ATI RN
ATI Capstone Exam 2 Final Questions
Extract:
Question 1 of 5
A nurse is teaching a client who reports taking ginkgo biloba to improve his memory and peripheral arterial disease from atherosclerosis. The nurse should include which of the following potential side effects?
Correct Answer: D
Rationale: The correct answer is D: Bleeding gums. Ginkgo biloba is known to have antiplatelet effects, which can increase the risk of bleeding or bruising. This is particularly concerning for individuals with peripheral arterial disease from atherosclerosis, as they may already have compromised blood flow. Breast enlargement (
A), decreased alertness (
B), and bad breath (
C) are not typically associated with ginkgo biloba use.
Question 2 of 5
A nurse is caring for a client who has paranoid personality disorder. Which of the following findings should the nurse expect?
Correct Answer: B,E
Rationale: The correct answer is B and E. Individuals with paranoid personality disorder often persistently hold grudges (choice
B) due to their distrust of others. They also tend to believe that others are deceiving them (choice E), reflecting their suspicious nature.
Choices A, C, and D are not typical of paranoid personality disorder. A person with this disorder does not see themselves as inferior (
A) or demonstrate a grandiose sense of self-importance (
C). Additionally, they do not desire to be the center of attention (
D). Hence, choices A, C, and D are not expected findings in individuals with paranoid personality disorder.
Question 3 of 5
A nurse is reviewing discharge instructions with a client who has rheumatoid arthritis and a new prescription for prednisone. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: D
Rationale: The correct answer is D: I should eat more bananas while taking this medication. Prednisone can cause potassium depletion, leading to potential side effects like muscle weakness and cramping. Bananas are a good source of potassium, so increasing intake can help prevent depletion.
Choice A is incorrect because aspirin should be avoided due to its potential to increase the risk of gastrointestinal bleeding when taken with prednisone.
Choice B is incorrect as a sore throat is not a common side effect of prednisone.
Choice C is incorrect as there is no specific timing requirement for the flu vaccine in relation to starting prednisone.
Question 4 of 5
A nurse is providing teaching for a client who is preparing for a below-the-knee amputation. Which of the following statements is true regarding the postoperative placement of a prosthesis?
Correct Answer: B
Rationale: The correct answer is B: You will do muscle strengthening exercises in advance of getting your prosthesis. This is because muscle strengthening exercises are essential preoperatively to ensure that the residual limb is in optimal condition to support and adapt to the prosthesis postoperatively. Strengthening exercises help improve muscle tone, endurance, and overall function, which can facilitate a smoother transition to using a prosthesis.
Incorrect choices:
A: You will be fitted for your permanent prosthesis at the time of surgery - This is incorrect as immediate postoperative prosthesis fitting is rare due to the need for initial healing and shaping of the residual limb.
C: The structure of the prosthesis will be adjustable depending on what shoe you are wearing - This is incorrect as the adjustability of a prosthesis does not typically depend on the type of shoe being worn.
D: A special pressure dressing will remain in place even when your limb is healed to cushion your prosthesis - This
Question 5 of 5
A nurse is preparing to administer acetaminophen 10 mg/kg/dose to a child who weighs 28 lb. The amount available is acetaminophen 120 mg/5 mL. How many mL should the nurse administer?
Correct Answer: 5.3
Rationale: The correct answer is 5.3 mL.
To calculate this, first convert the child's weight to kg (28 lb / 2.2 = 12.73 kg).
Then, multiply the weight by the dose (10 mg/kg) to get 127.3 mg. Next, calculate how many mL of the available acetaminophen solution contain 127.3 mg (127.3 mg / 120 mg/5 mL = 5.3 mL).
Therefore, the nurse should administer 5.3 mL.
Choice A: Incorrect, as it does not follow the correct calculation process.
Choice B-G: Irrelevant as they do not provide the correct calculation for determining the required mL for acetaminophen administration.