ATI RN
ATI Capstone Week 9 Exam Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has an acute respiratory failure (ARF). The nurse should monitor the client for which of the following manifestations of this condition? (Select all that apply.)
Correct Answer: A,B,C,E
Rationale: The correct manifestations to monitor for in a client with acute respiratory failure (ARF) are decreased level of consciousness (
A), hypercarbia (
B), severe dyspnea (
C), and tachycardia (E). 1) Decreased level of consciousness indicates poor oxygenation to the brain due to inadequate gas exchange. 2) Hypercarbia, an increased level of carbon dioxide in the blood, is a common finding in ARF as the lungs fail to adequately remove CO2. 3) Severe dyspnea is a hallmark sign of ARF, indicating the body's struggle to obtain adequate oxygen. 4) Tachycardia is the body's compensatory response to hypoxia and respiratory distress.
Choices D, F, and G are incorrect because nausea is not a typical manifestation of ARF, and options F and G are not provided.
Question 2 of 5
A nurse is teaching a client who has diabetes mellitus and a new prescription for glimepiride. The nurse should teach the client to avoid which of the following drinks while taking this medication?
Correct Answer: C
Rationale: The correct answer is C: Alcohol. Glimepiride, a sulfonylurea medication, can cause a disulfiram-like reaction when consumed with alcohol, leading to symptoms like nausea, vomiting, flushing, and rapid heart rate. Coffee (
A) and milk (
B) do not have interactions with glimepiride. Grapefruit juice (
D) can interact with certain medications but not with glimepiride. In summary, alcohol should be avoided due to the potential for a harmful reaction when taken with glimepiride.
Question 3 of 5
The nurse is conducting a health history on a client diagnosed with hyperparathyroidism. Which question asked of the client would elicit information about this condition?
Correct Answer: A
Rationale: The correct answer is A: Are you experiencing pain in your joints? In hyperparathyroidism, increased parathyroid hormone levels can lead to bone resorption, causing bone pain and joint discomfort. This question would help assess for musculoskeletal manifestations of the condition.
B: Tremors in hands are not typically associated with hyperparathyroidism.
C: Swelling in legs at night is more suggestive of heart failure or venous insufficiency, not hyperparathyroidism.
D: Diarrhea is not a common symptom of hyperparathyroidism.
Question 4 of 5
A nurse is providing teaching to a client who has a new diagnosis of hypothyroidism. On which of the following medications should the nurse prepare to instruct the client?
Correct Answer: D
Rationale: The correct answer is D: Levothyroxine. The rationale is that levothyroxine is a medication commonly used to treat hypothyroidism by replacing the deficient thyroid hormone. It helps regulate the body's metabolism and energy levels. Levofloxacin (
A) is an antibiotic used to treat bacterial infections, not related to hypothyroidism. Radioactive iodine (
B) is used to treat hyperthyroidism by destroying thyroid tissue, not applicable for hypothyroidism. Sumatriptan (
C) is used to treat migraines, not related to hypothyroidism.
Therefore, the nurse should prepare to instruct the client on levothyroxine for managing hypothyroidism effectively.
Question 5 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.