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ATI CAPSTONE LEADERSHIP EXAM WITH RATIONALES
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ATI CAPSTONE LEADERSHIP EXAM WITH RATIONALES
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ESTUDYATI CAPSTONE LEADERSHIP EXAM WITH
RATIONALES
1. A nurse is caring for a client who is receiving morphine. What is the priority assessment?
a) Blood pressure
b) Heart rate
c) Respiratory rate
d) Pain level
Answer: c) Respiratory rate
Rationale: Morphine, an opioid, can depress respiratory function. Monitoring the respiratory
rate is crucial to ensure the client does not experience respiratory depression.
2. A nurse is assessing a client who has been using beclomethasone for 2 weeks to manage
asthma. What should the nurse report to the provider?
a) Weight loss
b) Bronchospasms
c) Diarrhea
d) Increased appetite
Answer: b) Bronchospasms
Rationale: Bronchospasms indicate that the beclomethasone might not be effectively managing
the asthma, and this should be reported to the provider.
3. A nurse is caring for a client who has a prescription for terazosin. The nurse should identify
that this medication is indicated for which of the following disorders?
a) Hypertension
b) Asthma
c) Hyperthyroidism
d) Diabetes
Answer: a) Hypertension
Rationale: Terazosin is commonly prescribed for hypertension and benign prostatic hyperplasia
(BPH) as it helps to relax the blood vessels.
4. A nurse is providing teaching to a client who has a new prescription for a beclomethasone
inhaler to use with an albuterol inhaler for asthma maintenance. What should the nurse
instruct?
,ESTUDY
a) Use the beclomethasone inhaler first
b) Use the albuterol inhaler first
c) Rinse mouth only after using albuterol
d) Avoid using both inhalers on the same day
Answer: b) Use the albuterol inhaler first
Rationale: Albuterol is a bronchodilator and should be used first to open the airways. Then,
beclomethasone, a steroid, should be used for maintenance.
5. A nurse is preparing to administer topotecan IV. Which of the following medications should
the nurse expect to administer to control the adverse effects?
a) Ondansetron
b) Granisetron
c) Lorazepam
d) Acetaminophen
Answer: b) Granisetron
Rationale: Granisetron is an antiemetic used to prevent nausea and vomiting, which is a
common side effect of chemotherapy drugs like topotecan.
6. A nurse is planning a staff education session on adverse effects (AE) of medications. What
information should the nurse discuss about anticholinergic adverse effects?
a) Diarrhea
b) Blurred vision, tachycardia, constipation
c) Hypotension
d) Drowsiness
Answer: b) Blurred vision, tachycardia, constipation
Rationale: Anticholinergic medications often cause blurred vision, tachycardia, and constipation
due to their action on the parasympathetic nervous system.
7. A nurse is providing teaching to a client who has a new prescription for guaifenesin. What
information regarding the action of guaifenesin should the nurse include in the teaching?
a) It suppresses coughing
b) It reduces mucus production
c) It increases cough production
d) It decreases inflammation in the airways
Answer: c) It increases cough production
Rationale: Guaifenesin is an expectorant that helps increase the production of mucus to make
it easier to cough up and clear the airways.
, ESTUDY
8. A nurse is preparing to administer verapamil to a client who is 2 days post-myocardial
infarction. The nurse should monitor the client for which of the following outcomes as a
therapeutic response to the medication?
a) Decreased blood pressure
b) Increased heart rate
c) Decreased anginal pain
d) Increased chest pain
Answer: c) Decreased anginal pain
Rationale: Verapamil, a calcium channel blocker, helps reduce angina (chest pain) and is used
post-myocardial infarction to manage pain and improve heart function.
9. A nurse is providing teaching to a client who has a new prescription for levothyroxine.
Which statement indicates understanding of the teaching?
a) "I can take the medication with food as I experience stomach upset."
b) "I might not realize the full effect of the medication for several weeks."
c) "I can take it at any time during the day."
d) "I should take it right before bed."
Answer: b) "I might not realize the full effect of the medication for several weeks."
Rationale: Levothyroxine, used for hypothyroidism, may take several weeks to show full
effects, and it is best taken in the morning on an empty stomach.
10. A nurse is assessing a client who has heart failure and is taking digoxin. The nurse should
monitor the client for which of the following manifestations as an indication of digoxin
toxicity to report to the provider?
a) Vomiting
b) Dry mouth
c) Hyperglycemia
d) Hypertension
Answer: a) Vomiting
Rationale: Vomiting, along with nausea, anorexia, and blurred vision, can indicate digoxin
toxicity, which requires prompt intervention.
11. A nurse is providing teaching for a client with a prescription for oral metronidazole. What
is the priority teaching point?
a) "You should take this medication with a full glass of water."
b) "You should report a rash to your provider."
c) "You can consume alcohol while taking this medication."
d) "It is important to take this medication on an empty stomach."
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