ATI Capstone Post Assessments
2024/2025 with Correct Answers
A nurse is caring for a client who has a new prescription for alosetron. What are the expected
therapeutic effects of this medication? ✔️✔️Effectiveness of alosetron can be evidenced by
relief of diarrhea, and decrease in urgency and frequency of defecation.
A client has been prescribed oxybutynin for treatment of overactive bladder and has been
experiencing anticholinergic side effects. List two (2) actions the client will take to prevent
adverse effects of the medication therapy. ✔️✔️Adverse Effects of oxybutynin:
Constipation, dry mouth, blurred vision, photophobia, dry eyes, CNS effects (hallucinations,
confusion, insomnia and nervousness)
Client Actions:
Increase dietary fiber; Consume 2 to 3 L/day of fluid from beverage; Avoid hazardous activities
if my vision is impaired
A nurse has provided education to a client with hypothyroidism who has a new prescription for
levothyroxine. What statements by the client would indicate they understand the instructions?
✔️✔️The following client statements indicate understanding of the nurse education concerning
their levothyroxine prescription: take the medication daily on an empty stomach 30 to 60 min
before breakfast; will verbalize the importance of lifelong replacement (even after improvement
of symptoms) and will not to discontinue the medication without checking with the provider; will
check with the provider before switching to another brand of levothyroxine; will monitor and
,report signs of cardiac excitability (angina, chest pain, palpitations, dysrhythmias); and will have
T4 and TSH levels drawn as directed by their provider.
A nurse is administering vancomycin to a client who develops an infusion reaction sometimes
referred to as red man syndrome. What action by the nurse could have prevented this reaction?
✔️✔️Infusion reactions (rashes, flushing, tachycardia, and hypotension, sometimes called "red
man syndrome") is an adverse effect of vancomycin administration that could be prevented by
administering vancomycin slowly over 60 min.
Protamine sulfate is the antidote for heparin overdose. What are two (2) nursing considerations
for the administration of protamine sulfate? ✔️✔️Protamine should be administered slowly IV,
no faster than 20 mg/min or 50 mg in 10 min. Do not exceed 100 mg in a 2-hr period.
A nurse is providing teaching to a client who is prescribed methotrexate for chemotherapy
treatment. What should the nurse include in the teaching for this medication? ✔️✔️Instruct
clients to take the medication on an empty stomach.
Advise clients to protect the skin from sunlight.Advise female clients to use birth control during
and for 6 months after completing treatment (Pregnancy Risk Category X).
A nurse is providing discharge teaching to a client prescribed ketorolac, what adverse effects
should the client report to the provider? ✔️✔️Gastrointestinal discomfort - Dyspepsia,
Abdominal pain, heartburn, nausea
, Impaired Kidney function - Decreased urine output, weight gain from fluid retention, Increased
BUN, and creatinine levels
Increased risk for bleeding - hematomas, bleeding gums, blood in vomit or stool, decreased
Hematocrit and Hemoglobin
Ketorolac is contraindicated in clients who have advanced kidney disease. Use should be no
longer than 5 days due to the risk of kidney injury. Ketorolac should not be used concurrently
with other NSAIDS.
A nurse is caring for a client following a bone marrow biopsy. What information should the
nurse include in the discharge teaching? ✔️✔️Teach the client to report excessive bleeding and
evidence of infection to the provider.Teach the client to check the biopsy site daily. Keep the
dressing clean, dry, and intact.If sutures are in place, remind the client to return in 7 to 10 days to
have them removed.
Define the following types of urinary incontinence: stress, functional, and total. ✔️✔️There
are three major types of urinary incontinence:
Stress - The loss of small amounts of urine when laughing, sneezing, or lifting primarily due to
weak pelvic muscles, urethra, or surrounding tissues.
Functional - The inability to get to the bathroom to urinate due to physical, cognitive, or social
impairment.
Total - The unpredictable, involuntary loss of urine that does not generally respond to treatment.
2024/2025 with Correct Answers
A nurse is caring for a client who has a new prescription for alosetron. What are the expected
therapeutic effects of this medication? ✔️✔️Effectiveness of alosetron can be evidenced by
relief of diarrhea, and decrease in urgency and frequency of defecation.
A client has been prescribed oxybutynin for treatment of overactive bladder and has been
experiencing anticholinergic side effects. List two (2) actions the client will take to prevent
adverse effects of the medication therapy. ✔️✔️Adverse Effects of oxybutynin:
Constipation, dry mouth, blurred vision, photophobia, dry eyes, CNS effects (hallucinations,
confusion, insomnia and nervousness)
Client Actions:
Increase dietary fiber; Consume 2 to 3 L/day of fluid from beverage; Avoid hazardous activities
if my vision is impaired
A nurse has provided education to a client with hypothyroidism who has a new prescription for
levothyroxine. What statements by the client would indicate they understand the instructions?
✔️✔️The following client statements indicate understanding of the nurse education concerning
their levothyroxine prescription: take the medication daily on an empty stomach 30 to 60 min
before breakfast; will verbalize the importance of lifelong replacement (even after improvement
of symptoms) and will not to discontinue the medication without checking with the provider; will
check with the provider before switching to another brand of levothyroxine; will monitor and
,report signs of cardiac excitability (angina, chest pain, palpitations, dysrhythmias); and will have
T4 and TSH levels drawn as directed by their provider.
A nurse is administering vancomycin to a client who develops an infusion reaction sometimes
referred to as red man syndrome. What action by the nurse could have prevented this reaction?
✔️✔️Infusion reactions (rashes, flushing, tachycardia, and hypotension, sometimes called "red
man syndrome") is an adverse effect of vancomycin administration that could be prevented by
administering vancomycin slowly over 60 min.
Protamine sulfate is the antidote for heparin overdose. What are two (2) nursing considerations
for the administration of protamine sulfate? ✔️✔️Protamine should be administered slowly IV,
no faster than 20 mg/min or 50 mg in 10 min. Do not exceed 100 mg in a 2-hr period.
A nurse is providing teaching to a client who is prescribed methotrexate for chemotherapy
treatment. What should the nurse include in the teaching for this medication? ✔️✔️Instruct
clients to take the medication on an empty stomach.
Advise clients to protect the skin from sunlight.Advise female clients to use birth control during
and for 6 months after completing treatment (Pregnancy Risk Category X).
A nurse is providing discharge teaching to a client prescribed ketorolac, what adverse effects
should the client report to the provider? ✔️✔️Gastrointestinal discomfort - Dyspepsia,
Abdominal pain, heartburn, nausea
, Impaired Kidney function - Decreased urine output, weight gain from fluid retention, Increased
BUN, and creatinine levels
Increased risk for bleeding - hematomas, bleeding gums, blood in vomit or stool, decreased
Hematocrit and Hemoglobin
Ketorolac is contraindicated in clients who have advanced kidney disease. Use should be no
longer than 5 days due to the risk of kidney injury. Ketorolac should not be used concurrently
with other NSAIDS.
A nurse is caring for a client following a bone marrow biopsy. What information should the
nurse include in the discharge teaching? ✔️✔️Teach the client to report excessive bleeding and
evidence of infection to the provider.Teach the client to check the biopsy site daily. Keep the
dressing clean, dry, and intact.If sutures are in place, remind the client to return in 7 to 10 days to
have them removed.
Define the following types of urinary incontinence: stress, functional, and total. ✔️✔️There
are three major types of urinary incontinence:
Stress - The loss of small amounts of urine when laughing, sneezing, or lifting primarily due to
weak pelvic muscles, urethra, or surrounding tissues.
Functional - The inability to get to the bathroom to urinate due to physical, cognitive, or social
impairment.
Total - The unpredictable, involuntary loss of urine that does not generally respond to treatment.
