ATI RN
ATI NUR 112 Fundamentals Exam Questions
Extract:
Question 1 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.
Question 2 of 5
Furosemide is prescribed for a client with a history of heart failure (HF). Which foods should the nurse encourage this client to eat?
Correct Answer: D
Rationale: Furosemide causes potassium loss, so potassium-rich foods like bananas, oranges, and peaches prevent hypokalemia. Other foods lack sufficient potassium.
Question 3 of 5
A client with narcolepsy receives a new prescription for methylphenidate. Prior to administration of the medication, the nurse should review the medical record for which condition?
Correct Answer: B
Rationale: Methylphenidate can elevate blood pressure, risking complications in hypertension. Cholesterol, diabetes, and bronchitis are not primary concerns.
Question 4 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 5 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.