ATI RN
ATI Capstone Exam 1 Questions
Extract:
Question 1 of 5
A nurse is preparing to administer ciprofloxacin to a client. The nurse should identify that the medication is treatment for exposure to which of the following agents?
Correct Answer: B
Rationale: The correct answer is B: Anthrax. Ciprofloxacin is an antibiotic commonly used to treat anthrax, which is a bacterial infection caused by Bacillus anthracis. The rationale behind this choice is that ciprofloxacin is effective in treating anthrax infections by inhibiting the growth of the bacteria. Smallpox (
A), Ebola virus (
C), and Sarin gas (
D) are not treated with ciprofloxacin as they are caused by a virus, a different virus, and a nerve gas, respectively.
Question 2 of 5
A nurse is preparing to administer 1 mg vitamin K to a newborn. The medication is available in 1 mg/0.5 mL. How much should the nurse administer? (Round to the nearest tenth. Use a leading zero when applicable. Do not use a trailing zero.)
Correct Answer: 0.5
Rationale:
Correct Answer: 0.5 mL
Rationale:
To administer 1 mg of vitamin K, the nurse should administer 0.5 mL, as the medication is available in 1 mg/0.5 mL concentration. This means that in 0.5 mL, there is 1 mg of vitamin K.
Therefore, the nurse should administer 0.5 mL to provide the correct dosage to the newborn.
Summary:
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Choice A: Incorrect, as it does not match the concentration of the medication.
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Choices B-G: Irrelevant as they do not provide the correct calculation based on the medication concentration.
Question 3 of 5
A nurse is preparing a response protocol for botulism as a bioterrorism agent. The nurse should prepare the protocol based on which of the following information? (Select all that apply.)
Correct Answer: C,D
Rationale: The correct answers are C and D.
Choice C is correct because botulism can indeed produce paralysis within 12 to 72 hours following exposure. This is crucial information for early detection and treatment.
Choice D is also correct because vomiting and diarrhea are not typical symptoms of botulism. The toxin primarily affects the nervous system, leading to symptoms such as muscle weakness and paralysis.
Choices A, B, and E are incorrect. Botulism is not acquired through direct contact with an infected person (
A), the CDC should be notified immediately upon suspicion of botulism, not after a certain number of cases (
B), and botulism toxin is not found in castor beans (E).
Question 4 of 5
A nurse is assessing a client who presents to the provider’s office for evaluation of multiple nevi. Which of the following findings should the nurse report to the provider as a possible sign of malignancy?
Correct Answer: B
Rationale: The correct answer is B: Irregular borders. Irregular borders are a classic sign of malignancy in nevi, suggesting potential melanoma. This finding indicates that the nevus may be evolving into a cancerous lesion. It is crucial for the nurse to report this to the provider promptly for further evaluation. Intense pruritus (choice
A) is common in benign nevi and not specific to malignancy. Uniform pigmentation (choice
C) is typically seen in benign nevi and is not a concerning feature. Purulent drainage (choice
D) is more indicative of infection or inflammation rather than malignancy. In summary, irregular borders are a red flag for malignancy, while the other choices are more likely associated with benign nevi or other conditions.
Question 5 of 5
A nurse is assessing a client who has chronic venous insufficiency. Which of the following findings should the nurse expect?
Correct Answer: D
Rationale: The correct answer is D: Edema. In chronic venous insufficiency, impaired blood flow leads to fluid accumulation in the affected limb, causing swelling or edema. This occurs due to increased venous pressure and decreased venous return. Dependent rubor (choice
A) is seen in arterial insufficiency, not venous. Thick, deformed toenails (choice
B) and hair loss (choice
C) are not typically associated with chronic venous insufficiency. Edema is a hallmark sign due to venous stasis and capillary leakage.