RN ATI CONCEPT-BASED ASSESSMENT
PROCTORED EXAM Q&A 2026 STUDY GUIDE
◉ A nurse is teaching a client about the use of risedronate for the
treatment of osteoporosis. The nurse should identify which of the
following statements as an indication that the client understands the
teaching? Answer: I should sit up for 30 minutes after taking the
risedronate
◉ A nurse has administered 2 doses of bethamethasone to a client in
preterm labor. After delivery of the newborn, the nurse understands
the medication was effective when she observes which of the
following? Answer: The newborn has normal respiratory patterns
◉ A nurse is caring for a client in the emergency department
following a diazepam overdose. Which of the following medications
should the nurse anticipate administering to the client? Answer:
fluazenil
◉ A nurse is assessing a client who is taking propylthiouracil for the
treatment of Graves' disease. Which of the following findings should
the nurse identify as an indication that the medication has been
effective? Answer: Increase in ability to focus
,◉ A nurse is caring for a client who has heart failure and is
prescribed enalapril. The nurse should monitor the client for which
of the following findings as an adverse effect of the medication?
Answer: Hyperkalemia
◉ A nurse is precepting a newly licensed new who is caring for four
clients. The nurse should complete a incident report for which of the
following actions by the newly licensed nurse? Answer: Administers
isosorbide mononirtrate
◉ A nurse at a clinic is providing follow-up care to a client who is
taking fluoxetine for depression. Which of the following findings
should the nurse identify as an adverse effect of the medication?
Answer: Sexual dysfunction
◉ A nurse is preparing to administer diclofenac to a client who has
chronic bursitis. Which of the following actions should the nurse
take?
a. administer the medication at bedtime
b. avoid administering the medication with antacids
c. administer the medication with food
d. crush the medication prior to administration Answer: Administer
the medication with food
,Diclofenac is an NSAID and can cause gastric irritation. Clients
should take NSAIDs with food or milk to minimize gastric
irritation.he nurse should not administer the medication at bedtime
because the client should remain upright for 15 to 30 min after
administration to prevent esophageal irritation. Diclofenac is
available as an enteric-coated tablet for delayed release. Clients
should not crush or chew sustained-release medications because
doing so will increase gastrointestinal adverse effects and decrease
the effectiveness of the medication.
◉ A nurse is planning care for a client who has asthma and a
prescription for methylprednisolone. Which of the following
laboratory values should the nurse monitor while the client is
receiving this medication?
a. Aspartate aminotransferase (AST)
b. Fibrin split products
c. BUN
d. Glucose Answer: Glucose
Methylprednisolone therapy increases the synthesis of glucose and
decreases the uptake of glucose by the muscles and adipose tissues,
resulting in increased circulating glucose. Therefore, it is important
for the nurse to monitor blood glucose levels regularly while clients
are receiving corticosteroid therapy.
, Aspartate aminotransferase is an enzyme that is present in the
heart, liver, skeletal muscles, and other highly metabolic tissues. AST
levels are increased in conditions that cause cellular injury, such as
liver disease; however, methylprednisolone therapy does not affect
AST levels. Fibrin split products are present in the serum when
thromboses are present. Increased levels of fibrin split products can
increase disseminated intravascular coagulation (DIC); however,
methylprednisolone therapy does not affect blood clotting. BUN
levels reflect kidney function and glomerular filtration. Hydration
status and nephrotoxic medications can alter BUN levels; however,
methylprednisolone therapy does not affect renal function.
◉ A nurse is caring for a client who is postmenopausal and has a
prescription for raloxifene. The nurse should instruct the client that
raloxifene is prescribed for which of the following reasons?
a. To treat irritable bowel syndrome
b. To reduce the risk for breast cancer
c. To reduce the occurrence of hot flashes
d. To lower the risk of pulmonary embolism Answer: To reduce the
risk for breast cancer
Raloxifene can lower the risk for breast cancer in postmenopausal
clients who have a high risk for developing estrogen-receptive types
of breast cancer. The medication also reduces the risk for and can
treat postmenopausal osteoporosis.Raloxifene is a selective estrogen
PROCTORED EXAM Q&A 2026 STUDY GUIDE
◉ A nurse is teaching a client about the use of risedronate for the
treatment of osteoporosis. The nurse should identify which of the
following statements as an indication that the client understands the
teaching? Answer: I should sit up for 30 minutes after taking the
risedronate
◉ A nurse has administered 2 doses of bethamethasone to a client in
preterm labor. After delivery of the newborn, the nurse understands
the medication was effective when she observes which of the
following? Answer: The newborn has normal respiratory patterns
◉ A nurse is caring for a client in the emergency department
following a diazepam overdose. Which of the following medications
should the nurse anticipate administering to the client? Answer:
fluazenil
◉ A nurse is assessing a client who is taking propylthiouracil for the
treatment of Graves' disease. Which of the following findings should
the nurse identify as an indication that the medication has been
effective? Answer: Increase in ability to focus
,◉ A nurse is caring for a client who has heart failure and is
prescribed enalapril. The nurse should monitor the client for which
of the following findings as an adverse effect of the medication?
Answer: Hyperkalemia
◉ A nurse is precepting a newly licensed new who is caring for four
clients. The nurse should complete a incident report for which of the
following actions by the newly licensed nurse? Answer: Administers
isosorbide mononirtrate
◉ A nurse at a clinic is providing follow-up care to a client who is
taking fluoxetine for depression. Which of the following findings
should the nurse identify as an adverse effect of the medication?
Answer: Sexual dysfunction
◉ A nurse is preparing to administer diclofenac to a client who has
chronic bursitis. Which of the following actions should the nurse
take?
a. administer the medication at bedtime
b. avoid administering the medication with antacids
c. administer the medication with food
d. crush the medication prior to administration Answer: Administer
the medication with food
,Diclofenac is an NSAID and can cause gastric irritation. Clients
should take NSAIDs with food or milk to minimize gastric
irritation.he nurse should not administer the medication at bedtime
because the client should remain upright for 15 to 30 min after
administration to prevent esophageal irritation. Diclofenac is
available as an enteric-coated tablet for delayed release. Clients
should not crush or chew sustained-release medications because
doing so will increase gastrointestinal adverse effects and decrease
the effectiveness of the medication.
◉ A nurse is planning care for a client who has asthma and a
prescription for methylprednisolone. Which of the following
laboratory values should the nurse monitor while the client is
receiving this medication?
a. Aspartate aminotransferase (AST)
b. Fibrin split products
c. BUN
d. Glucose Answer: Glucose
Methylprednisolone therapy increases the synthesis of glucose and
decreases the uptake of glucose by the muscles and adipose tissues,
resulting in increased circulating glucose. Therefore, it is important
for the nurse to monitor blood glucose levels regularly while clients
are receiving corticosteroid therapy.
, Aspartate aminotransferase is an enzyme that is present in the
heart, liver, skeletal muscles, and other highly metabolic tissues. AST
levels are increased in conditions that cause cellular injury, such as
liver disease; however, methylprednisolone therapy does not affect
AST levels. Fibrin split products are present in the serum when
thromboses are present. Increased levels of fibrin split products can
increase disseminated intravascular coagulation (DIC); however,
methylprednisolone therapy does not affect blood clotting. BUN
levels reflect kidney function and glomerular filtration. Hydration
status and nephrotoxic medications can alter BUN levels; however,
methylprednisolone therapy does not affect renal function.
◉ A nurse is caring for a client who is postmenopausal and has a
prescription for raloxifene. The nurse should instruct the client that
raloxifene is prescribed for which of the following reasons?
a. To treat irritable bowel syndrome
b. To reduce the risk for breast cancer
c. To reduce the occurrence of hot flashes
d. To lower the risk of pulmonary embolism Answer: To reduce the
risk for breast cancer
Raloxifene can lower the risk for breast cancer in postmenopausal
clients who have a high risk for developing estrogen-receptive types
of breast cancer. The medication also reduces the risk for and can
treat postmenopausal osteoporosis.Raloxifene is a selective estrogen
