ATI RN
ATI NUR 112 Fundamentals Exam Questions
Extract:
Question 1 of 5
An older client with heart failure (HF), coronary artery disease (CAD), and hypertension (HTN) is receiving these daily prescriptions: atenolol, furosemide, and enalapril. Which assessments should the nurse include in evaluating the effectiveness of the medications? (Select all that apply.)
Correct Answer: A,B,D
Rationale: Heart sounds, blood pressure, and daily weight monitor cardiac function, fluid status, and hypertension control. Bowel sounds and range of motion are unrelated.
Question 2 of 5
Ferrous sulfate elixir is prescribed for a client with iron deficiency anemia. Which instruction should the nurse provide this client about taking the liquid medication?
Correct Answer: A
Rationale: Using a straw minimizes tooth staining from ferrous sulfate. Diluting reduces GI irritation, antacids impair absorption, and milk’s calcium inhibits iron uptake.
Question 3 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.
Question 4 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 5 of 5
Prior to administering an oral dose of methylprednisolone, the nurse determines the client’s serum total calcium level is 5.5 mg/dL (1.375 mmol/L). What action is most important for the nurse to take?
Correct Answer: C
Rationale: Severe hypocalcemia (5.5 mg/dL) risks arrhythmias and seizures, requiring immediate provider notification. Dietary teaching, tapering, or milk are insufficient.