ATI RN
ATI RN Med Surg Pharm Competence Exam Questions
Question 1 of 5
A nurse is caring for a client who has a new prescription for warfarin. The nurse should use the results of which of the following diagnostic tests to monitor the effect of this therapy?
Correct Answer: D
Rationale: Warfarin's effect is monitored using prothrombin time (PT) or INR, which measures blood clotting time.
Question 2 of 5
A nurse is caring for a client who has thrombophlebitis and is receiving a continuous infusion of heparin. The client asks the nurse how long it will take for the heparin to dissolve the clot. Which of the following responses should the nurse make?
Correct Answer: C
Rationale: Heparin is an anticoagulant that prevents further clot formation, not a thrombolytic that dissolves existing clots.
Question 3 of 5
A nurse is caring for a client who has a deep vein thrombosis, who received IV heparin for the past 5 days, and now has a new prescription for oral warfarin in addition to the heparin. The client asks the nurse if both medications are necessary. Which of the following is an appropriate response by the nurse?
Correct Answer: D
Rationale: Heparin provides immediate anticoagulation while warfarin takes days to reach a therapeutic INR.
Question 4 of 5
A nurse is preparing to count the controlled substances in the secure cabinet. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Verifying that the amounts of controlled substances match the inventory record prevents errors or misuse.
Question 5 of 5
A nurse is caring for an older adult client who has cancer and is receiving opioids for pain relief. The client has a new prescription for docusate PO daily. When collecting data from the client, which of the following therapeutic effects of docusate should the nurse expect?
Correct Answer: A
Rationale: Docusate is a stool softener commonly prescribed to prevent or relieve constipation, a common side effect of opioid use.