ATI RN
ATI Capstone Exam 2 Final Questions
Extract:
Question 1 of 5
A charge nurse is admitting a client who has bipolar disorder and who is in the manic phase. Which of the following room assignments should the nurse give the client?
Correct Answer: A
Rationale: The correct answer is A: A private room in a quiet location on the unit. This is the best choice as it provides a calm and controlled environment which is essential for managing manic symptoms. Manic clients often have heightened energy levels, decreased need for sleep, and can be easily distracted. Placing them in a private room away from potential triggers like noise and distractions can help reduce stimulation and promote rest.
Choice B: A private room across from the exercise room may lead to increased activity and agitation, worsening manic symptoms.
Choice C: A semi-private room across from the day room may expose the client to high levels of activity and social interactions, which can exacerbate manic behaviors.
Choice D: A semi-private room across from the snack area may lead to increased impulsivity and unhealthy eating habits, which are common in manic episodes.
In summary, choice A is the best option as it provides a quiet and controlled environment to help manage manic symptoms effectively.
Question 2 of 5
A nurse is teaching a client about the uses of chamomile. Which of the following information should the nurse include in the teaching?
Correct Answer: A
Rationale: The correct answer is A: Chamomile may act as a calming agent. Chamomile is commonly used for its calming and relaxing properties, making it beneficial for reducing stress, anxiety, and promoting sleep. It is often consumed as a tea or used in aromatherapy for its soothing effects.
Summary of why other choices are incorrect:
B: Chamomile does have anti-inflammatory properties, but they are more commonly used for skin conditions like eczema and dermatitis, not cholesterol.
C: Chamomile is not known to decrease cholesterol levels.
D: Chamomile is commonly used to reduce nausea and vomiting, but the primary use is as a calming agent.
Question 3 of 5
A nurse educator is teaching a class about medication reconciliation. Which of the following information should the nurse educator include in the teaching?
Correct Answer: C
Rationale: The correct answer is C: Provide a list of the client’s current medications during admission to a health care facility. This is essential for ensuring continuity of care and patient safety. During admission, healthcare providers need to know the client's current medications to avoid drug interactions, duplications, or omissions. This information helps in creating an accurate medication list to guide treatment decisions.
A: Providing a list of current medications during shift change is important but not directly related to medication reconciliation during admission.
B: Not performing reconciliation at discharge is incorrect as it is a crucial step in ensuring a smooth transition of care.
D: Including only prescription medications is incorrect as over-the-counter medications, supplements, and herbal remedies should also be included for comprehensive reconciliation.
Question 4 of 5
A nurse in an emergency department is preparing to administer theophylline by continuous intravenous (IV) infusion to a client who is experiencing an asthma attack. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Infuse the medication with an IV pump. Theophylline requires precise dosing and continuous monitoring due to its narrow therapeutic range. Using an IV pump ensures accurate infusion rate, reducing the risk of medication errors. Administering a test dose (
A) is unnecessary for theophylline. Covering the IV container with dark paper (
C) is not relevant. Infusing the medication at 35 mg/min (
D) may exceed safe limits and cause adverse effects.
Question 5 of 5
A nurse is preparing to administer vancomycin 15 mg/kg/day divided equally every 12 hours. The client weighs 198 lb. How many mg should the nurse administer with each dose?
Correct Answer: 675
Rationale:
Correct Answer: 675
Rationale:
1. Convert weight from lb to kg: 198 lb ÷ 2.2 = 90 kg.
2. Calculate total daily dose: 15 mg/kg/day x 90 kg = 1350 mg/day.
3. Divide total daily dose by 2 for equal doses every 12 hours: 1350 mg/2 = 675 mg per dose.
Summary:
A, B, C, D, E, F, G: These options do not follow the correct calculation steps. A, B, C, D, E, F, G are incorrect because they do not consider the weight conversion, total daily dose calculation, and dosage frequency requirements.