ATI RN
ATI NUR 112 Fundamentals Exam Questions
Extract:
Question 1 of 5
A client with chronic kidney disease (CKD) is receiving calcium acetate 667 mg PO. A decrease in which blood value indicates to the nurse that the medication is having the desired effect?
Correct Answer: C
Rationale: Calcium acetate binds dietary phosphate, reducing serum phosphate in CKD. It doesn’t lower potassium, pH, or calcium (may increase).
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
A patient with peptic ulcer disease is scheduled to receive doses of pantoprazole IV and sucralfate PO before breakfast at 0800. The patient reports experiencing heartburn. The nurse brings the scheduled medications. Which action should the nurse take?
Correct Answer: D
Rationale: Administering pantoprazole and sucralfate before breakfast ensures optimal acid suppression and ulcer protection. Antacids interfere with sucralfate, and food reduces its efficacy. Pantoprazole is most effective pre-meal.
Question 4 of 5
A female client who is starting a new prescription for doxycycline hyclate tells the nurse that she takes birth control pills. Which action should the nurse take?
Correct Answer: B
Rationale: Doxycycline reduces contraceptive efficacy, requiring additional contraception. No contraindication exists, timing separation is irrelevant, and stopping pills is unnecessary.
Question 5 of 5
A client with chronic kidney disease (CKD) is receiving calcium acetate 667 mg PO. A decrease in which blood value indicates to the nurse that the medication is having the desired effect?
Correct Answer: C
Rationale: Calcium acetate lowers phosphate by binding it in the gut. Potassium, pH, and calcium levels are not its primary targets.