ATI (6) | UPDATED Questions with 100% Verified
Answers
Q1: Patient identifiers
A: Medical record number
home telephone number
Q2: What lab values should a nurse monitor for a patient with
chronic renal failure?
A: ■ Urinalysis
■ Hematuria, proteinuria, and alterations in specific gravity
■ Serum creatinine
Gradual increase of 1 to 2 mg/dL per every 24 to 48 hr for acute renal
failure (ARF)
Gradual increase over months to years for chronic renal failure (CRF)
exceeding 4 mg/dL
■ Blood urea nitrogen (BUN)
80 to 100 mg/dL within 1 week with ARF
Gradual increase with elevated serum creatinine over months to years for
CRF
180-200 mg/dL with (CRF)
■ Serum electrolytes
Decreased sodium (dilutional) and calcium, increased potassium,
phosphorus, and magnesium
■ Complete blood count (CBC)
Decreased hemoglobin
Q3: What food should you increase when taking Lasix?
A: increased amounts of potassium-rich foods (e.g., bananas, prunes, raisins, and orange
juice)
Q4: Patient reports IV discomfort, what is your first action?
A: color and temperature
Q5: Sumatriptan (treats migraine headaches) adverse effect
A: pain, tightness, pressure, or heaviness in the chest, throat, neck, and/or jaw
slow or difficult speech
Q6: Know about Transdermal patch
A: • Apply at the same time once each day,
preferably in the morning. Keep patch on
for 12 to 14 hr each day.
• Remove the patch at night to reduce
,the risk of developing tolerance to
nitroglycerin. Be medication-free a
minimum of 10 to 12 hr each day (usually
at night).
• Do not cut patches to ensure appropriate
dosage.
• Place the patch on a hairless area of skin
(chest, back, or abdomen) and rotate sites
to prevent skin irritation.
• Wash skin with soap and water and dry
thoroughly before applying new patch.
Q7: RBC Blood transfusion
A: http://www.atitesting.com/ati_next_gen/FocusedReview/data/datacontext/RM%20AMS%2
0RN%208.0%20Chp%2044.pdf (prime with normal saline and infuse with sodium
chloride).
Q8: What to understand about Parkinson's Meds?
A: they don't cure disease, they slow the process.
Q9: NEUPOGEN (filgrastim)-what is the appropriate route of this
med?
A: administered by subcutaneous injection or IV infusion
Q10: Lisinopril therapeutic effect
A: blood pressure answer (e.g. 120/80)
Q11: Medication for Schizophrenia
A: risperidone, Risperdal
Q12: Macrodantin medication
A: used to treat or prevent certain urinary tract infections
Q13: Haldol-inform if you are taking ____________ medication.
A: benzodiazepine class of anti-anxiety drugs (all ending with "pam") and even, Xanax.
Q14: Fosomax
A: same as-Alendronate is used for treating osteoporosis in men and postmenopausal
women.
Q15: Lipitor
,A: lowers cholesterol in blood, "statins". Reduce LDL and total cholesterol. Raise HDL.
Q16: Garamycin
A: Antibiotic that is toxic to the kidney, injected for radiology studies.
Q17: Digoxin side effects
A: Fatigue
Bradycardia
Anorexia
Nausea/Vomiting
Q18: Singulair
A: used before exercise to prevent breathing problems during exercise (bronchospasm).
Q19: What medication to administer with Tylenol overdose?
A: acetylcysteine (Mucomyst) must be given IV
Q20: HPV vaccine
A: Human Papilloma Virus (HPV2, HPV4) - -Three doses should be given over a 6 month
interval for females at 11 to 12 years of age (minimum age is 9 years).
The second dose should be administered 2 months after the first dose, and the third
dose should be administered 6 months after the first dose.
HPV4 may be given to males starting at age 9 years of age.
Q21: Opioid toxicity-what to check first
A: oxygen saturation
Q22: Valporic Acid lab
A: liver
Q23: Lithium report immediately
A: slurred speech
Q24: Prednisone report
A: sore throat
Q25: Food to avoid when taking Lithium
A: salty foods
alcoholic beverages
Q26: Labs for patients taking hydrothiazide
, A: Periodic determination of serum electrolytes to detect possible electrolyte imbalance
should be done at appropriate intervals.
Q27: 1) A nurse is caring for a client with hyperparathyroidism and
notes that the client's serum calcium level is 13 mg/dL. Which
medication should the nurse prepare to administer as
prescribed to the client?
1. Calcium chloride
2. Calcium gluconate
3. Calcitonin (Miacalcin)
4. Large doses of vitamin D
A: 3. Calcitonin (Miacalcin)
Rationale
The normal serum calcium level is 8.6 to 10.0 mg/dL. This client is experiencing
hypercalcemia. Calcium gluconate and calcium chloride are medications used for the
treatment of tetany, which occurs as a result of acute hypocalcemia. In hypercalcemia,
large doses of vitamin D need to be avoided. Calcitonin, a thyroid hormone, decreases
the plasma calcium level by inhibiting bone resorption and lowering the serum calcium
concentration.
Q28: 2.) Oral iron supplements are prescribed for a 6-year-old child
with iron deficiency anemia. The nurse instructs the mother to
administer the iron with which best food item?
1. Milk
2. Water
3. Apple juice
4. Orange juice
A: 4. Orange juice
Rationale
Vitamin C increases the absorption of iron by the body. The mother should be instructed
to administer the medication with a citrus fruit or a juice that is high in vitamin C. Milk may
affect absorption of the iron. Water will not assist in absorption. Orange juice contains a
greater amount of vitamin C than apple juice.
Q29: 3.) Salicylic acid is prescribed for a client with a diagnosis of
psoriasis. The nurse monitors the client, knowing that which of
the following would indicate the presence of systemic toxicity
from this medication?
1. Tinnitus
2. Diarrhea
3. Constipation
4. Decreased respirations
A: 1. Tinnitus
Rationale
Salicylic acid is absorbed readily through the skin, and systemic toxicity (salicylism) can
result. Symptoms include tinnitus, dizziness, hyperpnea, and psychological disturbances.
Answers
Q1: Patient identifiers
A: Medical record number
home telephone number
Q2: What lab values should a nurse monitor for a patient with
chronic renal failure?
A: ■ Urinalysis
■ Hematuria, proteinuria, and alterations in specific gravity
■ Serum creatinine
Gradual increase of 1 to 2 mg/dL per every 24 to 48 hr for acute renal
failure (ARF)
Gradual increase over months to years for chronic renal failure (CRF)
exceeding 4 mg/dL
■ Blood urea nitrogen (BUN)
80 to 100 mg/dL within 1 week with ARF
Gradual increase with elevated serum creatinine over months to years for
CRF
180-200 mg/dL with (CRF)
■ Serum electrolytes
Decreased sodium (dilutional) and calcium, increased potassium,
phosphorus, and magnesium
■ Complete blood count (CBC)
Decreased hemoglobin
Q3: What food should you increase when taking Lasix?
A: increased amounts of potassium-rich foods (e.g., bananas, prunes, raisins, and orange
juice)
Q4: Patient reports IV discomfort, what is your first action?
A: color and temperature
Q5: Sumatriptan (treats migraine headaches) adverse effect
A: pain, tightness, pressure, or heaviness in the chest, throat, neck, and/or jaw
slow or difficult speech
Q6: Know about Transdermal patch
A: • Apply at the same time once each day,
preferably in the morning. Keep patch on
for 12 to 14 hr each day.
• Remove the patch at night to reduce
,the risk of developing tolerance to
nitroglycerin. Be medication-free a
minimum of 10 to 12 hr each day (usually
at night).
• Do not cut patches to ensure appropriate
dosage.
• Place the patch on a hairless area of skin
(chest, back, or abdomen) and rotate sites
to prevent skin irritation.
• Wash skin with soap and water and dry
thoroughly before applying new patch.
Q7: RBC Blood transfusion
A: http://www.atitesting.com/ati_next_gen/FocusedReview/data/datacontext/RM%20AMS%2
0RN%208.0%20Chp%2044.pdf (prime with normal saline and infuse with sodium
chloride).
Q8: What to understand about Parkinson's Meds?
A: they don't cure disease, they slow the process.
Q9: NEUPOGEN (filgrastim)-what is the appropriate route of this
med?
A: administered by subcutaneous injection or IV infusion
Q10: Lisinopril therapeutic effect
A: blood pressure answer (e.g. 120/80)
Q11: Medication for Schizophrenia
A: risperidone, Risperdal
Q12: Macrodantin medication
A: used to treat or prevent certain urinary tract infections
Q13: Haldol-inform if you are taking ____________ medication.
A: benzodiazepine class of anti-anxiety drugs (all ending with "pam") and even, Xanax.
Q14: Fosomax
A: same as-Alendronate is used for treating osteoporosis in men and postmenopausal
women.
Q15: Lipitor
,A: lowers cholesterol in blood, "statins". Reduce LDL and total cholesterol. Raise HDL.
Q16: Garamycin
A: Antibiotic that is toxic to the kidney, injected for radiology studies.
Q17: Digoxin side effects
A: Fatigue
Bradycardia
Anorexia
Nausea/Vomiting
Q18: Singulair
A: used before exercise to prevent breathing problems during exercise (bronchospasm).
Q19: What medication to administer with Tylenol overdose?
A: acetylcysteine (Mucomyst) must be given IV
Q20: HPV vaccine
A: Human Papilloma Virus (HPV2, HPV4) - -Three doses should be given over a 6 month
interval for females at 11 to 12 years of age (minimum age is 9 years).
The second dose should be administered 2 months after the first dose, and the third
dose should be administered 6 months after the first dose.
HPV4 may be given to males starting at age 9 years of age.
Q21: Opioid toxicity-what to check first
A: oxygen saturation
Q22: Valporic Acid lab
A: liver
Q23: Lithium report immediately
A: slurred speech
Q24: Prednisone report
A: sore throat
Q25: Food to avoid when taking Lithium
A: salty foods
alcoholic beverages
Q26: Labs for patients taking hydrothiazide
, A: Periodic determination of serum electrolytes to detect possible electrolyte imbalance
should be done at appropriate intervals.
Q27: 1) A nurse is caring for a client with hyperparathyroidism and
notes that the client's serum calcium level is 13 mg/dL. Which
medication should the nurse prepare to administer as
prescribed to the client?
1. Calcium chloride
2. Calcium gluconate
3. Calcitonin (Miacalcin)
4. Large doses of vitamin D
A: 3. Calcitonin (Miacalcin)
Rationale
The normal serum calcium level is 8.6 to 10.0 mg/dL. This client is experiencing
hypercalcemia. Calcium gluconate and calcium chloride are medications used for the
treatment of tetany, which occurs as a result of acute hypocalcemia. In hypercalcemia,
large doses of vitamin D need to be avoided. Calcitonin, a thyroid hormone, decreases
the plasma calcium level by inhibiting bone resorption and lowering the serum calcium
concentration.
Q28: 2.) Oral iron supplements are prescribed for a 6-year-old child
with iron deficiency anemia. The nurse instructs the mother to
administer the iron with which best food item?
1. Milk
2. Water
3. Apple juice
4. Orange juice
A: 4. Orange juice
Rationale
Vitamin C increases the absorption of iron by the body. The mother should be instructed
to administer the medication with a citrus fruit or a juice that is high in vitamin C. Milk may
affect absorption of the iron. Water will not assist in absorption. Orange juice contains a
greater amount of vitamin C than apple juice.
Q29: 3.) Salicylic acid is prescribed for a client with a diagnosis of
psoriasis. The nurse monitors the client, knowing that which of
the following would indicate the presence of systemic toxicity
from this medication?
1. Tinnitus
2. Diarrhea
3. Constipation
4. Decreased respirations
A: 1. Tinnitus
Rationale
Salicylic acid is absorbed readily through the skin, and systemic toxicity (salicylism) can
result. Symptoms include tinnitus, dizziness, hyperpnea, and psychological disturbances.
