ATI RN
ATI NUR 112 Fundamentals Exam Questions
Extract:
Question 1 of 5
A client with a history of chronic obstructive pulmonary disease (COPD) receives a new prescription for an ipratropium inhaler. Which action indicates to the nurse that additional teaching is needed?
Correct Answer: D
Rationale: Priming ipratropium with 7 pumps is excessive; 2-4 sprays are sufficient. Rinsing, storage, and spacers are correct practices.
Question 2 of 5
Before administering the initial dose of sumatriptan succinate to a client with a migraine headache, it is most important to determine if the client’s history includes which problem?
Correct Answer: B
Rationale: Sumatriptan’s vasoconstrictive effects risk cardiac events in clients with coronary artery disease. IBS, rhinitis, and diabetes are not contraindications.
Question 3 of 5
The nurse is caring for a client with atrial fibrillation who receives a prescription for warfarin. The international normalized ratio (INR) is 2.8. Which action should the nurse take?
Correct Answer: D
Rationale: An INR of 2.8 is therapeutic, but notifying the provider ensures dose stability and prevents bleeding risks. Administering, retesting, or monitoring alone are insufficient.
Question 4 of 5
The healthcare provider prescribes enoxaparin sodium 80 mg SUBQ three times daily. The nurse is preparing a preloaded 1 mL syringe labeled 'Enoxaparin sodium injection, USP 60 mg/0.6 mL.' How many mL should the nurse administer?
Correct Answer: B
Rationale: Calculation: 60 mg/0.6 mL = 100 mg/mL; 80 mg ÷ 100 mg/mL = 0.8 mL. Thus, 0.8 mL delivers the prescribed 80 mg.
Question 5 of 5
Which laboratory value should the nurse review prior to administering the initial dose of a statin medication?
Correct Answer: D
Rationale: Statins risk hepatotoxicity, so baseline liver enzymes are critical. CBC, electrolytes, and glucose are less relevant.