ATI RN
ATI Capstone Exam 2 Final Questions
Extract:
Question 1 of 5
A nurse is creating home instructions for a client who has immunodeficiency. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: C
Rationale: The correct answer is C because avoiding contact with individuals who have received a live vaccine is crucial for a client with immunodeficiency to prevent exposure to potentially harmful pathogens. This is important as live vaccines contain weakened forms of the virus that can still cause infections in immunocompromised individuals.
Choice A is incorrect as white patches in the mouth could indicate a fungal infection, which may not be harmless in an immunodeficient individual.
Choice B is incorrect as a fever, even mild, could be a sign of infection that may be more severe in an immunodeficient client.
Choice D is irrelevant to immunodeficiency and does not impact the client's 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 caring for a client who has a Jackson-Pratt drain in place after surgery for an open reduction and internal fixation. The nurse should understand that the JP drain was placed for which of the following purposes?
Correct Answer: C
Rationale: Rationale for Correct Answer (
C): The Jackson-Pratt drain is used to prevent fluid accumulation in the wound post-surgery, reducing the risk of infection and promoting healing. It helps to remove excess fluid and prevents seroma formation. Other
Choices:
A) Incorrect - Wound irrigations may still be necessary for wound care.
B) Incorrect - While the drain may help reduce bleeding, its primary purpose is fluid drainage.
D) Incorrect - The JP drain is not used for medication administration.
Question 4 of 5
A nurse is speaking with the mother of a 6-year-old child. Which of the following statements by the mother should concern the nurse?
Correct Answer: B
Rationale: The correct answer is B. The nurse should be concerned because squinting to see the board may indicate vision problems, such as nearsightedness or astigmatism, which can affect the child's learning and development. The other choices are not as concerning: A is a common behavior in children, C is a normal developmental milestone, and D is a typical behavior in board games at this age.
Question 5 of 5
A nurse is preparing to administer clindamycin by intermittent IV bolus over 30 minutes to a client who has a staphylococcal infection. Available is 300 mg clindamycin premixed in 50 mL 0.9% sodium chloride (NaCl). The nurse should set the IV pump to deliver how many mL/hr?
Correct Answer: 100
Rationale: The correct answer is 100 mL/hr.
To calculate the rate, we first determine the total volume to be infused over 30 minutes (50 mL).
Then, we convert 30 minutes to hours (0.5 hours). Finally, we divide the total volume by the time in hours (50 mL / 0.5 hr = 100 mL/hr). This rate ensures the clindamycin is administered safely and effectively. Other choices are incorrect because they do not align with the calculated infusion rate based on the medication concentration and administration time.