ATI RN
ATI NUR 112 Fundamentals Exam Questions
Extract:
Question 1 of 5
A female client with mild depression reports to the nurse that she recently started taking St. John’s wort. Which information provided by the client requires further instruction?
Correct Answer: B
Rationale: St. John’s wort reduces hormonal contraceptive efficacy, requiring additional contraception. Insomnia, photosensitivity, and dry mouth are known effects.
Question 2 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 3 of 5
A young adult female client who is planning to become pregnant asks the nurse if she can continue taking isotretinoin for cystic acne. Which information is most important for the nurse to provide this client?
Correct Answer: D
Rationale: Isotretinoin’s teratogenicity requires discontinuation one month before conception to prevent birth defects. Breastfeeding, vitamin A, and liver tests are secondary.
Question 4 of 5
A client is receiving miotics for the treatment of open-angle glaucoma. The nurse determines that a priority nursing problem is the risk for injury. This nursing problem is based on which etiology?
Correct Answer: A
Rationale: Miotics cause pupil constriction, reducing night vision and increasing injury risk. Photophobia, tearing, and color perception are less impactful.
Question 5 of 5
A client is scheduled for a spiral computed tomography (CT) scan with contrast to evaluate for pulmonary embolism. Which information in the client’s history requires follow-up by the nurse?
Correct Answer: B
Rationale: Metformin with contrast dye risks lactic acidosis, requiring kidney function assessment and possible withholding. Prior CT, sobriety, and metal prosthesis are less critical.