ATI RN
ATI Capstone Exam 2 Final Questions
Extract:
Question 1 of 5
A nurse is preparing to administer lansoprazole 30 mg PO daily to a client. The amount available is lansoprazole 10 mg per tablet. How many tablets should the nurse administer per dose?
Correct Answer: 3
Rationale: The correct answer is 3 tablets.
To achieve a total dose of 30 mg daily, with each tablet containing 10 mg, the nurse should administer 3 tablets per dose. This calculation ensures the client receives the prescribed dosage. Other choices are incorrect because administering fewer tablets would result in an inadequate dose, while administering more tablets would exceed the prescribed dosage, potentially leading to adverse effects. It is essential to follow precise calculations to ensure safe and effective medication administration.
Question 2 of 5
A nurse is caring for a client who is receiving total parenteral nutrition (TPN). The pharmacy is delayed in supplying the client’s next container of TPN. Which of the following fluids should the nurse infuse until the next container arrives?
Correct Answer: C
Rationale: The correct answer is C: Dextrose 10% in water. When TPN is delayed, it is important to provide a temporary source of glucose to prevent hypoglycemia. Dextrose 10% in water is the most appropriate choice as it provides a higher concentration of glucose compared to Dextrose 5%, helping to maintain the client's blood glucose levels until the TPN is available. 0.9% sodium chloride does not provide glucose which is essential in TPN replacement. Lactated Ringer’s solution does not contain glucose and is not suitable for providing caloric support.
Question 3 of 5
A nurse is triaging clients injured during a tornado. The nurse assesses a client who has an open fracture of his arm. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Place a red tag on the client's upper body. This is the correct action because in mass casualty incidents, triage tags are used to prioritize care. A red tag indicates the client has life-threatening injuries requiring immediate attention. Performing a rapid head-to-toe assessment (choice
A) would delay urgent treatment. Having the client's wife drive him to the hospital (choice
C) is not appropriate as the client needs immediate medical attention. Placing a yellow tag (choice
D) would indicate delayed treatment, which is not suitable for an open fracture.
Question 4 of 5
A nurse is preparing to infuse a 250-mL unit of packed RBCs over 2 hours. The drop factor of the manual IV tubing is 15 gtts/mL. The nurse should adjust the flow rate to deliver how many drops per minute?
Correct Answer: 31
Rationale:
To calculate the flow rate in drops per minute for the infusion of packed RBCs, we first need to determine the total number of drops to be infused over 2 hours.
Step 1: Calculate the total drops in 2 hours:
2 hours = 120 minutes
250 mL x 15 gtts/mL = 3750 drops
3750 drops ÷ 120 minutes = 31.25 drops/minute
Step 2: The correct answer is rounded down to 31 drops per minute as IV infusion sets typically do not allow for fractions of drops.
Summary:
-
Choice A: Incorrect. The correct flow rate is not 60 drops per minute as that would be too fast.
-
Choices B-G: Irrelevant as they do not follow the calculation process required to determine the correct flow rate.
Question 5 of 5
A nurse is planning on teaching a client who is scheduled for an IVP. Which of the following statements should the nurse include in the teaching?
Correct Answer: D
Rationale: The correct answer is D: After the procedure, you will be encouraged to drink plenty of fluids. This is important because after an Intravenous Pyelogram (IVP), the contrast dye used can be nephrotoxic, and increasing fluid intake helps to flush out the dye and prevent kidney damage. Encouraging the client to drink plenty of fluids will help protect their kidneys.
Choice A is incorrect because the presence of red blood cells in the urinalysis is not a contraindication for an IVP.
Choice B is incorrect because the client may need to follow specific dietary restrictions before and after the test.
Choice C is incorrect because high-frequency sound waves are used in ultrasound, not in an IVP.