ATI RN
ATI Nur211 Capstone Questions
Extract:
Question 1 of 5
A nurse is preparing to administer meperidine 35 mg IM to a client every 6 hr PRN for pain. Available is meperidine injection 75 mg/mL. How many mL should the nurse administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 0.5
Rationale:
To calculate the mL of meperidine needed per dose, we divide the desired dose (35 mg) by the concentration of the medication (75 mg/mL).
35 mg ÷ 75 mg/mL = 0.4667 mL.
Rounded to the nearest tenth, the nurse should administer 0.5 mL per dose.
Choice A (0.3 mL) is incorrect as it is too low.
Choice B (0.7 mL) is incorrect as it is too high.
Choice C (1.0 mL) is incorrect as it is significantly higher than the calculated dose.
Choice D (0.4 mL) is incorrect as it is slightly lower than the calculated dose.
Choice E, F, and G are irrelevant as the correct answer is 0.5 mL.
Extract:
Nurses' Notes
Day 1:
Client admitted to the medical-surgical unit from the emergency department (ED). Client came to the ED after sudden onset of dizziness, numbness and weakness of right arm, right leg, and right side of the face.
Client is awake, responsive, and follows commands. Appears confused and is unable to form words to answer questions
Right facial droop noted. Right hand grasp weak, left hand grasp strong. Day 7: Client is awake, alert, and oriented. Able to form some words to answer questions
Right facial droop. Right hand grasp weak, left hand grasp strong. Right leg weak. Ambulates with a walker and assistance.
Vital Signs
Vital Signs Day 1: Temperature 37.5°C (99.5° F) Blood pressure 198/96 mm Hg Heart rate 112/min Respiratory rate 22/min
Oxygen saturation 96% on room air Day 7:
Temperature 38° C (100,4° F) Blood pressure 166/70 mm Hg Heart rate 88/min
Respiratory rate 20/min
Oxygen saturation 97% on room air
Question 2 of 5
A nurse is caring for a client. For each client finding, click to specify if the finding is consistent with Parkinson's disease, stroke, and/or multiple sclerosis. Each finding can support more than one disease process.
| Options | Parkinson's Disease | Stroke | Multiple Sclerosis |
|---|---|---|---|
| Cognitive function | |||
| Speech | |||
| Mobility status | |||
| Blood pressure | |||
| Facial symmetry. |
Correct Answer:
Rationale:
Correct Answer:
Rationale: Cognitive function and Mobility status are consistent with Parkinson's disease due to characteristic symptoms like cognitive decline and mobility issues. Speech is related to stroke, often causing speech difficulties. Blood pressure is not specific to any of these diseases. Facial symmetry is not listed in the context of any specific disease process.
Extract:
Question 3 of 5
A nurse is preparing to administer dabigatran to a client who has atrial fibrillation. The nurse should explain that the purpose of this medication is which of the following?
Correct Answer: D
Rationale:
Correct Answer: D -
To reduce the risk of stroke in clients who have atrial fibrillation
Rationale:
1. Dabigatran is a direct thrombin inhibitor used as an anticoagulant to prevent blood clots.
2. Atrial fibrillation increases the risk of blood clots forming in the heart, which can lead to strokes.
3. Dabigatran helps by preventing the formation of these blood clots, thus reducing the risk of stroke.
Summary:
A - Incorrect: Dabigatran does not convert atrial fibrillation to sinus rhythm. It is used for stroke prevention.
B - Incorrect: Dabigatran does not dissolve existing clots but prevents new ones from forming.
C - Incorrect: Dabigatran does not directly affect the response of the ventricles to atrial impulses. Its main purpose is stroke prevention.
Question 4 of 5
A nurse is preparing to administer verapamil by IV bolus to a client who is having cardiac dysrhythmias. For which of the following adverse effects should the nurse monitor when giving this medication?
Correct Answer: A
Rationale: The correct answer is A: Hypotension. Verapamil is a calcium channel blocker that can cause vasodilation, leading to a decrease in blood pressure. Administering it by IV bolus can result in a rapid drop in blood pressure, causing hypotension. Monitoring for hypotension is crucial to prevent complications such as dizziness, syncope, or inadequate perfusion to vital organs. Muscle pain (
B), ototoxicity (
C), and hyperthermia (
D) are not commonly associated with verapamil administration. Monitoring for these adverse effects would not be relevant in this scenario.
Question 5 of 5
A nurse is caring for a client who returns to the nursing unit from the recovery room after a sigmoid colon resection for adenocarcinoma. The client had an episode of intraoperative bleeding. Which finding indicates to the nurse that the client may be developing hypovolemic shock?
Correct Answer: C
Rationale: The correct answer is C: Increase in the heart rate from 88 to 110/min. This finding indicates the client may be developing hypovolemic shock because an increase in heart rate is a classic compensatory mechanism in response to decreased blood volume, which is characteristic of hypovolemic shock. The body tries to maintain cardiac output by increasing heart rate to ensure adequate tissue perfusion.
Other choices are incorrect because:
A: Increase in temperature is more indicative of an inflammatory response, not necessarily hypovolemic shock.
B: Decrease in respiratory rate is not a typical sign of hypovolemic shock.
D: Decrease in urinary output is a sign of decreased renal perfusion but not specific to hypovolemic shock.