ATI PN Capstone 1 Updated 2024
Exam ATI PN CAPSTONE 1 A nurse is administering subcutaneous heparin to a client who is at risk for deep vein thrombosis. Which of the following actions should the nurse take? 1. Administer the medication into the client’s abdomen. 2. Inject the medication into a muscle. 3. Massage the site after administering the medication. 4. Use a 22-gauge needle to administer the medication. A nurse is providing teaching to a client who has a urinary tract infection and new prescriptions for phenazopyridine and ciprofloxacin. Which of the following statements by the client indicates the need for further teaching? 1. “If the phenazopyridine upsets my stomach, I can take it with meals.” 2. “The phenazopyridine will relieve my discomfort, but the ciprofloxacin will get rid of the infection.” 3. “I need to drink 2 liters of fluid per day while I am taking the ciprofloxacin.” 4. “I should notify my provider immediately if my urine turns an orange color.” A nurse is providing teaching to a group of new parents about medications. The nurse should include that aspirin is contraindicated for children who have a viral infection due to the risk of developing which of the following adverse effects? 1. Reye’s syndrome 2. Visual disturbances 3. Diabetes mellitus 4. Wilms’ tumor A nurse is preparing to administer lactated Ringer’s (LR) 1,000 mL IV to infuse over 8 hr. The drop factor or the manual IV tubing is 10 gtt/mL. The nurse should set the manual IV infusion to deliver how may gtt/min? (Round the answer to the nearest whole number). 1 hr/60 min = 8 hr/X min X = 480 min 1,000 mL/480 min x 10 gtt/mL = X gtt/min X = 20.833 21 gtt/ min A nurse is caring for a client who has a new prescription for tamoxifen. The nurse should recognize that tamoxifen has which of the following therapeutic effects? ? 1. Antiestrogenic 2. Antimicrobial 3. Androgenic 4. Anti-inflammatory A nurse is preparing to administer furosemide 4 mg/kg/day PO divided into 2 equal doses daily to a toddler who weighs 22 lb. How many mg should the nurse administer per dose? (Round the answer to the nearest whole number) 2.2 lb/1 kg = 22 lb/X kg X = 10 kg 4 mg x 10 kg = 40 mg/day 20mg
Exam ATI PN CAPSTONE 1 A nurse is assessing a client who is receiving IV gentamicin three times daily. Which of the following findings indicates that the client is experiencing an adverse effect of this medication? 1. Hypoglycemia 2. Proteinuria 3. Nasal congestion 4. Visual disturbances A nurse is providing teaching to a client who has cirrhosis and a new prescription for lactulose. The nurse should instruct the client that lactulose has which of the following therapeutic effects? 1. Increases blood pressure 2. Prevents esophageal bleeding 3. Decreases heart rate 4. Reduces ammonia levels A nurse is providing teaching to a newly licensed nurse about metoclopramide. The nurse should include in the teaching that which of the following conditions is a contraindication to this medication? 1. Hyperthyroidism 2. Intestinal obstruction 3. Glaucoma 4. Low blood pressure A nurse is teaching a newly licensed nurse about contraindications to ceftriaxone. The nurse should include a severe allergy to which of the following medications is a contraindication to ceftriaxone? 1. Gentamicin 2. Clindamycin 3. Piperacillin 4. Sulfamethoxazole-trimethoprim A nurse is caring for a client who has a new diagnosis of oral candidiasis after taking tetracycline for 7 days. The nurse should recognize that candidiasis is a manifestation of which of the following adverse effects? 1. Allergic response 2. Superinfection 3. Renal toxicity 4. Hepatotoxicity A nurse is reviewing the laboratory values for a client who is receiving a continuous IV heparin infusion and has an aPTT of 90 seconds. Which of the following actions should the nurse prepare to take? 1. Administer vitamin K 2. Reduce the infusion rate 3. Give the client a low-dose aspirin 4. Request an INR Final practice
Exam ATI PN CAPSTONE 1 a nurse is planning to administer diltiazem via IV bolus to a client who has atrial fibrillation. When assessing the client, the nurse should recognize that which of the following findings is a contraindication to administration of diltiazem? hypotension tachycardia decreased level of consciousness history of diuretic use a nurse is planning to administer epoetin alfa to a client who has chronic kidney failure. Which of the following data should the nurse plan to review prior to administration of this medication ? blood pressure temperature blood glucose levels total protein levels a nurse is providing discharge teaching to a client who has heart failure and a new prescription for digoxin 0.215 mg PO daily and furosemide 20 mg PO daily. Which of the following statements by the client indicates an understanding of the teaching ? “I know that blurred vision is something I will expect to happen while taking digoxin.” “I will measure my urine output each day and document it in my diary.” “I will skip a dose of my digoxin if my resting heart rate is below 72 beats per minute.” “I will eat fruits and vegetables that have high potassium content every day.” a nurse is preparing to administer iron dextran IV to a client. Which of the following actions should the nurse plan to take? administer a small test dose before giving the full dose infuse the medication over 30 seconds monitor client closely for hypertension administer cyanocobalamin as an antidote if toxicity occurs A nurse is administering insulin glulisine 10 units subcutaneously at 0730 to an adolescent client who has type 1 diabetes mellitus. The nurse should anticipate onset of action of the insulin at which of the following times? Insulin glulisine has a very short onset of action of 15 min. The nurse should expect the onset of action around 0745 and ensure the client eats breakfast immediately following administration of the insulin. 0745 A nurse in an outpatient facility is assessing a client who is prescribed furosemide 40mg daily but the client reports she has been taking extra doses to promote weight loss. Which of the following indicates she is dehydrated? urine specific gravity of 1.035 Oliguria, increased urine concentration, and an increase in urine specific gravity greater than 1.030 are expected findings in clients who are dehydrated. A nurse is planning to administer chlorothiazide 20 mg/kg/day PO divided equally and administered twice daily for a toddler who weighs 28.6 lb. The amount available is
Exam ATI PN CAPSTONE 1 chlorothiazide oral suspension 250 mg/5 mL. How many mL should the nurse administer per dose/ (Round to the nearest tenth) 2.6 mL 2.2 lb/1 kg = 28.6 lb/X kg X = 13 kg 20 mg x 13 kg = 260 mg/day 250 mg/5 mL = 130 mg/X mL X = 2.6 mL A nurse is preparing a discharge teaching plan for a client who is to begin long-term oral prednisone for asthma. Which of the following instructions should the nurse include in the plan? Stop taking the medication if a rash occurs. Take the medication on an empty stomach to enhance absorption. Schedule the medication on alternate days to decrease adverse effects. Treat shortness of breath with an extra dose of the medication. A nurse is administering ciprofloxacin and phenazopyridine to a client who has a severe urinary tract infection (UTI). The client asks why both medications are needed. Which of the following responses should the nurse make? “Phenazopyridine decreases adverse effects of ciprofloxacin hydrochloride.” “Combining phenazopyridine with ciprofloxacin hydrochloride shortens the course of therapy.” “The use of phenazopyridine allows for a lower dosage of ciprofloxacin hydrochloride.” “Ciprofloxacin hydrochloride treats the infection, and the phenazopyridine treats pain.” A nurse is preparing to administer ampicillin 500 mg in 50 ml of dextrose 5% in water (D5W) to infuse over 15 min. The drop factor of the manual IV tubing is 10 gtt/mL. The nurse should set the manual IV infusion to deliver how many gtt/min? (Round to the nearest whole number) 10 gtt/1 mL x 50 mL/15 min = X gtt/min X = 33.3333 33 gtt/min A nurse is caring for a client who has congestive heart failure and is taking digoxin. The client reports nausea and refuses to eat breakfast. Which of the following actions should the nurse take first? Encourage the client to eat the toast on the breakfast tray. Administer an antiemetic. Inform the client’s provider. Check the client’s apical pulse. A nurse is assessing a client who has a new prescription for chlorpromazine to treat schizophrenia. The client has a mask-like facial expression and is experiencing
Exam ATI PN CAPSTONE 1 involuntary movements and tremors. Which of the following medications should the nurse anticipate administering? 1, Amantadine. 2, Bupropion 3, Phenelzine 4, Hydroxyzine A nurse is caring for an older adult client who has a prescription for zolpidem at bedtime to promote sleep. The nurse should plan to monitor the client for which of the following adverse effects? 4 1, ecchymosis 2, decrease urine output. 3, increase blood pressure. 4, dizziness A nurse on a medical unit is preparing to administer alendronate 40 mg PO for an older adult client who has Paget’s disease of the bone. Which of the following actions should be the nurse’s priority? 1, Administer the medication to the client before breakfast in the morning. 2, Ambulate the client to a chair prior to administering the medication. 3. Give the medication to the client with water rather than milk. 4. Teach the client how to take the medication at home. A nurse is caring for a client who has a new prescription for ergotamine. The nurse should recognize that ergotamine is administered to treat which of the following conditions? 2 1. Raynaud’s phenomenon 2. Migraine headaches 3. Ulcerative colitis 4. Anemia A nurse is caring for a client who has peptic ulcer disease and reports a headache. Which of the following medications should the nurse plan to administer? 1. Ibuprofen 2. Naproxen 3. Aspirin 4. Acetaminophen A nurse is providing teaching to a parent of a child who has asthma and a new prescription for a cromolyn sodium metered dose inhaler. Which of the following statements by the parent indicates the need for further teaching? 1. “I will give my child a dose as soon as wheezing starts.” 2. My child should rinse out his mouth after using the inhaler.” 3. “My child should exhale completely before placing the inhaler in his mouth.” 4. “If my child has difficulty breathing in the dose, a spacer can be used.” A nurse is reviewing laboratory values for a client who reports fatigue and cold intolerance. The client has an increased thyroid stimulating hormone (TSH) level and a
Exam ATI PN CAPSTONE 1 decreased total T3 and T4 level. The nurse should anticipate a prescription for which of the following medications? 1. Methimazole 2. Somatropin 3. Levothyroxine 4. Propylthiouracil A nurse is planning care for a client who has a seizure disorder and a new prescription for valproic acid. Which of the following laboratory values should the nurse plan to monitor? (Select all that apply) 1. PTT 2. Asparate aminotransferase (AST) 3. Alanine aminotransferase (ALT) A nurse is providing teaching to a client who has a new prescription for hydrochlorothiazide 50 mg PO daily to treat hypertension. Which of the following instructions should the nurse include in the teaching? 1. “Take hydrochlorothiazide as needed for edema.” 2. Check your weight once each week.” 3. “Take the hydrochlorothiazide on an empty stomach.” 4. “Take the hydrochlorothiazide in the morning.” A nurse is preparing to administer amoxicillin 250 mg liquid suspension PO every 8 hr to an older adult client. The amount available is amoxicillin 50 mg/mL. How many mL should the nurse administer per dose? (Round the answer to the nearest whole number) 50 mg/1 mL = 250 mg/X mL 250/ 50 = 5 X = 5 mL A nurse is providing teaching to a client who has gout and a new prescription for allopurinol. The nurse should instruct the client to discontinue taking the medication for which of the following adverse effects? 1. Nausea 2. Metallic taste 3. Fever 4. Drowsiness A nurse is providing teaching to a client who has ulcerative colitis and a new prescription for sulfasalazine. The nurse should instruct the client to monitor for which of the following adverse effects of this medication? 1. Jaundice 2. Constipation 3. Oral candidiasis 4. Sedation a nurse is providing teaching to a client who has rhematoid arthritis and a prescription for long term prednisone therapy. the nurse should instruct the client to monitor for
Exam ATI PN CAPSTONE 1 which of the following adverse effects? 1. Stress fractures 2. Orthostatic hypotension 3. Gingival ulcerations 4. Weight loss Nurse is preparing to administer heparin 8,000 units subcutaneously every eight hrs. The amount available is heparin injection 10,000 units/mL. How many milliliters should the nurse administer per dose? (Round the answer to the nearest tenth) 8000/ 10000 = 0.8 mL A nurse is caring for a client who has a new prescription for enalapril. The nurse should monitor the client for which of the following adverse effects of this medication? 1. Ecchymosis 2. Jaundice 3. Hypotension 4. Hypokalemia A nurse is caring for a client who is at 28 weeks of gestation and is experiencing preterm labor. Which of the following medications should the nurse plan to administer? 1. Oxytocin 2. Nifedipine 3. Dinoprostone 4. Misoprostol A nurse is caring for a client who has a new prescription for amphotericin B. The nurse should plan to monitor the client for which of the following adverse effects? 1. Hyperkalemia 2. Hypertension 3. Constipation 4. Nephrotoxicity A nurse is administering subcutaneous epinephrine for a client who is experiencing anaphylaxis. The nurse should monitor the client for which of the following adverse effects? 1. Hypotension 2. Hyperthermia 3. Hypoglycemia 4. Tachycardia A nurse is caring for a client who has a prescription for clopidogrel. The nurse should monitor the client for which of the following adverse effects? 1. Insomnia 2. Hypotension 3. Bleeding
Exam ATI PN CAPSTONE 1 4. Constipation A nurse is caring for an older adult client who has a new prescription for amitriptyline to treat depression. Which of the following diagnostic tests should the nurse plan to perform prior to starting the client on this medication? 1. Hearing examination 2. Glucose tolerance test 3. Electrocardiogram 4. Pulmonary function tests A nurse is providing teaching to a client who has chronic kidney failure which an AV fistula for hemodialysis and a new prescription for epoetin alfa. Which of the following therapeutic effects of epoetin alfa should the nurse include in the teaching? 1. Reduces blood pressure 2. Inhibits clotting of fistula 3. Promotes RBC production 4. Stimulates growth of neutrophils A nurse is preparing to administer an enteral tube feeding through an NG tube at 250 mL over 4 hr. The nurse should set the pump to deliver how many mL/hr? (Round the answer to the nearest whole number) 250 mL/4 hr = X mL/hr X = 62.5 63mL/hr A nurse is providing teaching to a newly licensed nurse about caring for a client who has a prescription for gemfibrozil. The nurse should instruct the newly licensed nurse to monitor which of the following laboratory tests? 1. Platelet count 2. Electrolyte levels 3. Thyroid function 4. Liver function A nurse is caring for a client who has been taking isoniazid and rifampin for 3 weeks for the treatment of active pulmonary tuberculosis (TB). The client reports his urine is an orange color. Which of the following statements should the nurse make? 1. “Stop taking the isoniazid for 3 days and the discoloration should go away.” 2. “Rifampin can turn body fluids orange.” 3. “I’ll make an appointment for you to see the provider this afternoon.” 4. Isoniazid can cause bladder irritation.” A nurse is preparing to administer prochlorperazine 2.5 mg IV. Available is prochlorperazine injection 5 mg/mL. How many mL should the nurse administer? (Round the answer to the nearest tenth) 5 mg/1 mL = 2.5 mg/X mL X = 0.5
Exam ATI PN CAPSTONE 1 A nurse is reviewing the laboratory results for a client who has a prescription for filgrastim. The nurse should recognize that an increase in which of the following values indicates a therapeutic effect of this medication? 1. Erythrocyte count 2. Neutrophil count 3. Lymphocyte count 4. Thrombocyte count A nurse is caring for a client who has a prescription for chlorothiazide to treat hypertension. The nurse should plan to monitor the client for which of the following adverse effects? 1. Thrombophlebitis 2. Hyperactive reflexes 3. Muscle weakness 4. Hypoglycemia A nurse is providing teaching to a newly licensed nurse about administering morphine via IV bolus to a client. Which of the following information should the nurse include in the teaching? 1. Respiratory depression can occur 7 min after the morphine is administered. 2. The morphine will peak in 10 min. 3. Withhold the morphine if the client has a respiratory rate less than 16/min. 4. Administer the morphine over 2 min. A nurse is administering subcutaneous heparin to a client who is at risk for deep vein thrombosis. Which of the following actions should the nurse take? 1. Administer the medication into the client’s abdomen. 2. Inject the medication into a muscle. 3. Massage the site after administering the medication. 4. Use a 22-gauge needle to administer the medication. A nurse is providing teaching to a client who has a urinary tract infection and new prescriptions for phenazopyridine and ciprofloxacin. Which of the following statements by the client indicates the need for further teaching? 1. “If the phenazopyridine upsets my stomach, I can take it with meals.” 2. “The phenazopyridine will relieve my discomfort, but the ciprofloxacin will get rid of the infection.” 3. “I need to drink 2 liters of fluid per day while I am taking the ciprofloxacin.” 4. “I should notify my provider immediately if my urine turns an orange color.” A nurse is providing teaching to a group of new parents about medications. The nurse should include that aspirin is contraindicated for children who have a viral infection due to the risk of developing which of the following adverse effects? 1. Reye’s syndrome 2. Visual disturbances 3. Diabetes mellitus 4. Wilms’ tumor
Exam ATI PN CAPSTONE 1 A nurse is preparing to administer lactated Ringer’s (LR) 1,000 mL IV to infuse over 8 hr. The drop factor or the manual IV tubing is 10 gtt/mL. The nurse should set the manual IV infusion to deliver how may gtt/min? (Round the answer to the nearest whole number). 1 hr/60 min = 8 hr/X min X = 480 min 1,000 mL/480 min x 10 gtt/mL = X gtt/min X = 20.833 21 gtt/ min A nurse is caring for a client who has a new prescription for tamoxifen. The nurse should recognize that tamoxifen has which of the following therapeutic effects? ? 1. Antiestrogenic 2. Antimicrobial 3. Androgenic 4. Anti-inflammatory A nurse is preparing to administer furosemide 4 mg/kg/day PO divided into 2 equal doses daily to a toddler who weighs 22 lb. How many mg should the nurse administer per dose? (Round the answer to the nearest whole number) 2.2 lb/1 kg = 22 lb/X kg X = 10 kg 4 mg x 10 kg = 40 mg/day 20mg A nurse is assessing a client who is receiving IV gentamicin three times daily. Which of the following findings indicates that the client is experiencing an adverse effect of this medication? 1. Hypoglycemia 2. Proteinuria 3. Nasal congestion 4. Visual disturbances A nurse is providing teaching to a client who has cirrhosis and a new prescription for lactulose. The nurse should instruct the client that lactulose has which of the following therapeutic effects? 1. Increases blood pressure 2. Prevents esophageal bleeding 3. Decreases heart rate 4. Reduces ammonia levels A nurse is providing teaching to a newly licensed nurse about metoclopramide. The nurse should include in the teaching that which of the following conditions is a contraindication to this medication? 1. Hyperthyroidism 2. Intestinal obstruction 3. Glaucoma 4. Low blood pressure
Exam ATI PN CAPSTONE 1 A nurse is teaching a newly licensed nurse about contraindications to ceftriaxone. The nurse should include a severe allergy to which of the following medications is a contraindication to ceftriaxone? 1. Gentamicin 2. Clindamycin 3. Piperacillin 4. Sulfamethoxazole-trimethoprim A nurse is caring for a client who has a new diagnosis of oral candidiasis after taking tetracycline for 7 days. The nurse should recognize that candidiasis is a manifestation of which of the following adverse effects? 1. Allergic response 2. Superinfection 3. Renal toxicity 4. Hepatotoxicity A nurse is reviewing the laboratory values for a client who is receiving a continuous IV heparin infusion and has an aPTT of 90 seconds. Which of the following actions should the nurse prepare to take? 1. Administer vitamin K 2. Reduce the infusion rate 3. Give the client a low-dose aspirin 4. Request an INR Final practice a nurse is planning to administer diltiazem via IV bolus to a client who has atrial fibrillation. When assessing the client, the nurse should recognize that which of the following findings is a contraindication to administration of diltiazem? hypotension tachycardia decreased level of consciousness history of diuretic use a nurse is planning to administer epoetin alfa to a client who has chronic kidney failure. Which of the following data should the nurse plan to review prior to administration of this medication ? blood pressure temperature blood glucose levels total protein levels a nurse is providing discharge teaching to a client who has heart failure and a new prescription for digoxin 0.215 mg PO daily and furosemide 20 mg PO daily. Which of the following statements by the client indicates an understanding of the teaching ? “I know that blurred vision is something I will expect to happen while taking digoxin.” “I will measure my urine output each day and document it in my diary.” “I will skip a dose of my digoxin if my resting heart rate is below 72 beats per minute.” “I will eat fruits and vegetables that have high potassium content every day.”
Exam ATI PN CAPSTONE 1 a nurse is preparing to administer iron dextran IV to a client. Which of the following actions should the nurse plan to take? administer a small test dose before giving the full dose infuse the medication over 30 seconds monitor client closely for hypertension administer cyanocobalamin as an antidote if toxicity occurs A nurse is administering insulin glulisine 10 units subcutaneously at 0730 to an adolescent client who has type 1 diabetes mellitus. The nurse should anticipate onset of action of the insulin at which of the following times? Insulin glulisine has a very short onset of action of 15 min. The nurse should expect the onset of action around 0745 and ensure the client eats breakfast immediately following administration of the insulin. 0745 A nurse in an outpatient facility is assessing a client who is prescribed furosemide 40mg daily but the client reports she has been taking extra doses to promote weight loss. Which of the following indicates she is dehydrated? urine specific gravity of 1.035 Oliguria, increased urine concentration, and an increase in urine specific gravity greater than 1.030 are expected findings in clients who are dehydrated. A nurse is planning to administer chlorothiazide 20 mg/kg/day PO divided equally and administered twice daily for a toddler who weighs 28.6 lb. The amount available is chlorothiazide oral suspension 250 mg/5 mL. How many mL should the nurse administer per dose/ (Round to the nearest tenth) 2.6 mL 2.2 lb/1 kg = 28.6 lb/X kg X = 13 kg 20 mg x 13 kg = 260 mg/day 250 mg/5 mL = 130 mg/X mL X = 2.6 mL A nurse is preparing a discharge teaching plan for a client who is to begin long-term oral prednisone for asthma. Which of the following instructions should the nurse include in the plan? Stop taking the medication if a rash occurs. Take the medication on an empty stomach to enhance absorption. Schedule the medication on alternate days to decrease adverse effects. Treat shortness of breath with an extra dose of the medication. A nurse is administering ciprofloxacin and phenazopyridine to a client who has a severe urinary tract infection (UTI). The client asks why both medications are needed. Which of the following responses should the nurse make? “Phenazopyridine decreases adverse effects of ciprofloxacin hydrochloride.” “Combining phenazopyridine with ciprofloxacin hydrochloride shortens the course of therapy.” “The use of phenazopyridine allows for a lower dosage of ciprofloxacin hydrochloride.” “Ciprofloxacin hydrochloride treats the infection, and the phenazopyridine treats pain.”
lOMoARcPSD| 19500986 A nurse is preparing to administer ampicillin 500 mg in 50 ml of dextrose 5% in water (D5W) to infuse over 15 min. The drop factor of the manual IV tubing is 10 gtt/mL. The nurse should set the manual IV infusion to deliver how many gtt/min? (Round to the nearest whole number) 10 gtt/1 mL x 50 mL/15 min = X gtt/min X = 33.3333 33 gtt/min A nurse is caring for a client who has congestive heart failure and is taking digoxin. The client reports nausea and refuses to eat breakfast. Which of the following actions should the nurse take first? Encourage the client to eat the toast on the breakfast tray. Administer an antiemetic. Inform the client’s provider. Check the client’s apical pulse.