ATI RN
ATI Capstone Exam 2 Final Questions
Extract:
Question 1 of 5
A nurse is caring for a client in a critical care unit who suffered a knife wound to the chest. The nurse suspects the client is developing cardiac tamponade. Which of the following assessment findings should the nurse identify as supporting this suspicion?
Correct Answer: A
Rationale: The correct answer is A: Muffled heart sounds. In cardiac tamponade, fluid accumulates in the pericardial sac, compressing the heart. This results in muffled heart sounds due to decreased sound transmission through the fluid. Sudden lethargy (
B) may indicate worsening condition but is not specific to cardiac tamponade. Flattened neck veins (
C) are typically seen in hypovolemic shock, not cardiac tamponade. Bradycardia (
D) is not a common finding in cardiac tamponade, as it usually presents with tachycardia due to the heart's compensatory mechanisms.
Question 2 of 5
A nurse is teaching a client who has a new prescription for chlorpromazine. Which of the following statements indicates an understanding of the teaching?
Correct Answer: A
Rationale: The correct answer is A: "I may have a dry mouth while taking this medication." This is correct because chlorpromazine is an antipsychotic medication known to cause dry mouth as a common side effect due to its anticholinergic properties. Dry mouth is a potential adverse effect that the client should be aware of.
Choice B is incorrect because chlorpromazine does not typically cause increased urination.
Choice C is incorrect because chlorpromazine is not indicated for smoking cessation.
Choice D is incorrect because flu-like symptoms are not a common side effect of chlorpromazine.
Question 3 of 5
A nurse is preparing to administer vancomycin 50 mg PO daily divided into four equal doses. The amount available is vancomycin 125 mg capsules. How many capsules should the nurse administer with each dose?
Correct Answer: 1
Rationale:
Correct Answer: A. 1 capsule
Rationale: The nurse needs to administer 50 mg daily divided into 4 equal doses. So, each dose should contain 50 mg / 4 doses = 12.5 mg. The available capsule strength is 125 mg.
Therefore, the nurse should administer 1 capsule for each dose to achieve the required dose of 12.5 mg.
Summary of Incorrect
Choices:
B. 2 capsules: This would result in a total of 250 mg per dose, exceeding the required dose of 12.5 mg.
C. 3 capsules: This would result in a total of 375 mg per dose, significantly exceeding the required dose of 12.5 mg.
D. 4 capsules: This would result in a total of 500 mg per dose, greatly exceeding the required dose of 12.5 mg.
E. 5 capsules: This would result in a total of 625 mg per dose, far exceeding the
Question 4 of 5
A nurse is providing preoperative teaching for a client who is scheduled for a gastrectomy. Which of the following information regarding the prevention of postoperative complications should the nurse include in the teaching?
Correct Answer: B
Rationale: The correct answer is B: Instruct the client about the use of a sequential compression device. This is important for preventing postoperative complications like deep vein thrombosis (DVT) by promoting circulation in the lower extremities. Discussing the visitation policy (
A) is not directly related to preventing postoperative complications. Teaching the client how to use the PCA pump (
C) is important for pain management but not specifically for preventing complications. Reviewing the pain scale (
D) is crucial for pain assessment but does not directly address postoperative complications.
Question 5 of 5
A nurse is assessing a client who has a puncture wound on his foot. Which of the following findings is a manifestation of acute osteomyelitis?
Correct Answer: B
Rationale: The correct answer is B: Localized edema. Acute osteomyelitis is an infection of the bone that can result from a puncture wound. Localized edema is a common manifestation due to the inflammatory response in the affected area. Hypothermia, numbness of toes, and bradycardia are not typical manifestations of acute osteomyelitis. Hypothermia is more commonly associated with severe infections or sepsis. Numbness of toes may indicate nerve damage rather than bone infection. Bradycardia is a slow heart rate and is not directly related to osteomyelitis.