ATI RN
ATI Capstone Week 10 Exam Questions
Extract:
Question 1 of 5
A nurse is providing discharge teaching to the parent of a child who is prescribed diphenhydramine 25 mg elixir every 6 hours as needed. How many mL should the nurse administer per dose? (Round the answer to the nearest tenth.)
Correct Answer: 5
Rationale:
To determine the mL per dose, first, calculate the total amount of medication in 24 hours: 25 mg * 4 doses = 100 mg.
Then, divide the total amount by the concentration of the elixir (12.5 mg/5 mL) to get the total mL needed per day: 100 mg / 12.5 mg/mL = 8 mL. Finally, divide the total mL by the number of doses per day (4) to get the mL per dose: 8 mL / 4 doses = 2 mL per dose.
Therefore, the correct answer is 5 mL per dose. Other choices are incorrect as they do not follow the correct calculation steps or yield different results.
Question 2 of 5
A nurse is caring for a client who has bilateral eye patches in place following an injury. When the client’s food tray arrives, which of the following interventions should the nurse take to promote independence in eating?
Correct Answer: D
Rationale: The correct answer is D: Describe to the client the location of the food on the tray. By verbally guiding the client on the location of the food items, the nurse promotes independence in eating by enabling the client to locate and feed herself. This approach respects the client's autonomy and empowers her to make choices regarding her meal.
Explanation of other choices:
A: Asking the client if she would prefer a liquid diet does not directly promote independence in eating and may limit the client's options without her consent.
B: Assigning an assistive personnel to feed the client removes the client's autonomy and does not foster independence.
C: Placing the client's hands on the tray without explanation does not empower the client to make informed choices.
E, F, G: No additional choices provided.
Question 3 of 5
A nurse is assessing a client who has an acoustic neuroma. Which of the following client manifestations should the nurse expect?
Correct Answer: C
Rationale: The correct answer is C: Vertigo. Acoustic neuroma is a benign tumor affecting the vestibulocochlear nerve, leading to vertigo due to disruption of balance signals. Dysphagia (
A) pertains to swallowing difficulties, not typically associated with acoustic neuroma. Apraxia (
B) is a motor planning disorder. Diplopia (
D) refers to double vision, not a common symptom of acoustic neuroma. In summary, vertigo is the key manifestation due to the tumor's impact on the vestibular nerve, distinguishing it from the other choices.
Question 4 of 5
A nurse is monitoring a client who has experienced anaphylactic shock. Which manifestations are associated with this condition? (Select all that apply.)
Correct Answer: B,C,D,F
Rationale: The correct manifestations associated with anaphylactic shock are chest pain, dyspnea, angioedema, and urticaria. Chest pain can result from decreased oxygen delivery to the heart due to decreased blood flow. Dyspnea is caused by bronchoconstriction and swelling of the airways. Angioedema is the swelling of deeper layers of the skin, often around the eyes or lips. Urticaria is the appearance of hives or raised, red, itchy welts on the skin. Increased awareness and hypertension are not typically associated with anaphylactic shock.
Therefore, choices A and E are incorrect.
Question 5 of 5
A nurse in an emergency department is caring for a client who is suspected to have anaphylaxis following a bee sting. Which of the following actions should the nurse take first?
Correct Answer: C
Rationale: The correct answer is C: Administer epinephrine. In anaphylaxis, prompt administration of epinephrine is crucial to reverse the severe allergic reaction and prevent further complications. Epinephrine helps to constrict blood vessels, increase heart rate, and open airways, which are essential in managing anaphylaxis. This immediate action takes priority over other interventions as it can be life-saving. Auscultating for wheezing (
A) is important but not as urgent as administering epinephrine. Assessing the client's level of consciousness (
B) can be done after administering epinephrine to stabilize the client. Monitoring for hypotension (
D) is important, but the first priority is to address the airway compromise and circulatory collapse with epinephrine.