ATI RN
ATI Capstone Exam 1 Questions
Extract:
Question 1 of 5
A nurse is preparing to administer 0.9% sodium chloride IV infusion 1-L bag at a rate of 200 mL/hr for a client who has rhabdomyolysis. The nurse should expect the IV pump to infuse over how many hours? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 5
Rationale:
To calculate the infusion time, divide the total volume (1000 mL) by the rate of infusion (200 mL/hr). This gives 5 hours for the IV pump to infuse the 1-L bag. The correct answer is 5. Other choices are incorrect because they do not result from the correct calculation.
Choice A: 2 hours (incorrect, not enough time for the infusion).
Choice B: 3 hours (incorrect, not enough time for the infusion).
Choice C: 4 hours (incorrect, not enough time for the infusion).
Choice D: 6 hours (incorrect, too long for the infusion).
Choice E: 7 hours (incorrect, too long for the infusion).
Choice F: 8 hours (incorrect, too long for the infusion).
Choice G: 9 hours (incorrect, too long for the infusion).
Question 2 of 5
A nurse is preparing to administer morphine sulfate 2 mg IV bolus. Available is morphine sulfate 10 mg/mL. How many mL should the nurse administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 0.2
Rationale: The correct answer is 0.2 mL.
To calculate this, divide the desired dose (2 mg) by the concentration (10 mg/mL). This gives 0.2 mL. The other choices are incorrect because:
A) 2 mL would be an overdose;
B) 0.02 mL is too small a dose;
C) 20 mL is an overdose;
D) 0.02 mL is too small a dose; E) 0.02 mL is too small a dose; F) 20 mL is an overdose; G) 2 mL would be an overdose.
Question 3 of 5
A nurse is assessing a client who is receiving metoprolol. Which of the following indicates a therapeutic effect?
Correct Answer: A
Rationale: The correct answer is A: Decreased blood pressure. Metoprolol is a beta-blocker that works by reducing heart rate and decreasing the workload on the heart, leading to a decrease in blood pressure. This is a therapeutic effect as it helps manage conditions like hypertension and angina.
Incorrect choices:
B: Decreased dysrhythmias - While metoprolol can help reduce dysrhythmias, the primary therapeutic effect is on blood pressure.
C: Increased urine output - Metoprolol does not directly affect urine output.
D: Decreased pulse - Decreasing pulse is a common side effect of metoprolol, but the therapeutic effect is primarily on blood pressure.
Question 4 of 5
A nurse is caring for a client following the surgical placement of a colostomy. Which of the following statements indicates the client understands the dietary teaching?
Correct Answer: B
Rationale: The correct answer is B because eating yogurt can help decrease gas due to its probiotic properties which aid in digestion. This statement shows the client understands dietary adjustments post-colostomy surgery.
Choice A is incorrect as meal distribution does not affect colostomy care.
Choice C is incorrect as carbonated beverages can worsen odor.
Choice D is incorrect as pasta is not necessarily a problematic food post-colostomy.
Question 5 of 5
A nurse is preparing to administer a bisacodyl suppository to a client. Which of the following actions should the nurse take? (Select all that apply)
Correct Answer: D,E
Rationale: The correct actions for administering a bisacodyl suppository are to insert it just beyond the internal sphincter (
D) to ensure proper absorption and effectiveness. Lubricating the index finger (E) helps facilitate easier insertion and reduces discomfort for the client. Donning sterile gloves (
A) is not necessary for this procedure. Positioning the client supine with knees bent (
B) is not required; the Sims position is typically used. Using a rectal applicator for insertion (
C) is not recommended for bisacodyl suppositories.