically used as an alternative to penicillin. Option C) Erythromycin is a macrolide antibiotic, which is also different from penicillin but may not be the most suitable alternative in this case. Option D) Gentamicin is an aminoglycoside antibiotic and is not related to penicillin, but it is not typically used as an alternative for penicillin allergy. In an educational context, understanding drug allergies and suitable alternatives is crucial for nurses to ensure safe and effective care for their patients. It is important for nurses to have a good knowledge of common drug classes, their indications, contraindications, and potential alternatives to provide optimal care for patients with specific needs or allergies.