ATI RN
ATI Capstone Exam 2 Final Questions
Extract:
Question 1 of 5
A nurse is teaching the parent of a newborn about car seat use. Which of the following information should the nurse include?
Correct Answer: D
Rationale: The correct answer is D: Position the newborn at a 45-degree angle in the car seat. This is important because newborns have limited neck strength and need to be positioned at a reclined angle to keep their airway open and prevent their head from flopping forward, reducing the risk of suffocation. Placing the newborn at a 45-degree angle also helps prevent slumping which can compromise their breathing.
A: Placing the shoulder harness straps below the newborn's armpits can lead to improper positioning and potential injury in case of a crash.
B: Keeping the car seat rear-facing until the newborn can sit unsupported is a general guideline but not specific to the proper angle of positioning.
C: Placing the retainer clip across the newborn's abdomen can cause abdominal injury in a crash and should be positioned at armpit level.
E, F, G: No additional choices provided.
Question 2 of 5
A nurse is caring for a client who is receiving peritoneal dialysis. The nurse should monitor the client for which of the following manifestations of peritonitis?
Correct Answer: D
Rationale: The correct answer is D: Nausea and vomiting. Peritonitis is inflammation of the peritoneum, which can occur in peritoneal dialysis. Nausea and vomiting are common symptoms due to irritation of the peritoneum. Increased urinary output (
A) is not a typical manifestation of peritonitis. Hyperactive bowel sounds (
B) are more indicative of gastrointestinal issues, not peritonitis. Bradycardia (
C) is not a common symptom of peritonitis. In summary, nausea and vomiting are key signs of peritonitis, while the other options are not typically associated with this condition.
Question 3 of 5
A nurse is preparing to infuse a 250-mL unit of packed RBCs over 2 hours. The drop factor of the manual IV tubing is 15 gtts/mL. The nurse should adjust the flow rate to deliver how many drops per minute?
Correct Answer: 31
Rationale:
To calculate the flow rate in drops per minute for the infusion of packed RBCs, we first need to determine the total number of drops to be infused over 2 hours.
Step 1: Calculate the total drops in 2 hours:
2 hours = 120 minutes
250 mL x 15 gtts/mL = 3750 drops
3750 drops ÷ 120 minutes = 31.25 drops/minute
Step 2: The correct answer is rounded down to 31 drops per minute as IV infusion sets typically do not allow for fractions of drops.
Summary:
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Choice A: Incorrect. The correct flow rate is not 60 drops per minute as that would be too fast.
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Choices B-G: Irrelevant as they do not follow the calculation process required to determine the correct flow rate.
Question 4 of 5
A nurse is teaching a client who has a new prescription for sucralfate to treat a gastric ulcer. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: C
Rationale: The correct answer is C: "I will take this medication 1 hour before meals and at bedtime." This answer demonstrates understanding because sucralfate works best when the stomach is empty, allowing it to form a protective layer over the ulcer site. Taking it before meals and at bedtime ensures maximum effectiveness.
Incorrect choices:
A: Taking sucralfate with an antacid can decrease its effectiveness by altering its pH.
B: Reducing fluid intake is not necessary with sucralfate and can lead to dehydration.
D: Taking sucralfate as needed will not provide consistent protection for the ulcer.
Question 5 of 5
A nurse is preparing to administer amoxicillin 500 mg PO four times a day to a client. The amount available is amoxicillin suspension 250 mg/5 mL. How many mL should the nurse administer per dose?
Correct Answer: 10
Rationale: The correct answer is 10 mL.
To calculate this, we first find the total daily dose of amoxicillin (500 mg x 4 doses = 2000 mg).
Then, we convert this to mL using the concentration of the suspension (250 mg/5 mL). 2000 mg ÷ 250 mg/mL = 8 mL per dose. Since the question asks for the total mL per dose, we multiply 8 mL by 1.25 (to account for 500 mg instead of 400 mg), giving us 10 mL. Other choices are incorrect because they do not follow the correct conversion process or do not consider the total daily dose of amoxicillin needed.