ATI RN
ATI Capstone Exam 2 Final Questions
Extract:
Question 1 of 5
A nurse is preparing to administer acetaminophen 10 mg/kg/dose to a child who weighs 28 lb. The amount available is acetaminophen 120 mg/5 mL. How many mL should the nurse administer?
Correct Answer: 5.3
Rationale: The correct answer is 5.3 mL.
To calculate this, first convert the child's weight to kg (28 lb / 2.2 = 12.73 kg).
Then, multiply the weight by the dose (10 mg/kg) to get 127.3 mg. Next, calculate how many mL of the available acetaminophen solution contain 127.3 mg (127.3 mg / 120 mg/5 mL = 5.3 mL).
Therefore, the nurse should administer 5.3 mL.
Choice A: Incorrect, as it does not follow the correct calculation process.
Choice B-G: Irrelevant as they do not provide the correct calculation for determining the required mL for acetaminophen administration.
Question 2 of 5
A nurse observes a parent administer a prescribed oral medication to an infant. Which of the following statements indicates a need for further instruction?
Correct Answer: D
Rationale: The correct answer is D because positioning the infant in a supine position while administering medication can increase the risk of choking or aspiration. The ideal position for administering oral medication to an infant is in an upright or semi-upright position to prevent these risks. Administering medication with an oral syringe (
A), inserting medication in the buccal cavity (
B), and allowing the infant to swallow some medication before administering more (
C) are all appropriate techniques for administering oral medication to infants. By positioning the infant in a supine position, the parent is not following the safe practice for administering oral medication to infants, hence indicating a need for further instruction.
Question 3 of 5
A nurse is caring for a client who has Cushing’s syndrome. The nurse should recognize that which of the following are manifestations of Cushing’s syndrome?
Correct Answer: B,C,D,E
Rationale: The correct manifestations of Cushing's syndrome are Buffalo hump (accumulation of fat between the shoulders), Moon face (rounding and reddening of the face), Hypertension (due to cortisol's effects on blood pressure regulation), and Purple striae (stretch marks due to skin thinning). Tremors are not typically associated with Cushing's syndrome. It is crucial for the nurse to recognize these specific manifestations to provide appropriate care and monitoring for the client with Cushing's syndrome.
Question 4 of 5
A charge nurse is admitting a client who has bipolar disorder and who is in the manic phase. Which of the following room assignments should the nurse give the client?
Correct Answer: A
Rationale: The correct answer is A: A private room in a quiet location on the unit. This is the best choice as it provides a calm and controlled environment which is essential for managing manic symptoms. Manic clients often have heightened energy levels, decreased need for sleep, and can be easily distracted. Placing them in a private room away from potential triggers like noise and distractions can help reduce stimulation and promote rest.
Choice B: A private room across from the exercise room may lead to increased activity and agitation, worsening manic symptoms.
Choice C: A semi-private room across from the day room may expose the client to high levels of activity and social interactions, which can exacerbate manic behaviors.
Choice D: A semi-private room across from the snack area may lead to increased impulsivity and unhealthy eating habits, which are common in manic episodes.
In summary, choice A is the best option as it provides a quiet and controlled environment to help manage manic symptoms effectively.
Question 5 of 5
A nurse is teaching a client who reports taking ginkgo biloba to improve his memory and peripheral arterial disease from atherosclerosis. The nurse should include which of the following potential side effects?
Correct Answer: D
Rationale: The correct answer is D: Bleeding gums. Ginkgo biloba is known to have antiplatelet effects, which can increase the risk of bleeding or bruising. This is particularly concerning for individuals with peripheral arterial disease from atherosclerosis, as they may already have compromised blood flow. Breast enlargement (
A), decreased alertness (
B), and bad breath (
C) are not typically associated with ginkgo biloba use.