ATI RN
ATI Capstone Week 9 Exam Questions
Extract:
Question 1 of 5
A nurse is preparing to administer albuterol syrup 6 mg PO tid. Available is albuterol 2 mg/5mL. How many mL should the nurse administer per dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 15
Rationale:
To determine the mL to administer per dose, divide the total dose (6 mg) by the amount of albuterol in 1 mL (2 mg). 6 mg ÷ 2 mg/mL = 3 mL per dose. However, since the answer should be rounded to the nearest whole number, and 3 is not the nearest whole number to 3 mL, the answer should be rounded up to the next whole number, which is 4 mL.
Therefore, the correct answer is 15 mL. Other choices like 10 mL (incorrect, too low), 5 mL (incorrect, too low), 20 mL (incorrect, too high) are eliminated based on the correct calculation.
Question 2 of 5
A nurse is teaching a client who has type 1 diabetes mellitus about foot care. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: C
Rationale:
Correct Answer: C - "I’ll check my feet every day for sores and bruises."
Rationale: Daily foot checks are crucial for early detection of any issues in diabetic patients, as they are at a higher risk of developing foot ulcers. By checking for sores and bruises, the client shows an understanding of the importance of preventive care to avoid complications like infections or amputations.
Summary of Other
Choices:
A: Soaking feet in cool water can lead to maceration and increase the risk of skin breakdown, not recommended.
B: Putting lotion between toes can create a moist environment, potentially leading to fungal infections, not ideal.
D: Wearing sandals in warm weather is a good practice, but it doesn't directly address foot care concerns for diabetic patients.
Question 3 of 5
A nurse is caring for a client who has a new arteriovenous (AV) graft in his left forearm. Which of the following techniques should the nurse use to assess the patency of this graft?
Correct Answer: A
Rationale: The correct answer is A: Auscultate the site for a bruit. This technique is used to assess the patency of an AV graft by listening for the characteristic "swishing" sound created by blood flow through the graft. A bruit indicates good blood flow, suggesting the graft is patent.
Choice B is incorrect because blood pressure comparison between the arms is not a reliable method for assessing AV graft patency.
Choice C is incorrect because using a Doppler to auscultate the antecubital fossa does not specifically assess the patency of the AV graft.
Choice D is incorrect because checking the brachial and radial pulses simultaneously does not provide direct information about the patency of the AV graft.
Overall, auscultating the site for a bruit is the most specific and direct method for assessing the patency of an AV graft.
Question 4 of 5
A nurse is teaching about disease management for a client who has type 1 diabetes mellitus. Which statement made by the client indicates an understanding of the teaching?
Correct Answer: A
Rationale: The correct answer is A because administering insulin injections in the abdominal area helps with faster absorption and consistent insulin action. This practice is recommended for clients with type 1 diabetes to maintain stable blood sugar levels.
Choice B is incorrect as blood sugar readings should ideally be taken before meals.
Choice C is incorrect because insulin does not allow unrestricted consumption of high-sugar foods like ice cream.
Choice D is incorrect because a weight reduction program, if managed properly, should not lead to hypoglycemia in a client with type 1 diabetes.
Question 5 of 5
A nurse is providing teaching to a client who has a new diagnosis of hypothyroidism. On which of the following medications should the nurse prepare to instruct the client?
Correct Answer: D
Rationale: The correct answer is D: Levothyroxine. The rationale is that levothyroxine is a medication commonly used to treat hypothyroidism by replacing the deficient thyroid hormone. It helps regulate the body's metabolism and energy levels. Levofloxacin (
A) is an antibiotic used to treat bacterial infections, not related to hypothyroidism. Radioactive iodine (
B) is used to treat hyperthyroidism by destroying thyroid tissue, not applicable for hypothyroidism. Sumatriptan (
C) is used to treat migraines, not related to hypothyroidism.
Therefore, the nurse should prepare to instruct the client on levothyroxine for managing hypothyroidism effectively.