ATI RN
ATI Capstone Exam 2 Final Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is receiving total parenteral nutrition (TPN). The pharmacy is delayed in supplying the client’s next container of TPN. Which of the following fluids should the nurse infuse until the next container arrives?
Correct Answer: C
Rationale: The correct answer is C: Dextrose 10% in water. When TPN is delayed, it is important to provide a temporary source of glucose to prevent hypoglycemia. Dextrose 10% in water is the most appropriate choice as it provides a higher concentration of glucose compared to Dextrose 5%, helping to maintain the client's blood glucose levels until the TPN is available. 0.9% sodium chloride does not provide glucose which is essential in TPN replacement. Lactated Ringer’s solution does not contain glucose and is not suitable for providing caloric support.
Question 2 of 5
A nurse is caring for several clients. For which of the following situations should the nurse complete an incident report?
Correct Answer: D
Rationale: The correct answer is D because the situation involves a potential harm to a client, which is a critical incident requiring documentation. The missing dentures can impact the client's ability to eat or speak, posing a risk to their well-being. Completing an incident report ensures the issue is addressed, investigated, and preventive measures are implemented to avoid future occurrences.
Choices A, B, and C do not directly involve harm to a client and can be addressed through other means without the need for an incident report.
Question 3 of 5
A nurse is preparing to administer vancomycin 15 mg/kg/day divided equally every 12 hours. The client weighs 198 lb. How many mg should the nurse administer with each dose?
Correct Answer: 675
Rationale:
Correct Answer: 675
Rationale:
1. Convert weight from lb to kg: 198 lb ÷ 2.2 = 90 kg.
2. Calculate total daily dose: 15 mg/kg/day x 90 kg = 1350 mg/day.
3. Divide total daily dose by 2 for equal doses every 12 hours: 1350 mg/2 = 675 mg per dose.
Summary:
A, B, C, D, E, F, G: These options do not follow the correct calculation steps. A, B, C, D, E, F, G are incorrect because they do not consider the weight conversion, total daily dose calculation, and dosage frequency requirements.
Question 4 of 5
A nurse is caring for an older adult client who has just returned from PACU after receiving a spinal anesthetic during knee surgery. For which of the following findings should the nurse notify the provider?
Correct Answer: D
Rationale: The correct answer is D: Systolic blood pressure changed from 140 mm Hg to 110 mm Hg. This finding should be reported to the provider because it indicates a significant decrease in blood pressure, which could be a sign of hypotension or other cardiovascular complications post-surgery. Hypotension can lead to decreased perfusion to vital organs and tissues, potentially causing serious complications. The other choices (A, B, and
C) involve changes that are within a normal range for a postoperative patient and do not pose immediate risks to the client's well-being. Reporting the correct finding promptly allows for timely intervention and prevents further complications.
Question 5 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.