ATI RN
ATI Capstone Exam 1 Questions
Extract:
Question 1 of 5
A nurse is preparing to administer ampicillin and gentamicin sulfate via IV infusion. Which of the following resources should the nurse consult first regarding medication compatibility?
Correct Answer: B
Rationale: The correct answer is B: Hospital pharmacist. The nurse should consult the pharmacist first for medication compatibility as they are experts in drug interactions and compatibility. Pharmacists can provide specific guidance on whether ampicillin and gentamicin sulfate can be safely administered together via IV infusion. Consulting the health care provider (choice
A) may also be necessary for prescribing information, but pharmacists have specialized knowledge on drug interactions. The nurse manager (choice
C) may not have the expertise in medication compatibility. Consulting a medication sales representative (choice
D) is not appropriate as their role is to promote and sell medications rather than provide clinical guidance on compatibility.
Question 2 of 5
A nurse at a provider’s office is providing teaching to a client who is taking chemotherapy and losing weight. Which of the following should the nurse recommend to increase calorie and protein intake? (Select all that apply)
Correct Answer: A,B,C,D
Rationale: The correct answers are A, B, C, and D. Adding cream to soups, dipping meats in eggs and bread crumbs, using milk instead of water in recipes, and topping fruits with yogurt are all effective ways to increase calorie and protein intake for a client undergoing chemotherapy and losing weight. Cream, eggs, bread crumbs, milk, and yogurt are all calorie-dense and protein-rich foods that can help the client meet their nutritional needs. These options provide additional nutrients without adding bulk, making them suitable for someone with a reduced appetite.
Choices E, F, and G are incorrect because increasing fluids during meals does not directly address the need for increased calories and protein, and options F and G are not provided in the question.
Question 3 of 5
A nurse is preparing a client who is postoperative following a below-the-knee amputation for a leg prosthesis fitting. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Wrap the stump with an elastic bandage in a figure-eight configuration. This action helps reduce swelling, provide support, and shape the stump for prosthesis fitting. Wrapping in a figure-eight pattern ensures even compression and prevents constriction.
Choice B is incorrect as frequent re-wrapping can disrupt wound healing.
Choice C is unnecessary and may cause discomfort.
Choice D is incorrect as securing the bandage at the lowest joint can lead to constriction and hinder circulation.
Question 4 of 5
A nurse is completing a physical assessment of a client who has early osteoarthritis. Which of the following manifestations should the nurse expect?
Correct Answer: C
Rationale: The correct answer is C: Pain worsens with activity. In osteoarthritis, pain typically worsens with movement or activity due to the degeneration of joint cartilage causing friction between bones. This is a hallmark symptom of osteoarthritis. Ulnar deviation (
A) is more commonly seen in rheumatoid arthritis. Symmetric joints affected (
B) is also more characteristic of rheumatoid arthritis rather than osteoarthritis. Weight loss (
D) is not a typical manifestation of osteoarthritis, unless it is due to decreased physical activity from pain.
Question 5 of 5
A nurse is preparing to remove an NG tube from a client. Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: The correct answer is A: Verify the provider’s prescription to discontinue the tube. This is the first step because removing an NG tube without a prescription could lead to serious complications. The nurse must ensure that it is safe and appropriate to remove the tube as per the provider's orders. Disconnecting the tube from the wall suction (
B) should only be done after verifying the prescription. Performing hand hygiene (
C) and providing mouth care to the client (
D) are important steps in the process but should come after confirming the prescription.