ATI RN
ATI RN Capstone Proctored Comprehensive Assessment A Questions
Extract:
Question 1 of 5
A nurse is reviewing the medication administration record of a client who is to undergo excretory urography using contrast dye. The nurse should plan to withhold which of the following medications 24 to 48 hr before the procedure?
Correct Answer: B
Rationale: The correct answer is B: Metformin. This medication should be withheld before excretory urography as contrast dye can affect kidney function, leading to a risk of lactic acidosis when combined with metformin. Acetaminophen (
A) does not interact with contrast dye. Atenolol (
C) and prednisone (
D) are not contraindicated for this procedure. In summary, metformin should be withheld to prevent lactic acidosis, while the other options do not pose the same risk.
Question 2 of 5
A nurse is preparing to administer naloxone IV bolus to a client who has opioid use disorder and has developed acute opioid toxicity. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Check the client's vital signs every 15 min. This is crucial because naloxone can cause rapid reversal of opioid effects, leading to potential adverse reactions such as hypertension, tachycardia, and pulmonary edema. Monitoring vital signs frequently allows the nurse to promptly identify and manage these complications.
Choice B is incorrect because giving naloxone slowly for 15 seconds may delay the onset of action and compromise the client's safety in cases of opioid toxicity.
Choice C is incorrect as the onset of naloxone typically occurs within minutes, not 15 minutes.
Choice D is incorrect as the effects of naloxone are short-acting and do not last for 24 hours.
Question 3 of 5
A nurse is teaching a client who has a new prescription for levothyroxine (T4) about thyrotoxicosis. The nurse should instruct the client to monitor and report which of the following findings?
Correct Answer: C
Rationale: The correct answer is C: Fever. Thyrotoxicosis is a condition characterized by excessive thyroid hormone levels, leading to symptoms such as increased metabolism and body temperature, which can manifest as fever. The client should monitor and report fever as it may indicate worsening of the condition. Weight gain (
A) is not typically associated with thyrotoxicosis, as it usually causes weight loss. Bradycardia (
B) is a symptom of hypothyroidism, not thyrotoxicosis. Drowsiness (
D) is also not a common symptom of thyrotoxicosis, which is more likely to cause insomnia or restlessness.
Question 4 of 5
A nurse is teaching a client who has GERD about appropriate dietary choices. Which of the following food choices by the client indicates an understanding of the teaching?
Correct Answer: D
Rationale: The correct answer is D: Bran cereal. This choice is appropriate for a client with GERD because bran cereal is high in fiber which helps with digestion and can reduce symptoms of GERD. Fried chicken (
A) is high in fat and can trigger GERD symptoms.
Tomato soup (
B) is acidic and can worsen GERD. Hot cocoa (
C) is also acidic and can irritate the esophagus. In summary, bran cereal is the best choice as it is low in fat and acidity, making it a suitable option for someone with GERD.
Question 5 of 5
A nurse is preparing regular and NPH insulin in the same syringe for a client who has diabetes mellitus. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Administer the mixture within 5 min of preparing it. This is important because regular insulin should always be drawn up before NPH insulin due to the risk of contaminating the regular insulin with NPH. Administering the mixture promptly ensures the insulin remains stable and effective.
Choice A is incorrect because shaking the vials can cause air bubbles and lead to inaccurate dosing.
Choice C is incorrect as NPH insulin should be drawn up after regular insulin to avoid contamination.
Choice D is incorrect as air should be injected into the vial after withdrawing insulin to prevent creating a vacuum.