ATI RN
ATI Nursing 100 Day Exam 4 Fundamentals Questions
Extract:
Question 1 of 5
The client asks the nursing student to crush her medications and put them in apple sauce. Even before the student researches the medications he knows that the tablet he cannot deliver in this manner is:
Correct Answer: B
Rationale: Diltiazem SR (sustained release) cannot be crushed as it alters the drug’s controlled release mechanism potentially causing rapid release and toxicity. Loperamide acetaminophen and methyldopa can typically be crushed or have liquid forms available ensuring safe administration.
Question 2 of 5
The nurse is administering medications to a group of clients. Which client(s) warrant(s) the nurse's special attention when considering pharmacokinetics?
Correct Answer: A,E
Rationale: Renal impairment affects drug excretion and liver failure alters metabolism both significantly impacting pharmacokinetics by changing drug clearance and activation. Muscle sprains hearing impairment and localized vaginal infections have minimal systemic effects on drug processing.
Question 3 of 5
A group that has transformed itself from a collection of individuals into a productive problem-solving highly functioning team would be functioning in which stage of group development?
Correct Answer: D
Rationale: The performing stage is where a group functions at its highest level with effective problem-solving and productivity. Forming involves initial introductions where members are polite and cautious storming includes conflict as members assert roles and norming establishes cohesion and norms but these stages do not reflect the high functionality and problem-solving described in the question.
Question 4 of 5
The nurse knows that which form of medication delivery results in the most predictable onset and most bioavailability to the client?
Correct Answer: A
Rationale: Intravenous delivery provides immediate onset and 100% bioavailability by directly entering the bloodstream bypassing barriers like the gastrointestinal tract or skin. Oral routes face first pass metabolism subcutaneous absorption varies with tissue and transdermal has slow onset due to skin diffusion.
Question 5 of 5
An alert competent client refuses to take her antihypertensive medication. The nurse has explained why the medication is important and the client states that she understands but doesn't want to take the medication. What is the best nursing action?
Correct Answer: B
Rationale: Respecting the client’s autonomy the nurse withholds the medication and notifies the prescriber for further action as the client understands but refuses. Administering against wishes violates ethics filing a report is unnecessary and insisting without prescriber input disregards autonomy.