ATI RN
ATI Capstone Exam 1 Questions
Extract:
Question 1 of 5
A nurse is admitting a client who has pertussis. Which of the following types of transmission-based precautions should the nurse initiate?
Correct Answer: D
Rationale: The correct answer is D: Droplet precautions. Pertussis is primarily spread through respiratory droplets from coughing or sneezing. Droplet precautions involve wearing a mask and eye protection to prevent transmission through these droplets. Airborne precautions are for diseases spread through small particles, contact precautions are for direct physical contact, and protective precautions are not a standard type of transmission-based precaution. Droplet precautions are the most appropriate choice for pertussis to prevent the spread of the infection to others.
Question 2 of 5
A nurse is caring for a client who has prostate cancer. The nurse should expect the provider to prescribe which of the following medications for this client?
Correct Answer: B
Rationale: The correct answer is B: Leuprolide. Leuprolide is a gonadotropin-releasing hormone agonist that suppresses testosterone production, which can help slow the growth of prostate cancer. Tamoxifen (
A) is used for breast cancer, Finasteride (
C) is used for benign prostatic hyperplasia, and Cyclophosphamide (
D) is a chemotherapy drug for various cancers.
Therefore, in this case, the most appropriate medication for prostate cancer would be Leuprolide (
B).
Question 3 of 5
A nurse is preparing to administer 40 mg of furosemide IV. Available is furosemide 10 mg/mL. How many mL should the nurse administer per dose?
Correct Answer: 4
Rationale:
Correct
Answer: A nurse should administer 4 mL of furosemide per dose.
To calculate this, divide the total dose (40 mg) by the concentration (10 mg/mL). 40 mg ÷ 10 mg/mL = 4 mL. This ensures the correct dosage is administered.
Choice B: Incorrect. This choice does not follow the correct calculation method and does not provide the accurate dosage.
Choice C: Incorrect. This choice does not consider the concentration of the medication and does not provide the correct amount to administer.
Choice D: Incorrect. This choice does not involve the necessary division of the total dose by the concentration, resulting in an incorrect answer.
Choice E: Incorrect. This choice does not show a clear calculation method or consideration of the medication concentration.
Choice F: Incorrect. This choice lacks any calculation or explanation, making it an insufficient answer.
Choice G: Incorrect. This choice does not provide any reasoning or calculation to support the amount to administer, making it an inadequate
Question 4 of 5
A nurse is providing teaching to a client with a colostomy about appropriate food choices. Which of the following foods should the nurse include in the teaching?
Correct Answer: C
Rationale: The correct answer is C: Eggs. Eggs are a good source of protein, which is important for clients with a colostomy to promote healing and overall health. They are easily digestible and less likely to cause issues like blockages or gas. Dried fruits (choice
A) and dried peas (choice
B) can be high in fiber and may lead to digestive problems for colostomy clients. Pasta (choice
D) can also be difficult to digest and may cause discomfort. Eggs are a versatile and nutritious option that can be beneficial for clients with a colostomy.
Question 5 of 5
A nurse is caring for a client who has hypertension and has a potassium level of 6.8 mEq/L. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Obtain a 12-lead ECG. A potassium level of 6.8 mEq/L indicates hyperkalemia, which can lead to serious cardiac arrhythmias.
Therefore, obtaining an ECG is crucial to assess for any potential cardiac abnormalities.
Choice B is incorrect as salt substitutes often contain potassium, exacerbating the issue.
Choice C is incorrect as citrus juices and bananas are high in potassium, which should be avoided in hyperkalemia.
Choice D is incorrect as it focuses on sodium levels, not addressing the immediate concern of hyperkalemia.