ATI RN
ATI Capstone Exam 2 Final Questions
Extract:
Question 1 of 5
A nurse on a medical unit is planning care for an older adult client who takes several medications. Which of the following prescribed medications places the client at risk for orthostatic hypotension?
Correct Answer: A,D,E
Rationale: The correct answer is A, D, and E. Lisinopril (
A) is an ACE inhibitor known to cause orthostatic hypotension. Furosemide (
D) is a loop diuretic that can lead to fluid loss and subsequent hypotension. Doxazosin (E) is an alpha-blocker that can cause vasodilation, leading to orthostatic hypotension in older adults. Clopidogrel (
B) is an antiplatelet agent and Atorvastatin (
C) is a statin, which are not typically associated with orthostatic hypotension in older adults.
Question 2 of 5
A nurse is triaging victims of a multiple motor vehicle crash. The nurse assesses a client trapped under a car who is apneic and has a weak pulse of 120/min. After repositioning his upper airway, the client remains apneic. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Place a black tag on the client's upper body and attempt to help the next client in need. In a multiple casualty incident, the concept of triage is crucial to prioritize care. The client in this scenario is apneic despite repositioning the airway, indicating a poor prognosis. Placing a black tag signifies that the client is not breathing and has no pulse, and resources should be allocated to those with a higher chance of survival. This decision maximizes the overall number of lives saved.
Choice A is incorrect because further repositioning will not change the client's status.
Choice B is incorrect as placing a red tag is reserved for clients with immediate life-threatening injuries but still have a chance of survival.
Choice D would be inappropriate as CPR is not indicated when the client does not have a pulse.
Question 3 of 5
A nurse is preparing to administer vancomycin 15 mg/kg/day divided equally every 12 hours. The client weighs 198 lb. How many mg should the nurse administer with each dose?
Correct Answer: 675
Rationale:
Correct Answer: 675
Rationale:
1. Convert weight from lb to kg: 198 lb ÷ 2.2 = 90 kg.
2. Calculate total daily dose: 15 mg/kg/day x 90 kg = 1350 mg/day.
3. Divide total daily dose by 2 for equal doses every 12 hours: 1350 mg/2 = 675 mg per dose.
Summary:
A, B, C, D, E, F, G: These options do not follow the correct calculation steps. A, B, C, D, E, F, G are incorrect because they do not consider the weight conversion, total daily dose calculation, and dosage frequency requirements.
Question 4 of 5
A nurse is triaging clients injured during a tornado. The nurse assesses a client who has an open fracture of his arm. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Place a red tag on the client's upper body. This is the correct action because in mass casualty incidents, triage tags are used to prioritize care. A red tag indicates the client has life-threatening injuries requiring immediate attention. Performing a rapid head-to-toe assessment (choice
A) would delay urgent treatment. Having the client's wife drive him to the hospital (choice
C) is not appropriate as the client needs immediate medical attention. Placing a yellow tag (choice
D) would indicate delayed treatment, which is not suitable for an open fracture.
Question 5 of 5
A nurse is preparing to administer lansoprazole 30 mg PO daily to a client. The amount available is lansoprazole 10 mg per tablet. How many tablets should the nurse administer per dose?
Correct Answer: 3
Rationale: The correct answer is 3 tablets.
To achieve a total dose of 30 mg daily, with each tablet containing 10 mg, the nurse should administer 3 tablets per dose. This calculation ensures the client receives the prescribed dosage. Other choices are incorrect because administering fewer tablets would result in an inadequate dose, while administering more tablets would exceed the prescribed dosage, potentially leading to adverse effects. It is essential to follow precise calculations to ensure safe and effective medication administration.