ATI RN
ATI Capstone Week 9 Exam Questions
Extract:
Question 1 of 5
A nurse is assessing a client who has hypothyroidism. The nurse should expect which of the following findings?
Correct Answer: B
Rationale: The correct answer is B: Weight gain. In hypothyroidism, the metabolic rate decreases, leading to a reduced ability to burn calories, thus causing weight gain. Exophthalmos (
A) is a sign of hyperthyroidism, not hypothyroidism. Diaphoresis (
C) refers to excessive sweating, which is not typically associated with hypothyroidism. Palpitations (
D) are more commonly seen in hyperthyroidism due to an increased heart rate.
Question 2 of 5
A nurse is caring for a client with a pheochromocytoma. Which assessment finding will the nurse expect for this client?
Correct Answer: B
Rationale: The correct answer is B: Elevated blood pressure. Pheochromocytoma is a tumor of the adrenal gland that secretes excessive catecholamines, leading to hypertension. The excess release of epinephrine and norepinephrine causes vasoconstriction, resulting in increased blood pressure. This is a hallmark sign of pheochromocytoma.
A: Decreased pulse is not typically associated with pheochromocytoma due to the stimulatory effect of catecholamines on the heart.
C: Cold intolerance is not a common manifestation of pheochromocytoma and is more indicative of thyroid dysfunction.
D: Decreased respiratory rate is not a common finding in pheochromocytoma, as it does not directly affect respiratory function.
Question 3 of 5
A nurse is preparing to administer furosemide 40 mg IV. Available is furosemide 10 mg/1 mL. How many mL should the nurse administer per dose?
Correct Answer: 4
Rationale: The correct answer is 4 mL.
To calculate this, we use the formula: Desired dose/Available dose = Volume to administer. In this case, 40 mg/10 mg/mL = 4 mL. Each mL contains 10 mg of furosemide, so to administer 40 mg, the nurse should give 4 mL. Other choices are incorrect because they do not follow the correct calculation. For example, choosing 10 mL (choice G) would result in administering 100 mg, not the desired 40 mg.
Question 4 of 5
A nurse is reviewing a client's laboratory results and sees that their hemoglobin A1C is 9%. Which of the following statements from the nurse is appropriate?
Correct Answer: C
Rationale:
Rationale:
Choice C is correct because Hemoglobin A1C reflects average blood sugar levels over the past 2-3 months. A level of 9% indicates high average blood sugar.
Choice A is incorrect because A1C does not specifically indicate post-meal blood sugar.
Choice B is incorrect as A1C doesn't measure low blood sugar levels.
Choice D is incorrect as A1C reflects overall blood sugar control, not stability.
Question 5 of 5
A nurse is reviewing the medication record for a client who has chronic kidney disease. Which of the following medications should the nurse identify as having the potential to cause nephrotoxicity?
Correct Answer: C
Rationale: The correct answer is C: Gentamicin. Gentamicin is an aminoglycoside antibiotic known to cause nephrotoxicity, particularly in patients with chronic kidney disease due to its potential to accumulate in the kidneys. This can lead to kidney damage and impaired renal function. Ondansetron (
A) and Diphenhydramine (
B) are not typically associated with nephrotoxicity. Omeprazole (
D) is a proton pump inhibitor used for acid-related disorders and is not known to cause nephrotoxicity.