ATI RN
ATI Capstone Week 11 Exam Questions
Extract:
Question 1 of 5
A nurse is preparing to administer methylnaltrexone 12 mg subcutaneously to a client who has opioid-induced constipation. Available is methylnaltrexone 8 mg/0.4 mL. How many mL should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 0.6
Rationale:
Correct Answer: 0.6 mL
Rationale:
1. Calculate the total dose needed: 12 mg
2. Determine the concentration: 8 mg/0.4 mL
3. Use the formula: dose required/concentration on hand = volume to administer
4. Substitute values: 12 mg/8 mg = x/0.4 mL
5. Solve for x: x = (12 mg * 0.4 mL) / 8 mg = 0.6 mL
Summary:
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Choice A: Incorrect, as it does not align with the correct calculation.
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Choices B to G: Irrelevant, as they do not provide any valid reasoning or calculations.
Question 2 of 5
A nurse is caring for a 12-month-old toddler who is hospitalized and confined to a room with contact precautions in place. Which of the following toys would be best for the nurse to recommend in order to meet the developmental needs of the client?
Correct Answer: D
Rationale: The correct answer is D: Large building blocks. At 12 months, toddlers are in the sensorimotor stage of development, where they explore objects through touch and manipulation. Large building blocks allow the toddler to practice fine motor skills, hand-eye coordination, and spatial awareness. They also promote creativity and problem-solving. Crayons and coloring books (choice
A) are more suitable for older children who have developed better fine motor skills. Modeling clay (choice
B) may pose a choking hazard for a 12-month-old. Hanging crib toys (choice
C) are more appropriate for infants and may not provide enough stimulation for a toddler.
Question 3 of 5
A client is receiving desmopressin intranasally. Which assessment parameters would the nurse monitor to determine the effectiveness of this medication?
Correct Answer: A
Rationale: The correct answer is A: Urine output. Desmopressin is a synthetic form of vasopressin used to manage diabetes insipidus. Monitoring urine output is crucial as desmopressin helps to reduce excessive urination by increasing water reabsorption in the kidneys.
Therefore, a decrease in urine output indicates the effectiveness of the medication. Pupillary response (
B), temperature (
C), and apical heart rate (
D) are not directly related to the mechanism of action of desmopressin and would not provide accurate assessment of its effectiveness.
Question 4 of 5
A nurse is collecting data from a child who is descending stairs by placing both feet on each step and holding on to the railing. The nurse should understand that these actions are developmentally appropriate at which of the following ages?
Correct Answer: A
Rationale: The correct answer is A: 3 years. At around 3 years old, children typically start descending stairs by placing both feet on each step and holding onto the railing for support. This is developmentally appropriate as it shows they have developed the coordination and balance to navigate stairs safely. At 6 years old (choice
B), children should already be able to descend stairs without needing to place both feet on each step.
Choices C (5 years) and D (4 years) are also incorrect as children at these ages should be displaying more advanced stair-descending skills compared to placing both feet on each step.
Question 5 of 5
A nurse in a prenatal clinic is caring for a client who is at 7 weeks of gestation. The client reports urinary frequency and asks if this will continue until delivery. Which of the following responses should the nurse make?
Correct Answer: C
Rationale:
Rationale: Answer C is correct because urinary frequency is common in the first trimester due to hormonal changes and later in pregnancy due to the growing uterus pressing on the bladder. This response educates the client about the expected timeline of the symptom, offering reassurance.
Incorrect
Choices:
A: This choice does not provide the client with specific information about the timing of urinary frequency during pregnancy.
B: While it mentions the 12th week, it does not address the occurrence near the end of pregnancy.
D: This response dismisses the client's concern and fails to provide helpful information.