ATI RN
ATI Pharmacology NRSG 106 Fletcher Exam Questions
Question 1 of 5
A nurse is providing teaching for a client who has diabetes and a new prescription for insulin glargine. Which of the following instructions should the nurse provide regarding this type of insulin?
Correct Answer: D
Rationale:
Correct
Answer: D. Insulin glargine has a duration of 18 to 24 hr.
Rationale:
1. Insulin glargine is a long-acting insulin with a duration of action that typically lasts between 18 to 24 hours.
2. This type of insulin is often used as a basal insulin to provide a steady level of insulin throughout the day.
3. Its long duration of action helps in maintaining stable blood glucose levels between meals and overnight.
4. Providing this information to the client is crucial for them to understand when to expect the effects of the insulin and plan their meals and activities accordingly.
Summary of other choices:
A: Incorrect. Insulin glargine does not have a duration of 6 to 10 hr.
B: Incorrect. Insulin glargine does not have a duration of 3 to 6 hr.
C: Incorrect. Insulin glargine does not have a duration of 16 to 24 hr.
E, F
Question 2 of 5
A gardener needs a decongestant because of seasonal allergy problems and asks the nurse whether he should take an oral form or a nasal spray. Which of these is a benefit of orally administered decongestants?
Correct Answer: B
Rationale: The correct answer is B: Absence of rebound congestion. Orally administered decongestants have a lower risk of causing rebound congestion compared to nasal sprays. This is because oral decongestants have a systemic effect, acting on the body as a whole, which helps avoid localized nasal tissue irritation that can lead to rebound congestion. Immediate onset (
A) is more associated with nasal sprays due to direct application to the nasal passages. Shorter duration (
C) and more potent effect (
D) are not necessarily benefits of orally administered decongestants.
Question 3 of 5
A patient who has been on long-term corticosteroid therapy has had surgery to correct an abdominal hernia. The nurse keeps in mind that which potential effect of this medication may have the most impact on the patient's recovery?
Correct Answer: D
Rationale: The correct answer is D: Delayed wound healing. Corticosteroids can suppress the immune system and reduce inflammation, which are essential for proper wound healing. This effect can significantly impact a patient's recovery post-surgery. Hypotension (
A) is not a common effect of corticosteroids in this scenario. Muscle weakness (
B) may occur but is not directly related to wound healing. Osteoporosis (
C) is a long-term effect of corticosteroid therapy but is not the most immediate concern post-surgery.
Therefore, delayed wound healing (
D) is the most relevant potential effect in this case.
Question 4 of 5
A patient is taking guaifenesin as part of treatment for a sinus infection. Which instruction will the nurse include during patient teaching?
Correct Answer: D
Rationale: The correct answer is D: Increase fluid intake to help loosen and liquefy secretions. Guaifenesin works by increasing the volume and reducing the viscosity of respiratory tract secretions, making it easier for the patient to clear mucus. Instructing the patient to increase fluid intake ensures there is enough hydration to aid in this process.
Choice A is incorrect as guaifenesin may take a few days to show full effect, so reporting symptoms lasting longer than 2 days may not be necessary.
Choice B is incorrect because clear-colored sputum is usually normal and not a cause for concern.
Choice C is incorrect as guaifenesin is not known to cause sedation.
Question 5 of 5
A nurse is reviewing discharge instructions with a client who has rheumatoid arthritis and a new prescription for prednisone. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: B
Rationale: The correct answer is B: "I should eat more bananas while taking this medication." Bananas are a good source of potassium, which can help counteract the potassium-depleting effects of prednisone. Prednisone can lead to low potassium levels, so increasing intake of potassium-rich foods like bananas is important.
Incorrect options:
A: Taking a flu vaccine within one week of starting prednisone is not necessary for managing rheumatoid arthritis.
C: Aspirin is not recommended with prednisone due to increased risk of gastrointestinal bleeding.
D: Sore throat is not a common side effect of prednisone and should be reported to the healthcare provider if it occurs.