ATI RN
ATI Capstone Exam 2 Final Questions
Extract:
Question 1 of 5
A nurse is preparing to administer phenytoin 50 mg IV bolus to a client who has a seizure disorder. The medication is supplied as a 50 mg/mL vial. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Administer the medication over 1 minute. Phenytoin is known to cause local irritation and can lead to serious adverse effects such as hypotension and cardiac arrhythmias if administered too rapidly. By administering it over 1 minute, the nurse can minimize the risk of these adverse effects.
Choice B is incorrect because diluting phenytoin can alter its pharmacokinetics and increase the risk of adverse effects.
Choice C is incorrect because slowing the injection if crystallization occurs can lead to inaccurate dosing and ineffective treatment.
Choice D is incorrect as following the injection with sterile water is unnecessary and does not contribute to the safe administration of phenytoin.
Question 2 of 5
A nurse is teaching a client about the uses of chamomile. Which of the following information should the nurse include in the teaching?
Correct Answer: A
Rationale: The correct answer is A: Chamomile may act as a calming agent. Chamomile is commonly used for its calming and relaxing properties, making it beneficial for reducing stress, anxiety, and promoting sleep. It is often consumed as a tea or used in aromatherapy for its soothing effects.
Summary of why other choices are incorrect:
B: Chamomile does have anti-inflammatory properties, but they are more commonly used for skin conditions like eczema and dermatitis, not cholesterol.
C: Chamomile is not known to decrease cholesterol levels.
D: Chamomile is commonly used to reduce nausea and vomiting, but the primary use is as a calming agent.
Question 3 of 5
A nurse is caring for a client who is receiving peritoneal dialysis. The nurse should monitor the client for which of the following manifestations of peritonitis?
Correct Answer: D
Rationale: The correct answer is D: Nausea and vomiting. Peritonitis is inflammation of the peritoneum, which can occur in peritoneal dialysis. Nausea and vomiting are common symptoms due to irritation of the peritoneum. Increased urinary output (
A) is not a typical manifestation of peritonitis. Hyperactive bowel sounds (
B) are more indicative of gastrointestinal issues, not peritonitis. Bradycardia (
C) is not a common symptom of peritonitis. In summary, nausea and vomiting are key signs of peritonitis, while the other options are not typically associated with this condition.
Question 4 of 5
A nurse is leading a family therapy session for a mother, father, and two adolescent siblings. Which of the following statements should the nurse recognize as an example of effective communication among family members?
Correct Answer: A
Rationale: The correct answer is A: "Please do not raise your voice at the children. I am the one who left the dishes in the sink." This statement shows effective communication by addressing a specific behavior (raising voice) and taking responsibility for one's actions (leaving dishes). It promotes understanding and problem-solving.
Choice B threatens and escalates conflict, not conducive to effective communication.
Choice C encourages open dialogue but lacks immediate conflict resolution.
Choice D involves blaming and does not address the issue constructively.
Question 5 of 5
A nurse is teaching a client who has a new second-degree ankle sprain. Which of the following instructions should the nurse include in the teaching?
Correct Answer: A,B,D,E
Rationale:
Correct Answer: A, B, D, E
Rationale:
A: Applying intermittent ice helps reduce inflammation and pain in the initial 48 hours post-injury.
B: Wrapping the ankle with a compression bandage provides support and helps reduce swelling.
D: Elevating the ankle above the heart helps reduce swelling by promoting fluid drainage.
E: Applying heat after 48 hours can help promote blood flow and aid in healing, but should not be used during the acute phase due to potential exacerbation of inflammation.
Incorrect
Choices:
C: Full weight-bearing is not recommended initially as it can worsen the injury.
Summary: The correct instructions focus on reducing swelling and pain, providing support, and promoting healing while avoiding actions that may exacerbate inflammation or worsen the injury.