ATI RN
ATI Capstone Week 11 Exam Questions
Extract:
Question 1 of 5
A nurse is instructing a woman who is contemplating pregnancy about nutritional needs. To reduce the risk of giving birth to a newborn who has a neural tube defect, which of the following information should the nurse include in the teaching?
Correct Answer: B
Rationale: The correct answer is B: Consume foods fortified with folic acid. Folic acid is crucial for preventing neural tube defects in newborns. It helps in the proper development of the baby's brain and spinal cord. Iron-rich foods (choice
A) are important for overall health but do not directly prevent neural tube defects. Limiting alcohol consumption (choice
C) is essential, but it does not specifically address neural tube defects. Avoiding foods containing aspartame (choice
D) is unrelated to preventing neural tube defects. In summary, choice B is correct as folic acid plays a significant role in reducing the risk of neural tube defects, while the other choices do not directly address this specific concern.
Question 2 of 5
A nurse is preparing to administer methylnaltrexone 12 mg subcutaneously to a client who has opioid-induced constipation. Available is methylnaltrexone 8 mg/0.4 mL. How many mL should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 0.6
Rationale:
Correct Answer: 0.6 mL
Rationale:
1. Calculate the total dose needed: 12 mg
2. Determine the concentration: 8 mg/0.4 mL
3. Use the formula: dose required/concentration on hand = volume to administer
4. Substitute values: 12 mg/8 mg = x/0.4 mL
5. Solve for x: x = (12 mg * 0.4 mL) / 8 mg = 0.6 mL
Summary:
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Choice A: Incorrect, as it does not align with the correct calculation.
-
Choices B to G: Irrelevant, as they do not provide any valid reasoning or calculations.
Question 3 of 5
A nurse is assessing a client who is receiving liothyronine for treatment of hypothyroidism. The nurse should recognize which of the following findings as a therapeutic response to this medication?
Correct Answer: C
Rationale: The correct answer is C: Increase in energy. Liothyronine is a thyroid hormone replacement therapy used to treat hypothyroidism. Thyroid hormones play a key role in regulating metabolism and energy levels in the body.
Therefore, an increase in energy is a therapeutic response to liothyronine as it indicates that the medication is effectively restoring thyroid hormone levels to normal.
Incorrect choices:
A: Increase in weight - Hypothyroidism is often associated with weight gain, so with effective treatment like liothyronine, weight gain should decrease or stabilize.
B: Decrease in body temperature - Hypothyroidism can lead to feeling cold, so with proper treatment, body temperature should normalize.
D: Decreased heart rate - Hypothyroidism can cause a slow heart rate, so with treatment, the heart rate should increase towards normal levels.
Question 4 of 5
The nurse assessing a client hospitalized with a diagnosis of hypoparathyroidism notes positive Trousseau's and Chvostek's signs. The nurse determines that these findings most indicate which electrolyte imbalance?
Correct Answer: C
Rationale: The correct answer is C: Hypocalcemia. Trousseau's and Chvostek's signs are classic manifestations of hypocalcemia. Trousseau's sign is the carpal spasm induced by inflating a blood pressure cuff above systolic pressure, indicating neuromuscular irritability. Chvostek's sign is facial muscle spasm elicited by tapping the facial nerve, also indicative of neuromuscular irritability due to low calcium levels. Hypernatremia (
A), hypermagnesemia (
B), and hypokalemia (
D) do not typically present with these specific signs related to neuromuscular irritability seen in hypocalcemia.
Question 5 of 5
A nurse is caring for a client during the first trimester of pregnancy. After reviewing the client's blood work, the nurse notices she does not have immunity to rubella. Which of the following times should the nurse understand is recommended for rubella immunization?
Correct Answer: B
Rationale: The correct answer is B: Shortly after giving birth. Rubella vaccine is contraindicated during pregnancy to avoid any potential harm to the fetus. Postpartum vaccination ensures the client is protected before her next pregnancy. Option A is incorrect as it is contraindicated during the third trimester. Option C is incorrect because immediate vaccination during pregnancy is not recommended. Option D is incorrect as it is essential to vaccinate postpartum, not during the next attempt to get pregnant to prevent rubella infection during pregnancy.