ATI RN
ATI Capstone Exam 1 Questions
Extract:
Question 1 of 5
A nurse is working with an interdisciplinary disaster committee to develop a community-wide emergency response plan in the event of a nonbiological or chemical incident. The nurse should include which of the following agencies to be notified immediately after calling 911?
Correct Answer: A
Rationale: The correct answer is A: Office of Emergency Management (OEM). The rationale is that the Office of Emergency Management is responsible for coordinating disaster response efforts at the local level. By notifying OEM immediately after calling 911, the nurse ensures a timely and organized response to the incident. The other choices are incorrect because FEMA mainly provides federal assistance for disasters, American Red Cross focuses on providing relief services to disaster victims, and the Department of Homeland Security oversees national security and emergency preparedness but may not be directly involved in local response coordination.
Question 2 of 5
A nurse is preparing to administer fluoxetine 30 mg PO daily to a client. The amount available is fluoxetine 10 mg tablets. How many tablets should the nurse administer per dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero)
Correct Answer: 3
Rationale: The correct answer is 3 tablets.
To achieve a total of 30 mg, the nurse should administer 3 tablets of 10 mg each (10 mg x 3 = 30 mg). Other choices are incorrect because:
A) 1 tablet is not enough to reach 30 mg,
B) 2 tablets only add up to 20 mg,
C) 4 tablets exceed the required dose,
D) 5 tablets exceed the required dose, E) 6 tablets exceed the required dose, F) 7 tablets exceed the required dose, G) 8 tablets exceed the required dose.
Question 3 of 5
A nurse is assessing a client who is admitted for elective surgery and has a history of Addison’s disease. Which of the following findings should the nurse expect?
Correct Answer: C
Rationale: The correct answer is C: Hyperpigmentation. Addison's disease is characterized by adrenal insufficiency, leading to decreased production of cortisol and aldosterone. This results in increased production of ACTH, which can cause hyperpigmentation, especially in sun-exposed areas. Purple striations (
A) are seen in Cushing's syndrome, not Addison's. Hirsutism (
B) is excessive hair growth, commonly seen in conditions like polycystic ovary syndrome, not Addison's. Intention tremors (
D) are associated with cerebellar dysfunction, not typically seen in Addison's.
Question 4 of 5
A nurse is preparing to administer 0.9% sodium chloride IV infusion 1-L bag at a rate of 200 mL/hr for a client who has rhabdomyolysis. The nurse should expect the IV pump to infuse over how many hours? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 5
Rationale:
To calculate the infusion time, divide the total volume (1000 mL) by the rate of infusion (200 mL/hr). This gives 5 hours for the IV pump to infuse the 1-L bag. The correct answer is 5. Other choices are incorrect because they do not result from the correct calculation.
Choice A: 2 hours (incorrect, not enough time for the infusion).
Choice B: 3 hours (incorrect, not enough time for the infusion).
Choice C: 4 hours (incorrect, not enough time for the infusion).
Choice D: 6 hours (incorrect, too long for the infusion).
Choice E: 7 hours (incorrect, too long for the infusion).
Choice F: 8 hours (incorrect, too long for the infusion).
Choice G: 9 hours (incorrect, too long for the infusion).
Question 5 of 5
A nurse is caring for a client who is receiving a continuous IV infusion of heparin. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: Check the activated partial thromboplastin time (aPTT) every 6 hours. This is crucial to monitor the therapeutic effect of heparin, ensuring the client's blood does not become too thin or too thick. Regular aPTT monitoring helps adjust the heparin infusion rate to maintain the desired anticoagulant effect.
Explanation of why other choices are incorrect:
A: Administering a large dose of heparin by IV bolus is dangerous and can lead to bleeding complications. Incorrect.
B: Having vitamin K available is not specifically related to managing heparin therapy. Incorrect.
C: Using tubing specific for heparin is important but is not the priority action in this scenario. Incorrect.