ATI RN
ATI Capstone Week 9 Exam Questions
Extract:
Question 1 of 5
A nurse is teaching a client who has asthma how to use a metered-dose inhaler (MDI). The nurse identifies the sequence of steps the client should follow. (Move the steps into the box on the right, placing them in the selected order of performance. Use all steps.)
Correct Answer: A,B,E,C,D,F
Rationale: Action to Take: Inhale deeply and then exhale completely, Place her lips firmly around the mouthpiece, Breathe in deeply over 2 to 3 seconds while pushing down on the canister, Hold her breath for 10 seconds, Exhale slowly through pursed lips, Wait 60 seconds between each puff; Potential Condition: Asthma; Parameter to Monitor: Inhalation technique, Breath holding duration.
Rationale: The correct sequence ensures optimal delivery of medication. Inhaling deeply allows the medication to reach the lungs. Placing lips firmly ensures a good seal. Breathing in slowly while pushing down delivers the medication. Holding breath allows absorption. Exhaling slowly reduces irritation. Waiting between puffs prevents overdose. Asthma requires careful monitoring of inhalation technique and breath holding for effectiveness and safety.
Question 2 of 5
A nurse is reviewing the medication record for a client who has chronic kidney disease. Which of the following medications should the nurse identify as having the potential to cause nephrotoxicity?
Correct Answer: C
Rationale: The correct answer is C: Gentamicin. Gentamicin is an aminoglycoside antibiotic known to cause nephrotoxicity, particularly in patients with chronic kidney disease due to its potential to accumulate in the kidneys. This can lead to kidney damage and impaired renal function. Ondansetron (
A) and Diphenhydramine (
B) are not typically associated with nephrotoxicity. Omeprazole (
D) is a proton pump inhibitor used for acid-related disorders and is not known to cause nephrotoxicity.
Question 3 of 5
A nurse is caring for a client who has a new arteriovenous (AV) graft in his left forearm. Which of the following techniques should the nurse use to assess the patency of this graft?
Correct Answer: A
Rationale: The correct answer is A: Auscultate the site for a bruit. This technique is used to assess the patency of an AV graft by listening for the characteristic "swishing" sound created by blood flow through the graft. A bruit indicates good blood flow, suggesting the graft is patent.
Choice B is incorrect because blood pressure comparison between the arms is not a reliable method for assessing AV graft patency.
Choice C is incorrect because using a Doppler to auscultate the antecubital fossa does not specifically assess the patency of the AV graft.
Choice D is incorrect because checking the brachial and radial pulses simultaneously does not provide direct information about the patency of the AV graft.
Overall, auscultating the site for a bruit is the most specific and direct method for assessing the patency of an AV graft.
Question 4 of 5
A nurse is assessing a client who has hypothyroidism. The nurse should expect which of the following findings?
Correct Answer: B
Rationale: The correct answer is B: Weight gain. In hypothyroidism, the metabolic rate decreases, leading to a reduced ability to burn calories, thus causing weight gain. Exophthalmos (
A) is a sign of hyperthyroidism, not hypothyroidism. Diaphoresis (
C) refers to excessive sweating, which is not typically associated with hypothyroidism. Palpitations (
D) are more commonly seen in hyperthyroidism due to an increased heart rate.
Question 5 of 5
A nurse is caring for a client who has chronic renal disease and is receiving therapy with epoetin alfa. Which of the following laboratory results should the nurse review for an indication of a therapeutic effect of the medication?
Correct Answer: A
Rationale:
Rationale: The correct answer is A: The hematocrit (Hct). Epoetin alfa is a medication used to stimulate red blood cell production in patients with renal disease. Monitoring the hematocrit levels helps assess the medication's effectiveness in increasing red blood cell count. Hematocrit measures the percentage of blood volume occupied by red blood cells. An increase in hematocrit indicates improved red blood cell production, indicating a therapeutic effect.
Incorrect
Choices:
B: The erythrocyte sedimentation rate (ESR) is a marker of inflammation, not related to the therapeutic effect of epoetin alfa.
C: The leukocyte count measures white blood cells, not relevant for monitoring the effects of epoetin alfa.
D: The platelet count assesses clotting ability, not indicative of the therapeutic effect of epoetin alfa.