ATI RN
ATI Capstone Exam 1 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has an endotracheal tube and is receiving mechanical ventilation. Which of the following actions should the nurse take to reduce the risk of ventilator-associated pneumonia?
Correct Answer: B
Rationale: The correct answer is B: Brush the client's teeth with a suction toothbrush every 12 hours. This action helps reduce the risk of ventilator-associated pneumonia by preventing the buildup of bacteria in the oral cavity that could be aspirated into the lungs. Ventilator-associated pneumonia is often caused by bacteria from the oral cavity entering the respiratory system. Regular oral care, including brushing the teeth, helps to reduce the bacterial load in the mouth. Turning the client every 4 hours (choice
A) helps prevent pressure ulcers but does not directly reduce the risk of ventilator-associated pneumonia. Providing humidity in the ventilator tubing (choice
C) is important for maintaining airway moisture but does not specifically target pneumonia prevention. Positioning the head of the client's bed flat (choice
D) is important for proper ventilation but does not address oral care and bacterial buildup.
Question 2 of 5
A nurse is preparing to administer fluoxetine 30 mg PO daily to a client. The amount available is fluoxetine 10 mg tablets. How many tablets should the nurse administer per dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero)
Correct Answer: 3
Rationale: The correct answer is 3 tablets.
To achieve a total of 30 mg, the nurse should administer 3 tablets of 10 mg each (10 mg x 3 = 30 mg). Other choices are incorrect because:
A) 1 tablet is not enough to reach 30 mg,
B) 2 tablets only add up to 20 mg,
C) 4 tablets exceed the required dose,
D) 5 tablets exceed the required dose, E) 6 tablets exceed the required dose, F) 7 tablets exceed the required dose, G) 8 tablets exceed the required dose.
Question 3 of 5
A nurse is caring for a client who is receiving heat applications using an aquathermia pad. Which of the following actions should the nurse take when applying the pad?
Correct Answer: D
Rationale: The correct answer is D: Stop the treatment if the client’s skin becomes red. This is important because redness indicates potential skin damage or burns due to excessive heat exposure. It is crucial to monitor the client's skin during heat application to prevent harm.
Choice A is incorrect because leaving the pad in place for a specific duration can lead to skin damage if the temperature is too high.
Choice B is incorrect as setting the pad's temperature too high can cause burns.
Choice C is incorrect as safety pins can cause injury or discomfort to the client.
Therefore, the correct action is to closely monitor the client's skin for any signs of redness and stop the treatment immediately if redness occurs to prevent further harm.
Question 4 of 5
Correct Answer:
Rationale: Question: What is the capital city of France?
Choices:
A: Berlin
B: London
C: Madrid
D: Paris
E: Rome
F:
Tokyo
G: Moscow
Correct Answer: D: Paris
Rationale:
1. Paris is the capital city of France, known for iconic landmarks like the Eiffel
Tower.
2. Berlin is the capital of Germany, London is the capital of the UK, Madrid is the capital of Spain, Rome is the capital of Italy,
Tokyo is the capital of Japan, and Moscow is the capital of Russia.
3. Paris is the only city among the choices that is the capital of France, making it the correct answer.
Question 5 of 5
A nurse is teaching a client about carbon monoxide poisoning. Which of the following statements should the nurse identify as an indication that the client needs further instruction?
Correct Answer: D
Rationale: The correct answer is D. Carbon monoxide is odorless, colorless, and tasteless, so it cannot be detected by a metallic odor. This is a common misconception that needs to be corrected. A: True, high concentrations can be fatal. B: Correct, a detector is essential for safety. C: True, common symptoms of CO poisoning. In summary, D is incorrect because carbon monoxide does not have a metallic odor, unlike the other options which are all accurate statements regarding carbon monoxide poisoning.