ATI RN
ATI Pharmacology NRSG 106 Fletcher Exam Questions
Extract:
Question 1 of 5
A 73-year-old male patient is in the clinic for a yearly physical and is asking for a prescription for sildenafil. He has listed on his health history that he is taking a nitrate for angina. The nurse is aware that which problem may occur if sildenafil is taken with a nitrate?
Correct Answer: D
Rationale: Sildenafil and nitrates both cause vasodilation, leading to a significant drop in blood pressure, which can be life-threatening, making option D the correct concern.
Question 2 of 5
A nurse is preparing to administer 10 units of regular insulin and 20 units of NPH insulin to a client who has diabetes mellitus. When mixing the two types of insulin, which of the following actions should the nurse take first?
Correct Answer: B
Rationale: Injecting air into the regular insulin vial first equalizes pressure and prevents contamination of the regular insulin with NPH, ensuring accurate dosing, making option B the correct first step.
Question 3 of 5
A nurse is caring for an adolescent client who has a long history of diabetes mellitus and is being admitted to the emergency department confused, flushed, and with an acetone odor on the breath. Diabetic ketoacidosis is suspected. The nurse should anticipate using which of the following types of insulin to treat this client?
Correct Answer: B
Rationale: Regular insulin is used in diabetic ketoacidosis for its rapid onset and ability to quickly lower blood glucose and correct acidosis, making option B the appropriate choice.
Question 4 of 5
A 73-year-old male patient is in the clinic for a yearly physical and is asking for a prescription for sildenafil. He has listed on his health history that he is taking a nitrate for angina. The nurse is aware that which problem may occur if sildenafil is taken with a nitrate?
Correct Answer: D
Rationale: Sildenafil and nitrates both cause vasodilation, leading to a significant drop in blood pressure, which can be life-threatening, making option D the correct concern.
Question 5 of 5
A patient with a tracheostomy has difficulty removing excessive, thick mucus from the respiratory tract. The nurse expects that which drug will be ordered to aid in the removal of mucus?
Correct Answer: B
Rationale: Guaifenesin, an expectorant, thins and loosens mucus, aiding its removal in patients with thick secretions, making option B the expected drug.