ATI RN
ATI RN Med Surg Pharm Competence Exam Questions
Extract:
Question 1 of 5
A nurse is preparing to administer hydrochlorothiazide 25 mg PO every 8 hr. The amount available is hydrochlorothiazide 50 mg/tab. How many tablets should the nurse administer per dose? (Round the answer to the nearest tenth/whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 0.5 tablets.
Rationale:
To determine the number of tablets, divide the desired dose (25 mg) by the available strength (50 mg/tablet): 25 mg / 50 mg/tablet = 0.5 tablets.
Question 2 of 5
A nurse is reinforcing teaching with a client who has a prescription for simvastatin. Which of the following instructions should the nurse provide?
Correct Answer: A
Rationale: Simvastatin is most effective when taken in the evening because cholesterol synthesis is highest at night.
Question 3 of 5
A nurse is talking with a client who is about to start taking nitroglycerin oral, sustained-release capsules. Which of the following instructions should the nurse include?
Correct Answer: D
Rationale: Nitroglycerin sustained-release capsules should be swallowed whole to ensure slow, consistent release.
Question 4 of 5
A nurse is caring for a client who has a new prescription for warfarin. The nurse should use the results of which of the following diagnostic tests to monitor the effect of this therapy?
Correct Answer: D
Rationale: Warfarin's effect is monitored using prothrombin time (PT) or INR, which measures blood clotting time.
Question 5 of 5
When checking the medication administration records of four clients, a nurse notes that they all require oral medications that are prescribed to be administered once daily in the morning. Which of the following medications should the nurse administer first?
Correct Answer: C
Rationale: Alendronate should be administered on an empty stomach with the client sitting upright to enhance absorption and minimize esophageal irritation.