ATI RN
ATI Capstone Exam 2 Final Questions
Extract:
Question 1 of 5
A nurse is preparing to administer amoxicillin 500 mg PO four times a day to a client. The amount available is amoxicillin suspension 250 mg/5 mL. How many mL should the nurse administer per dose?
Correct Answer: 10
Rationale: The correct answer is 10 mL.
To calculate this, we first find the total daily dose of amoxicillin (500 mg x 4 doses = 2000 mg).
Then, we convert this to mL using the concentration of the suspension (250 mg/5 mL). 2000 mg ÷ 250 mg/mL = 8 mL per dose. Since the question asks for the total mL per dose, we multiply 8 mL by 1.25 (to account for 500 mg instead of 400 mg), giving us 10 mL. Other choices are incorrect because they do not follow the correct conversion process or do not consider the total daily dose of amoxicillin needed.
Question 2 of 5
A public health nurse is teaching a group of nurses about smallpox. Which of the following statements by one of the nurses indicates an understanding of the teaching?
Correct Answer: D
Rationale: The correct answer is D because vaccination against smallpox provides lifelong immunity. This is true as the smallpox vaccine has been proven to provide long-lasting protection against the disease. Other choices are incorrect because: A is incorrect as smallpox has been eradicated globally since 1980, so there are no rare occurrences. B is incorrect as smallpox lesions progress through distinct stages, not various stages of healing. C is incorrect as smallpox lesions are more abundant on the body, not just the face.
Question 3 of 5
A nurse is helping an older adult client ambulate in the hallway for the first time since admission. The client has brought her standard walker from home. To ensure proper use of the walker and the safety of the client, which of the following actions should the nurse take?
Correct Answer: D
Rationale:
Correct Answer: D - Check that the client lifts the walker and then places it down in front of her.
Rationale: This action is correct because it ensures the client is using the walker properly to provide support and stability while walking. Lifting the walker before moving it forward helps prevent tripping over obstacles and ensures proper weight distribution. Placing it down in front of her also helps maintain balance and control during ambulation.
Summary of other choices:
A: Walking in front of the client may cause confusion and hinder the client's ability to maneuver the walker independently.
B: Ensuring the upper bar of the walker is level with the client's waist is important, but it is not the most critical action for the client's safety and proper use of the walker.
C: Having the client move one leg forward with the walker is a common ambulation technique but does not specifically address the proper use of the walker.
Question 4 of 5
At the beginning of the shift, an RN is preparing assignments for a licensed practical nurse (LPN) and an assistive personnel (AP). Which of the following tasks should the nurse assign to the LPN?
Correct Answer: D
Rationale: The correct answer is D: Inserting a nasogastric tube for a client. LPNs have the training and scope of practice to perform this task safely and effectively. They can insert nasogastric tubes under the supervision of an RN.
A: Measuring a client's I&O - This task involves critical thinking and assessment skills usually performed by RNs.
B: Obtaining a client's weight - This task is within the scope of APs or nursing assistants.
C: Providing postmortem care for a client - This is typically performed by RNs due to the sensitive nature of the task.
Question 5 of 5
A nurse is providing preoperative teaching for a client who is scheduled for a gastrectomy. Which of the following information regarding the prevention of postoperative complications should the nurse include in the teaching?
Correct Answer: B
Rationale: The correct answer is B: Instruct the client about the use of a sequential compression device. This is important for preventing postoperative complications like deep vein thrombosis (DVT) by promoting circulation in the lower extremities. Discussing the visitation policy (
A) is not directly related to preventing postoperative complications. Teaching the client how to use the PCA pump (
C) is important for pain management but not specifically for preventing complications. Reviewing the pain scale (
D) is crucial for pain assessment but does not directly address postoperative complications.