ATI RN
ATI Capstone Exam 1 Questions
Extract:
Question 1 of 5
A nurse is preparing to administer fluconazole 400 mg by intermittent IV bolus daily. Available is fluconazole 400 mg in 0.9% sodium chloride (NaCl) 200 mL to infuse over 2 hours. The nurse should set the IV pump to deliver how many mL/hr? (Round the answer to the nearest tenth/whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 100
Rationale:
Correct Answer: 100
Rationale:
To calculate the IV pump rate, use the formula: (Volume to be infused in mL) / (Time in hours). In this case, 200 mL over 2 hours. 200 / 2 = 100 mL/hr.
Summary:
A. Incorrect. Not the correct calculation for the IV pump rate.
B. Incorrect. Not the correct calculation for the IV pump rate.
C. Incorrect. Not the correct calculation for the IV pump rate.
D. Incorrect. Not the correct calculation for the IV pump rate.
E. Incorrect. Not the correct calculation for the IV pump rate.
F. Incorrect. Not the correct calculation for the IV pump rate.
G. Incorrect. Not the correct calculation for the IV pump rate.
Question 2 of 5
A nurse is providing discharge teaching to a client who has a new prescription for verapamil for angina. Which of the following instructions should the nurse include?
Correct Answer: D
Rationale: The correct answer is D: Increase your daily intake of dietary fiber. Verapamil, a calcium channel blocker used for angina, can cause constipation as a side effect. Increasing dietary fiber helps prevent constipation by promoting bowel regularity. This instruction is important for the client's overall well-being and medication compliance.
A: Swelling of the ankles is not a common side effect of verapamil.
B: Verapamil can be taken with or without food, so taking it on an empty stomach is not necessary.
C: There is no need to limit fluid intake to meal times while taking verapamil.
Question 3 of 5
A nurse is caring for a client who has hypertension and has a potassium level of 6.8 mEq/L. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Obtain a 12-lead ECG. A potassium level of 6.8 mEq/L is significantly elevated (normal range is 3.5-5.0 mEq/L) and can lead to serious cardiac complications, such as arrhythmias.
Therefore, obtaining an ECG is crucial to assess the client's cardiac status.
Choice B (salt substitute) is incorrect as it can further elevate potassium levels.
Choice C (citrus juices and bananas) is incorrect as these are high-potassium foods that should be avoided.
Choice D (serum sodium level) is irrelevant to the client's elevated potassium level.
Question 4 of 5
A nurse is caring for a client who has hypertension and has a potassium level of 6.8 mEq/L. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Obtain a 12-lead ECG. A potassium level of 6.8 mEq/L indicates hyperkalemia, which can lead to serious cardiac arrhythmias.
Therefore, obtaining an ECG is crucial to assess for any potential cardiac abnormalities.
Choice B is incorrect as salt substitutes often contain potassium, exacerbating the issue.
Choice C is incorrect as citrus juices and bananas are high in potassium, which should be avoided in hyperkalemia.
Choice D is incorrect as it focuses on sodium levels, not addressing the immediate concern of hyperkalemia.
Question 5 of 5
A nurse is caring for a client who has prostate cancer. The nurse should expect the provider to prescribe which of the following medications for this client?
Correct Answer: B
Rationale: The correct answer is B: Leuprolide. Leuprolide is a gonadotropin-releasing hormone agonist that suppresses testosterone production, which can help slow the growth of prostate cancer. Tamoxifen (
A) is used for breast cancer, Finasteride (
C) is used for benign prostatic hyperplasia, and Cyclophosphamide (
D) is a chemotherapy drug for various cancers.
Therefore, in this case, the most appropriate medication for prostate cancer would be Leuprolide (
B).