ATI RN
ATI Capstone Exam 2 Final Questions
Extract:
Question 1 of 5
A nurse is preparing to administer vancomycin 15 mg/kg/day divided equally every 12 hours. The client weighs 198 lb. How many mg should the nurse administer with each dose?
Correct Answer: 675
Rationale:
Correct Answer: 675
Rationale:
1. Convert weight from lb to kg: 198 lb ÷ 2.2 = 90 kg.
2. Calculate total daily dose: 15 mg/kg/day x 90 kg = 1350 mg/day.
3. Divide total daily dose by 2 for equal doses every 12 hours: 1350 mg/2 = 675 mg per dose.
Summary:
A, B, C, D, E, F, G: These options do not follow the correct calculation steps. A, B, C, D, E, F, G are incorrect because they do not consider the weight conversion, total daily dose calculation, and dosage frequency requirements.
Question 2 of 5
A nurse is caring for a client who has an unrepaired femur fracture of the midshaft. Which of the following techniques should the nurse use when performing an assessment of the client’s neurovascular status?
Correct Answer: B
Rationale: The correct answer is B: Palpate the femoral pulse. When assessing neurovascular status in a client with an unrepaired femur fracture, palpating the femoral pulse is crucial to determine adequate circulation to the lower limb. Absence of the femoral pulse may indicate compromised blood flow, which is a medical emergency requiring immediate intervention. Monitoring calf for edema (
A) is more related to venous status rather than neurovascular assessment. Measuring thigh circumference (
C) does not directly assess neurovascular status. Instructing the client to wiggle his toes (
D) assesses motor function, not neurovascular status.
Question 3 of 5
A nurse is providing teaching to the parent of a toddler about appropriate snacks. Which of the following foods should the nurse include?
Correct Answer: D
Rationale: The correct answer is D: Sliced bananas. Bananas are a good snack choice for toddlers due to their soft texture and easy digestibility. They are also a good source of potassium and dietary fiber. Raw celery (
A) may pose a choking hazard due to its stringy texture. Grapes (
B) should be cut into small pieces to prevent choking. Peanut butter (
C) can also be a choking hazard and may not be suitable for all toddlers due to potential allergies. Sliced bananas are a safe, nutritious, and easily manageable snack option for toddlers.
Question 4 of 5
An RN from the maternal-newborn unit is being floated to a medical-surgical unit. Which of the following clients should the charge nurse on the medical-surgical unit plan to assign to the RN?
Correct Answer: B
Rationale: The correct answer is B. The RN from the maternal-newborn unit would be most familiar with postoperative care, making them a suitable choice for the client one-day postoperative following a total abdominal hysterectomy. This assignment aligns with the RN's skill set and experience.
Choice A involves a client with a stroke, which requires specialized care beyond the RN's expertise.
Choice C involves a client with acute pancreatitis, which is typically managed by medical-surgical nurses with experience in gastrointestinal disorders.
Choice D involves a client with end-stage renal disease, which requires specialized renal care expertise. Thus, assigning the postoperative client to the RN is the most appropriate choice.
Question 5 of 5
A nurse is caring for several clients. For which of the following situations should the nurse complete an incident report?
Correct Answer: D
Rationale: The correct answer is D because the situation involves a potential harm to a client, which is a critical incident requiring documentation. The missing dentures can impact the client's ability to eat or speak, posing a risk to their well-being. Completing an incident report ensures the issue is addressed, investigated, and preventive measures are implemented to avoid future occurrences.
Choices A, B, and C do not directly involve harm to a client and can be addressed through other means without the need for an incident report.