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PN ATI Capstone Proctored Comprehensive Assessment 2020 B with NGN
1. A healthcare professional is preparing to administer a dose of warfarin. Which of the following actions should the healthcare professional take?
- A. Verify INR levels
- B. Administer with food
- C. Monitor blood glucose levels
- D. Assess liver function
Correct answer: A
Rationale: Corrected Rationale: When administering warfarin, it is crucial to verify the patient's INR levels. INR monitoring is essential to ensure that the patient is receiving the correct dose of warfarin for their condition and to minimize the risk of bleeding. Choices B, C, and D are incorrect because administering warfarin with food, monitoring blood glucose levels, and assessing liver function are not directly related to the safe administration and monitoring of warfarin therapy.
2. A healthcare professional is preparing to administer a dose of potassium chloride. Which of the following actions should the healthcare professional take?
- A. Administer rapidly
- B. Dilute the medication before administration
- C. Give it as a bolus
- D. Administer it intramuscularly
Correct answer: B
Rationale: The correct action when administering potassium chloride is to dilute the medication before administration. Potassium chloride is a highly concentrated solution that can cause irritation and potential complications if not properly diluted. Administering it rapidly (choice A) can lead to adverse effects. Giving it as a bolus (choice C) or administering it intramuscularly (choice D) are inappropriate routes for potassium chloride administration and can result in harm to the patient.
3. A healthcare provider is teaching a client about the use of sertraline. Which of the following should be included?
- A. It can cause weight gain
- B. It is an antipsychotic
- C. Monitor for suicidal thoughts
- D. It has no side effects
Correct answer: C
Rationale: Correct answer: Monitoring for suicidal thoughts is essential when a client is prescribed sertraline, an antidepressant. Choice A is incorrect because weight gain is not typically associated with sertraline. Choice B is incorrect as sertraline is not an antipsychotic medication. Choice D is incorrect because all medications, including sertraline, have potential side effects.
4. A nurse is caring for a client receiving radiation treatments for cancer. The client states he is experiencing dryness, redness, and scaling at the treatment area. Which of the following should the nurse instruct the client to do?
- A. Sit in the sun for 15 minutes per day.
- B. Apply moist heat to the area twice daily.
- C. Liberally apply prescribed lotion to the area.
- D. Wash the affected area daily with antimicrobial soap.
Correct answer: C
Rationale: The nurse should instruct the client to liberally apply prescribed lotion to the treatment area. Prescribed hydrating lotions help soothe and protect irradiated skin, reducing dryness, redness, and scaling. Sitting in the sun can further damage the skin. Applying moist heat may exacerbate the skin condition. Washing the area with antimicrobial soap can be too harsh and further irritate the skin.
5. A healthcare professional is preparing to administer 250 mg of an antibiotic IM. Available is 3 g/5 mL. How many mL would the healthcare professional administer per dose?
- A. 0.4 mL
- B. 0.3 mL
- C. 0.5 mL
- D. 0.6 mL
Correct answer: A
Rationale: To calculate the mL to be administered, convert 250 mg to grams (0.25 g). Then, set up a proportion: (0.25 g / 3 g) x 5 mL = 0.4167 mL, which rounds to 0.4 mL. Therefore, the healthcare professional would administer 0.4 mL per dose. Choice B (0.3 mL) is incorrect because it does not reflect the accurate calculation. Choice C (0.5 mL) is incorrect as it does not consider the correct conversion and calculation. Choice D (0.6 mL) is incorrect as it provides a value higher than the accurate calculation.
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