ATI RN
ATI Capstone Exam 1 Questions
Extract:
Question 1 of 5
A nurse is educating community members about how to prepare for a disaster. Which of the following items should be included in a disaster preparedness kit? (Select all that apply)
Correct Answer: A,B,D,E
Rationale: The correct items to include in a disaster preparedness kit are A, B, D, and E. Clean clothing (
A) is essential for hygiene and warmth. Personal identification (
B) is crucial for identification and accessing services. Matches (
D) are necessary for starting fires for warmth and cooking. Prescription medications (E) are vital for individuals with medical conditions.
Choice C is incorrect as the recommended amount of water for disaster preparedness is one gallon per person per day, not three quarts.
Choices F and G are not provided in the question and therefore cannot be assessed.
Question 2 of 5
A nurse is caring for a client who has prostate cancer. The nurse should expect the provider to prescribe which of the following medications for this client?
Correct Answer: B
Rationale: The correct answer is B: Leuprolide. Leuprolide is a gonadotropin-releasing hormone agonist that suppresses testosterone production, which can help slow the growth of prostate cancer. Tamoxifen (
A) is used for breast cancer, Finasteride (
C) is used for benign prostatic hyperplasia, and Cyclophosphamide (
D) is a chemotherapy drug for various cancers.
Therefore, in this case, the most appropriate medication for prostate cancer would be Leuprolide (
B).
Question 3 of 5
A nurse is caring for a client who is 1 day postoperative following a transsphenoidal hypophysectomy. While assessing the client, the nurse notes a large area of clear drainage seeping from the nasal packing. Which of the following should be the nurse’s initial action?
Correct Answer: A
Rationale: The correct initial action is to check the drainage for glucose (
Choice
A). This is crucial because clear drainage after a transsphenoidal hypophysectomy may indicate a cerebrospinal fluid leak, which can be confirmed by the presence of glucose in the drainage. If glucose is present, it suggests leakage of cerebrospinal fluid and requires immediate intervention to prevent complications such as infection and meningitis. The other options (B, C, and
D) are not the most appropriate initial actions. Notifying the provider, documenting the amount of drainage, or obtaining a culture can be important steps but should come after confirming the presence of glucose to address the immediate concern of a potential cerebrospinal fluid leak.
Question 4 of 5
A nurse is preparing to administer dextrose 5% in 0.45% sodium chloride IV to infuse at 100 mL/hr. The nurse is using microtubing. The nurse should set the manual IV infusion to deliver how many gtt/min? (Round to the nearest whole number)
Correct Answer: 100
Rationale: The correct answer is 100 gtt/min.
To calculate the IV flow rate in gtt/min for microtubing, you can use the formula: gtt/min = (mL/hr x tubing factor) / 60. In this case, the mL/hr is 100, and for microtubing, the tubing factor is usually 60. So, (100 x 60) / 60 = 100 gtt/min. This ensures the dextrose 5% in 0.45% sodium chloride solution is infused at the correct rate. Other choices would be incorrect because they do not follow the correct calculation for microtubing flow rates.
Question 5 of 5
A nurse is triaging victims of a multiple motor-vehicle crash. The nurse assesses a client trapped under a car who is apneic and has a weak pulse at 120/min. After repositioning his upper airway, the client remains apneic. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Place a black tag on the client’s upper body and attempt to help the next client in need. In this scenario, the client is apneic despite repositioning the airway and has a weak pulse. The client's condition falls under "expectant" during triage, indicated by a black tag. The nurse should prioritize helping those who have a higher chance of survival first. Placing a black tag and moving on to assist others is essential to maximize the number of lives saved in a mass casualty event. Starting CPR (choice
C) may be futile if the client is trapped under a car with severe injuries.
Choice B, repositioning the airway again, is unlikely to change the client's apneic status.
Choice D, placing a red tag, is incorrect as this tag is typically used for immediate care cases.