ATI RN
ATI Capstone Week 9 Exam Questions
Extract:
Question 1 of 5
A nurse is preparing to administer furosemide 40 mg IV. Available is furosemide 10 mg/1 mL. How many mL should the nurse administer per dose?
Correct Answer: 4
Rationale: The correct answer is 4 mL.
To calculate this, we use the formula: Desired dose/Available dose = Volume to administer. In this case, 40 mg/10 mg/mL = 4 mL. Each mL contains 10 mg of furosemide, so to administer 40 mg, the nurse should give 4 mL. Other choices are incorrect because they do not follow the correct calculation. For example, choosing 10 mL (choice G) would result in administering 100 mg, not the desired 40 mg.
Question 2 of 5
What information would the nurse include when educating a postsurgical client on the proper use of antiembolism stockings? (Select all that apply)
Correct Answer: A,C,D,E
Rationale: A: Correct. Educating the client on the impairment to blood flow if the stockings are too tight is crucial to prevent complications like impaired circulation or pressure ulcers.
C: Correct. Ensuring skin hygiene and assessment each time the stockings are removed helps in early detection of any skin issues or irritations.
D: Correct. Wearing the stockings both in and out of bed promotes continuous prevention of blood clots, especially during periods of immobility.
E: Correct. Measuring the length and circumference of the leg ensures proper fit, which is essential for the stockings to be effective.
Incorrect choices: B is incorrect as the stockings should be worn continuously, not removed daily for 30 minutes.
Question 3 of 5
A nurse is caring for a client who has chronic obstructive pulmonary disease (COPD). The client tells the nurse, 'I can feel the congestion in my lungs, and I certainly cough a lot, but I can't seem to bring anything up.' Which of the following actions should the nurse take to help this client with tenacious bronchial secretions?
Correct Answer: D
Rationale:
Rationale: The correct answer is D. Encouraging the client to drink 2 to 3 L of water daily is essential in helping with tenacious bronchial secretions in COPD. Adequate hydration thins mucus, making it easier to expectorate. Options A, B, and C do not directly address the issue of thinning secretions. Administering oxygen helps with oxygenation, low-salt diet is for managing hypertension, and semi-Fowler's position aids with breathing but doesn't directly address secretions.
Question 4 of 5
A nurse is caring for a client who has a chest tube connected to a closed drainage system and needs to be transported to the x-ray department. Which of the following actions should the nurse take?
Correct Answer: A
Rationale:
Correct Answer: A
Rationale: Keeping the drainage system below the level of the client's chest prevents the backflow of air or fluid into the client's chest, ensuring proper functioning of the chest tube. This positioning maintains the integrity of the closed drainage system and prevents complications such as pneumothorax or hemothorax.
Summary of other choices:
B: Clamping the chest tube can lead to a buildup of pressure in the chest, causing potential harm to the client.
C: Disconnecting the chest tube can result in air entering the pleural space, increasing the risk of pneumothorax.
D: Emptying the collection chamber is not necessary prior to transport as it does not affect the function of the chest tube.
Question 5 of 5
A nurse is reviewing a client's laboratory results and sees that their hemoglobin A1C is 9%. Which of the following statements from the nurse is appropriate?
Correct Answer: C
Rationale:
Rationale:
Choice C is correct because Hemoglobin A1C reflects average blood sugar levels over the past 2-3 months. A level of 9% indicates high average blood sugar.
Choice A is incorrect because A1C does not specifically indicate post-meal blood sugar.
Choice B is incorrect as A1C doesn't measure low blood sugar levels.
Choice D is incorrect as A1C reflects overall blood sugar control, not stability.