ATI Capstone NCLEX Review EXAM QUESTIONS WITH
VERIFIED ANSWERS GRADED A+ LATEST 2023-2024
1)4 steps of Critical Thinking –
ANS
1. identify and analyze the problem;
2. recall info you need to resolve the problem;
3. evaluate each option
4. select the correct or priority option
2)5-HT3 receptor antagonists (serotonin antagonists) –
ANS-Dolasetron (Anzemet)
Granisetron (Kytril, Sancuso)
Ondansetron (Zofran)
Tropisetron (Navoban)
It's 'Tron' to the rescue!
3.a 45-year-old client is taking methylprednisolone. What pharmacological action should the
nurse expect with this therapy? –
ANS-corticosteroids, such as methylprednisolone, will suppress airway mucus production;
therapy should promote responsiveness of beta2 receptors. Adverse effects of this medication
include bone loss and formation of candidiasis
4.a 52-year-old client with a Hx of angina has been prescribed transdermal nitroglycerin. Which
of the following adverse effects is not seen with this therapy? –
ANS-productive cough; nitroglycerin therapy does not directly have an effect lung function.
Physiologically, vasodilation should effect capillary perfusion and decrease lung secretions.
5.a client has been prescribed lisinopril. What medication interaction should the nurse instruct
this client about? –
ANS-Potassium supplements and potassium-sparing diuretics increase the risk of hyperkalemia
in clients taking ACE inhibitors such as lisinopril. Clients should only take potassium
supplements if prescribed by the provider. Clients should also avoid salt substitutes that contain
potassium.
6.a client is prescribed propranolol. What client history findings would require the nurse to
clarify this prescription? –
ANS-asthma; clients with asthma should avoid Beta2 Blockade agents such as propranolol.
Bronchoconstriction can occur. Clients with asthma should be administered a beta1selective
agent.
, 7.A client is taking disulfiram daily for abstinence maintenance. What is an adverse effect of
disulfiram? –
ANS-hepatotoxicity
8.a nurse is caring for a client with prescribed digoxin. What should alert the nurse to possible
digitalis toxicity? –
ANS-Anorexia, fatigue and weakness are signs of potential digitalis toxicity. GI effects of
digitalis toxicity include anorexia, nausea, vomiting and abdominal pain. CNS effects include
fatigue, weakness, vision changes (diplopia, blurred vision, yellow-green or white halos around
objects). Bradycardia is also commonly noted in digitalis toxicity.
9.a nurse is preparing to administer 10 units of regular insulin and 20 units of NPH insulin to a
client. What is the correct order the nurse should follow? –
ANS-inspect the vials for contaminants, roll NPH vial between palms of hands, inject air into
NPH insulin vial, inject air onto regular Insulin vial, withdraw short-acting insulin into syringe
add intermediate insulin to syringe; when the prescription requires the administration of two
types of insulin, it is preferable to mix the solutions into one syringe if they are compatible to
prevent the client from receiving two injections. The mixture is stable for 28 days.
10.a nurse is preparing to administer bisacodyl suppository to a client. What actions should the
nurse take? –
ANS-Don clean gloves, lubricate index finger with sterile water-soluble lubricating jelly,
position the client on the left lateral side, gently retract the buttocks with the nondominant hand,
insert the suppository gently through the anus, past the internal sphincter, and against the rectal
wall. Following the administration of the medication, the nurse should apply gentle pressure to
hold the buttocks together momentarily if needed to keep medication in place.
11.activated partial thromboplastin time (aPTT) –
ANS-20-36; to maintain a therapeutic level of anticoagulation while on heparin, the aPTT should
be 1.5 to 2 times the normal value (60 to 80 seconds).
12.adolescents's risks for injury can stem from –
ANS-increased desire to make independent decisions and relying on peers for guidance rather
than family
13.AFTER THE CLOT HAS LEFT THE BUILDING (Thrombolytics) - ANSAdminister beta
blockers to decrease myocardial oxygen consumption and reduce the incidence and severity of
reperfusion arrhythmias.
Analysis/data collection requires nurses to look at the data and: - ANSrecognize patterns or
trends; compare the data with expected standards or reference ranges, and arrive to conclusions
to guide nursing care
Antianemics - ANSInstruct clients to take iron on an empty stomach such as 1 hr before meals to
maximize absorption. Stomach acid increases absorption. Instruct clients to space doses at
approximately equal intervals throughout day to most efficiently increase red blood cell
VERIFIED ANSWERS GRADED A+ LATEST 2023-2024
1)4 steps of Critical Thinking –
ANS
1. identify and analyze the problem;
2. recall info you need to resolve the problem;
3. evaluate each option
4. select the correct or priority option
2)5-HT3 receptor antagonists (serotonin antagonists) –
ANS-Dolasetron (Anzemet)
Granisetron (Kytril, Sancuso)
Ondansetron (Zofran)
Tropisetron (Navoban)
It's 'Tron' to the rescue!
3.a 45-year-old client is taking methylprednisolone. What pharmacological action should the
nurse expect with this therapy? –
ANS-corticosteroids, such as methylprednisolone, will suppress airway mucus production;
therapy should promote responsiveness of beta2 receptors. Adverse effects of this medication
include bone loss and formation of candidiasis
4.a 52-year-old client with a Hx of angina has been prescribed transdermal nitroglycerin. Which
of the following adverse effects is not seen with this therapy? –
ANS-productive cough; nitroglycerin therapy does not directly have an effect lung function.
Physiologically, vasodilation should effect capillary perfusion and decrease lung secretions.
5.a client has been prescribed lisinopril. What medication interaction should the nurse instruct
this client about? –
ANS-Potassium supplements and potassium-sparing diuretics increase the risk of hyperkalemia
in clients taking ACE inhibitors such as lisinopril. Clients should only take potassium
supplements if prescribed by the provider. Clients should also avoid salt substitutes that contain
potassium.
6.a client is prescribed propranolol. What client history findings would require the nurse to
clarify this prescription? –
ANS-asthma; clients with asthma should avoid Beta2 Blockade agents such as propranolol.
Bronchoconstriction can occur. Clients with asthma should be administered a beta1selective
agent.
, 7.A client is taking disulfiram daily for abstinence maintenance. What is an adverse effect of
disulfiram? –
ANS-hepatotoxicity
8.a nurse is caring for a client with prescribed digoxin. What should alert the nurse to possible
digitalis toxicity? –
ANS-Anorexia, fatigue and weakness are signs of potential digitalis toxicity. GI effects of
digitalis toxicity include anorexia, nausea, vomiting and abdominal pain. CNS effects include
fatigue, weakness, vision changes (diplopia, blurred vision, yellow-green or white halos around
objects). Bradycardia is also commonly noted in digitalis toxicity.
9.a nurse is preparing to administer 10 units of regular insulin and 20 units of NPH insulin to a
client. What is the correct order the nurse should follow? –
ANS-inspect the vials for contaminants, roll NPH vial between palms of hands, inject air into
NPH insulin vial, inject air onto regular Insulin vial, withdraw short-acting insulin into syringe
add intermediate insulin to syringe; when the prescription requires the administration of two
types of insulin, it is preferable to mix the solutions into one syringe if they are compatible to
prevent the client from receiving two injections. The mixture is stable for 28 days.
10.a nurse is preparing to administer bisacodyl suppository to a client. What actions should the
nurse take? –
ANS-Don clean gloves, lubricate index finger with sterile water-soluble lubricating jelly,
position the client on the left lateral side, gently retract the buttocks with the nondominant hand,
insert the suppository gently through the anus, past the internal sphincter, and against the rectal
wall. Following the administration of the medication, the nurse should apply gentle pressure to
hold the buttocks together momentarily if needed to keep medication in place.
11.activated partial thromboplastin time (aPTT) –
ANS-20-36; to maintain a therapeutic level of anticoagulation while on heparin, the aPTT should
be 1.5 to 2 times the normal value (60 to 80 seconds).
12.adolescents's risks for injury can stem from –
ANS-increased desire to make independent decisions and relying on peers for guidance rather
than family
13.AFTER THE CLOT HAS LEFT THE BUILDING (Thrombolytics) - ANSAdminister beta
blockers to decrease myocardial oxygen consumption and reduce the incidence and severity of
reperfusion arrhythmias.
Analysis/data collection requires nurses to look at the data and: - ANSrecognize patterns or
trends; compare the data with expected standards or reference ranges, and arrive to conclusions
to guide nursing care
Antianemics - ANSInstruct clients to take iron on an empty stomach such as 1 hr before meals to
maximize absorption. Stomach acid increases absorption. Instruct clients to space doses at
approximately equal intervals throughout day to most efficiently increase red blood cell
