ATI RN
ATI Capstone Exam 2 Final Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has paranoid personality disorder. Which of the following findings should the nurse expect?
Correct Answer: B,E
Rationale: The correct answer is B and E. Individuals with paranoid personality disorder often persistently hold grudges (choice
B) due to their distrust of others. They also tend to believe that others are deceiving them (choice E), reflecting their suspicious nature.
Choices A, C, and D are not typical of paranoid personality disorder. A person with this disorder does not see themselves as inferior (
A) or demonstrate a grandiose sense of self-importance (
C). Additionally, they do not desire to be the center of attention (
D). Hence, choices A, C, and D are not expected findings in individuals with paranoid personality disorder.
Question 2 of 5
A nurse is preparing to infuse a 250-mL unit of packed RBCs over 2 hours. The drop factor of the manual IV tubing is 15 gtts/mL. The nurse should adjust the flow rate to deliver how many drops per minute?
Correct Answer: 31
Rationale:
To calculate the flow rate in drops per minute for the infusion of packed RBCs, we first need to determine the total number of drops to be infused over 2 hours.
Step 1: Calculate the total drops in 2 hours:
2 hours = 120 minutes
250 mL x 15 gtts/mL = 3750 drops
3750 drops ÷ 120 minutes = 31.25 drops/minute
Step 2: The correct answer is rounded down to 31 drops per minute as IV infusion sets typically do not allow for fractions of drops.
Summary:
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Choice A: Incorrect. The correct flow rate is not 60 drops per minute as that would be too fast.
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Choices B-G: Irrelevant as they do not follow the calculation process required to determine the correct flow rate.
Question 3 of 5
A nurse is caring for a child who is allergic to penicillin. The nurse should clarify which of the following prescriptions with the provider?
Correct Answer: D
Rationale: The correct answer is D: Amoxicillin-clavulanate. This is the best choice because it is a combination antibiotic that does not contain penicillin. Amoxicillin-clavulanate is a suitable alternative for patients allergic to penicillin.
Choice A (Erythromycin) is an acceptable choice as it is not related to penicillin.
Choice B (Gentamicin) is not a suitable alternative for penicillin allergy.
Choice C (Amphotericin
B) is an antifungal agent and not an antibiotic. Other choices are not provided. In summary, the nurse should clarify the prescription for Amoxicillin-clavulanate with the provider to ensure the child's safety due to penicillin allergy.
Question 4 of 5
A nurse observes a parent administer a prescribed oral medication to an infant. Which of the following statements indicates a need for further instruction?
Correct Answer: D
Rationale: The correct answer is D because positioning the infant in a supine position while administering medication can increase the risk of choking or aspiration. The ideal position for administering oral medication to an infant is in an upright or semi-upright position to prevent these risks. Administering medication with an oral syringe (
A), inserting medication in the buccal cavity (
B), and allowing the infant to swallow some medication before administering more (
C) are all appropriate techniques for administering oral medication to infants. By positioning the infant in a supine position, the parent is not following the safe practice for administering oral medication to infants, hence indicating a need for further instruction.
Question 5 of 5
A nurse is caring for a client who has Cushing’s syndrome. The nurse should recognize that which of the following are manifestations of Cushing’s syndrome?
Correct Answer: B,C,D,E
Rationale: The correct manifestations of Cushing's syndrome are Buffalo hump (accumulation of fat between the shoulders), Moon face (rounding and reddening of the face), Hypertension (due to cortisol's effects on blood pressure regulation), and Purple striae (stretch marks due to skin thinning). Tremors are not typically associated with Cushing's syndrome. It is crucial for the nurse to recognize these specific manifestations to provide appropriate care and monitoring for the client with Cushing's syndrome.