ATI LPN
ATI Adult Medical Surgical Questions
Question 1 of 5
A patient with schizophrenia is prescribed olanzapine. What is an important side effect for the healthcare provider to monitor?
Correct Answer: B
Rationale: The correct answer is B: Weight gain. Olanzapine is known to cause metabolic side effects, including weight gain. This is important to monitor as it can lead to various health issues such as diabetes and cardiovascular problems. Hypertension (A), hypoglycemia (C), and bradycardia (D) are not commonly associated with olanzapine use, making them less likely side effects to monitor in this case.
Question 2 of 5
A patient with rheumatoid arthritis is taking prednisone. What is an important side effect for the nurse to monitor?
Correct Answer: A
Rationale: The correct answer is A: Hyperglycemia. Prednisone is a corticosteroid that can cause an increase in blood glucose levels by promoting gluconeogenesis and decreasing insulin sensitivity. Monitoring for hyperglycemia is crucial as it can lead to serious complications such as diabetic ketoacidosis. Bradycardia (B) and hypotension (C) are not typical side effects of prednisone, as it tends to cause fluid retention and hypertension. Hyperkalemia (D) is also unlikely as prednisone can actually cause hypokalemia due to increased renal potassium excretion.
Question 3 of 5
A patient with atrial fibrillation is prescribed warfarin. Which laboratory test should the nurse monitor to assess the effectiveness of the medication?
Correct Answer: B
Rationale: The correct answer is B: Prothrombin time (PT)/INR. This is because warfarin is a medication that affects the clotting ability of the blood by inhibiting vitamin K-dependent clotting factors. PT/INR is the specific laboratory test used to monitor the effectiveness of warfarin therapy. PT measures how long it takes for blood to clot, while INR standardizes the PT results. Monitoring PT/INR helps to ensure that the patient is within the target therapeutic range for anticoagulation. Incorrect choices: A: Complete blood count (CBC) - CBC does not directly assess the effectiveness of warfarin therapy. C: Partial thromboplastin time (PTT) - PTT is used to monitor the effectiveness of heparin therapy, not warfarin. D: Serum potassium level - Monitoring serum potassium level is not directly related to assessing the effectiveness of warfarin therapy.
Question 4 of 5
What should the nurse include in patient teaching for a patient prescribed ceftriaxone for bacterial pneumonia?
Correct Answer: C
Rationale: Rationale: Ceftriaxone is an antibiotic used for bacterial pneumonia. Completing the full course is essential to completely eradicate the infection and prevent antibiotic resistance. Taking medication as prescribed is a general principle, but not specific to this medication. Urine color changes are not associated with ceftriaxone. Dairy products do not interact with ceftriaxone.
Question 5 of 5
A patient with type 1 diabetes is prescribed insulin glargine. What is the primary characteristic of this insulin?
Correct Answer: C
Rationale: Insulin glargine is a long-acting insulin due to its slow and consistent release, providing basal insulin coverage for about 24 hours. This steady release mimics the body's natural basal insulin secretion pattern. Rapid-acting insulins (A) work quickly to control postprandial glucose levels. Intermediate-acting insulins (B) have a slower onset and last for a moderate duration. Short-acting insulins (D) act quickly but have a shorter duration of action compared to long-acting insulins.