ATI RN
ATI Capstone Exam 2 Final Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is receiving peritoneal dialysis. The nurse should monitor the client for which of the following manifestations of peritonitis?
Correct Answer: D
Rationale: The correct answer is D: Nausea and vomiting. Peritonitis is inflammation of the peritoneum, which can occur in peritoneal dialysis. Nausea and vomiting are common symptoms due to irritation of the peritoneum. Increased urinary output (
A) is not a typical manifestation of peritonitis. Hyperactive bowel sounds (
B) are more indicative of gastrointestinal issues, not peritonitis. Bradycardia (
C) is not a common symptom of peritonitis. In summary, nausea and vomiting are key signs of peritonitis, while the other options are not typically associated with this condition.
Question 2 of 5
A nurse is preparing to administer amoxicillin 500 mg PO four times a day to a client. The amount available is amoxicillin suspension 250 mg/5 mL. How many mL should the nurse administer per dose?
Correct Answer: 10
Rationale: The correct answer is 10 mL.
To calculate this, we first find the total daily dose of amoxicillin (500 mg x 4 doses = 2000 mg).
Then, we convert this to mL using the concentration of the suspension (250 mg/5 mL). 2000 mg ÷ 250 mg/mL = 8 mL per dose. Since the question asks for the total mL per dose, we multiply 8 mL by 1.25 (to account for 500 mg instead of 400 mg), giving us 10 mL. Other choices are incorrect because they do not follow the correct conversion process or do not consider the total daily dose of amoxicillin needed.
Question 3 of 5
A nurse is monitoring a client who was admitted with a severe burn injury and is receiving fluid resuscitation therapy. The nurse should identify a decrease in which of the following findings as an indication of adequate fluid replacement?
Correct Answer: A
Rationale: The correct answer is A: Heart rate. A decrease in heart rate indicates adequate fluid replacement in a burn patient because it shows that the body's perfusion is improving. When fluid resuscitation is effective, the heart doesn't need to work as hard to maintain circulation. Monitoring heart rate is crucial in assessing the response to fluid therapy. Blood pressure (choice
B) can be affected by various factors and may not accurately reflect fluid status. Urine output (choice
C) is important but can be influenced by other factors. Weight (choice
D) is not an immediate indicator of fluid replacement in a burn patient.
Question 4 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 5 of 5
A nurse is teaching a client who has rheumatoid arthritis about taking methotrexate. Which of the following information should the nurse include?
Correct Answer: D
Rationale: The correct answer is D: Drink 2 to 3 liters of water per day. Methotrexate is a medication that can cause kidney damage and dehydration. Increasing water intake helps to prevent kidney damage and maintain proper hydration levels. The other choices are incorrect because rinsing with an alcohol-based mouthwash can irritate the mouth and cause dryness (
A), taking methotrexate with an NSAID can increase the risk of side effects and interactions (
B), and taking an antiemetic 1 hour following administration does not address the hydration needs of the client (
C).