ATI RN
ATI NUR 112 Fundamentals Exam Questions
Extract:
Question 1 of 5
Before administering a laxative to a bedfast client, it is most important for the nurse to perform which assessment?
Correct Answer: B
Rationale: Bowel movement frequency and consistency guide laxative need and dosing, preventing complications. Mobility, skin, and urge recognition are secondary.
Question 2 of 5
The nurse is providing discharge instructions for a client with metastatic cancer who is prescribed morphine for bone pain. Which information from the client indicates to the nurse an understanding of the medication?
Correct Answer: A
Rationale: Morphine causes constipation, so monitoring bowels and using stool softeners is critical. Grapefruit juice doesn’t affect morphine, benzodiazepines risk CNS depression, and agitation/insomnia are uncommon.
Question 3 of 5
A client with a history of smoking cigarettes for many years arrives at the clinic and expresses a desire to stop smoking. The client receives a prescription for bupropion to reduce nicotine cravings. Which information should the nurse include in the discharge teaching?
Correct Answer: A
Rationale: Bupropion can cause insomnia and weight loss, which clients should monitor. Taste changes, water intake, and tyramine restrictions are not relevant.
Question 4 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 5 of 5
The nurse is administering sucralfate to a client with stomatitis secondary to chemotherapy. The client wants to take the medication after breakfast. How should the nurse respond?
Correct Answer: B
Rationale: Sucralfate requires an empty stomach for efficacy, so it must be taken 1 hour before meals. Post-meal dosing or documenting refusal is incorrect.