ATI RN
ATI Nur211 Capstone Questions
Extract:
Question 1 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 2 of 5
A nurse is caring for a client who has heart failure and a prescription for digoxin 125 mcg PO daily. Available is digoxin PO 0.25 mg/tablet. How many tablets 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:
Correct Answer: 0.5 tablets
Rationale:
1. Convert 125 mcg to mg: 125 mcg = 0.125 mg
2. Determine how many tablets needed: 0.125 mg ÷ 0.25 mg/tablet = 0.5 tablets
3. Administer 0.5 tablets per dose.
Summary:
A. Incorrect as it does not calculate the appropriate dosage.
B. Incorrect as it does not address the dosage calculation.
C. Incorrect as it does not provide the correct calculation.
D. Incorrect as it does not offer the correct dosage.
E. Incorrect as it lacks the calculation for the dosage.
F. Incorrect as it does not address the specific question.
G. Incorrect as it does not provide the correct dosage calculation.
Question 3 of 5
A nurse is caring for a client who has global aphasia. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Speak to the client about one idea at a time. Global aphasia impairs the ability to understand and communicate effectively. By speaking about one idea at a time, the nurse helps the client focus and process information easier. This approach reduces confusion and frustration for the client.
Choice A is incorrect because multitasking can overwhelm someone with global aphasia.
Choice C is incorrect as using multiple forms of communication may be too challenging.
Choice D is incorrect as limiting questions to yes and no may not address the client's needs fully.
Question 4 of 5
A nurse is reviewing the EKG strip of a client who has prolonged vomiting. Which of the following abnormalities on the client's EKG should the nurse interpret as a sign of hypokalemia?
Correct Answer: A
Rationale: The correct answer is A: Abnormally prominent U wave. Hypokalemia leads to low potassium levels, affecting cardiac function. This can manifest as U wave prominence on EKG due to delayed repolarization of ventricles. Inverted P wave (choice
B) is seen in conditions like atrial ischemia, not specific to hypokalemia. Elevated ST segment (choice
C) indicates myocardial injury, not typically seen in hypokalemia. Wide QRS (choice
D) is seen in conditions like bundle branch blocks, not specific to hypokalemia. The other choices are not directly related to hypokalemia and are therefore incorrect.
Question 5 of 5
A nurse is teaching a client who has septic shock about the development of disseminated intravascular coagulation (DIC). Which of the following statements should the nurse make?
Correct Answer: D
Rationale:
Rationale: The correct answer is D. DIC is caused by abnormal coagulation involving fibrinogen. In DIC, there is widespread activation of the clotting cascade, leading to the formation of microthrombi throughout the body. This consumption of clotting factors, including fibrinogen, results in bleeding tendencies. Lifelong heparin usage (
A) is not a treatment for DIC. DIC is characterized by low platelet count, not elevated (
B). DIC is an acquired condition, not a genetic disorder (
C) involving vitamin K deficiency.