ATI RN Leadership Online Practice Exam
1. A nurse is caring for a client who has been prescribed enalapril for newly diagnosed hypertension and reports dizziness
when standing, along with a blood pressure reading of 88/54 mm Hg during the first week of therapy. Which action
should the nurse take?
A. Instruct the client to double the next dose
B. Advise the client to rise slowly from sitting or lying positions
C. Discontinue the medication immediately
D. Recommend increasing sodium intake
Answer: B
2. A client with type 1 diabetes receives insulin lispro before lunch and becomes confused and diaphoretic one hour later
with a blood glucose of 48 mg/dL. Which intervention is appropriate?
A. Administer IV regular insulin
B. Provide 15 g of fast-acting carbohydrate
C. Encourage ambulation
D. Recheck glucose in 2 hours
Answer: B
3. A nurse administers IV morphine and notes the client’s respiratory rate decreases to 7/min with shallow breathing.
Which medication should the nurse prepare to give?
A. Flumazenil
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, B. Protamine sulfate
C. Naloxone
D. Acetylcysteine
Answer: C
4. A client taking warfarin has an INR of 5.8 and reports bleeding gums when brushing teeth. Which action should the
nurse anticipate?
A. Administer vitamin K
B. Increase warfarin dose
C. Give aspirin
D. Continue therapy unchanged
Answer: A
5. A nurse teaches a client prescribed albuterol inhaler for asthma management. Which statement indicates
understanding?
A. “I will use this medication to prevent long-term inflammation.”
B. “I will use this inhaler when I feel sudden shortness of breath.”
C. “I should take this only once per week.”
D. “I will swallow the medication after spraying.”
Answer: B
6. A client receiving vancomycin IV develops flushing and itching of the upper body during infusion. Which action is
most appropriate?
A. Increase infusion rate
B. Stop infusion and notify provider
C. Administer epinephrine immediately
D. Document as expected effect
Answer: B
7. A nurse is caring for a client taking digoxin who reports nausea and seeing yellow halos around lights. Which action
should the nurse take first?
A. Administer next dose
B. Check apical pulse
C. Encourage fluid intake
D. Provide antacid
Answer: B
8. A client taking furosemide reports muscle cramps and weakness. Laboratory results show potassium 2.9 mEq/L. Which
medication should the nurse anticipate administering?
A. Sodium bicarbonate
B. Potassium chloride
C. Calcium carbonate
D. Magnesium sulfate
Answer: B
9. A client prescribed metformin is scheduled for a contrast CT scan. Which instruction is appropriate?
A. Continue medication
B. Hold medication before and after procedure as prescribed
C. Double the dose
D. Skip breakfast only
Answer: B
10. A nurse teaches a client starting sertraline for depression. Which statement indicates correct understanding?
A. “I will see improvement tomorrow.”
B. “It may take several weeks to notice full effects.”
C. “I should stop if I do not feel better in 3 days.”
D. “This medication works immediately.”
Answer: B
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1. A nurse is caring for a client who has been prescribed enalapril for newly diagnosed hypertension and reports dizziness
when standing, along with a blood pressure reading of 88/54 mm Hg during the first week of therapy. Which action
should the nurse take?
A. Instruct the client to double the next dose
B. Advise the client to rise slowly from sitting or lying positions
C. Discontinue the medication immediately
D. Recommend increasing sodium intake
Answer: B
2. A client with type 1 diabetes receives insulin lispro before lunch and becomes confused and diaphoretic one hour later
with a blood glucose of 48 mg/dL. Which intervention is appropriate?
A. Administer IV regular insulin
B. Provide 15 g of fast-acting carbohydrate
C. Encourage ambulation
D. Recheck glucose in 2 hours
Answer: B
3. A nurse administers IV morphine and notes the client’s respiratory rate decreases to 7/min with shallow breathing.
Which medication should the nurse prepare to give?
A. Flumazenil
1/8
, B. Protamine sulfate
C. Naloxone
D. Acetylcysteine
Answer: C
4. A client taking warfarin has an INR of 5.8 and reports bleeding gums when brushing teeth. Which action should the
nurse anticipate?
A. Administer vitamin K
B. Increase warfarin dose
C. Give aspirin
D. Continue therapy unchanged
Answer: A
5. A nurse teaches a client prescribed albuterol inhaler for asthma management. Which statement indicates
understanding?
A. “I will use this medication to prevent long-term inflammation.”
B. “I will use this inhaler when I feel sudden shortness of breath.”
C. “I should take this only once per week.”
D. “I will swallow the medication after spraying.”
Answer: B
6. A client receiving vancomycin IV develops flushing and itching of the upper body during infusion. Which action is
most appropriate?
A. Increase infusion rate
B. Stop infusion and notify provider
C. Administer epinephrine immediately
D. Document as expected effect
Answer: B
7. A nurse is caring for a client taking digoxin who reports nausea and seeing yellow halos around lights. Which action
should the nurse take first?
A. Administer next dose
B. Check apical pulse
C. Encourage fluid intake
D. Provide antacid
Answer: B
8. A client taking furosemide reports muscle cramps and weakness. Laboratory results show potassium 2.9 mEq/L. Which
medication should the nurse anticipate administering?
A. Sodium bicarbonate
B. Potassium chloride
C. Calcium carbonate
D. Magnesium sulfate
Answer: B
9. A client prescribed metformin is scheduled for a contrast CT scan. Which instruction is appropriate?
A. Continue medication
B. Hold medication before and after procedure as prescribed
C. Double the dose
D. Skip breakfast only
Answer: B
10. A nurse teaches a client starting sertraline for depression. Which statement indicates correct understanding?
A. “I will see improvement tomorrow.”
B. “It may take several weeks to notice full effects.”
C. “I should stop if I do not feel better in 3 days.”
D. “This medication works immediately.”
Answer: B
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