ATI RN
ATI RN Med Surg Pharm Competence Exam Questions
Extract:
Question 1 of 5
A client who is postoperative is receiving IV fluids and a unit of whole blood. The nurse should observe the client for which of the following as an early sign of circulatory overload?
Correct Answer: D
Rationale: Dyspnea is an early sign of circulatory overload due to pulmonary congestion from excessive fluid administration.
Question 2 of 5
A nurse is caring for a client who is receiving warfarin therapy to prevent a deep vein thrombosis. Which of the following medications should the nurse have available in the event of an overdose?
Correct Answer: C
Rationale: Vitamin K is the antidote for warfarin overdose, reversing its anticoagulant effects.
Question 3 of 5
A nurse is preparing to administer diphenhydramine to a client who is to receive a blood transfusion. The nurse should explain that the purpose of diphenhydramine is to prevent which of the following manifestations of a transfusion reaction?
Correct Answer: B
Rationale: Diphenhydramine is an antihistamine used to prevent allergic reactions, such as urticaria (hives), during blood transfusions.
Question 4 of 5
When checking the medication administration records of four clients, a nurse notes that they all require oral medications that are prescribed to be administered once daily in the morning. Which of the following medications should the nurse administer first?
Correct Answer: C
Rationale: Alendronate should be administered on an empty stomach with the client sitting upright to enhance absorption and minimize esophageal irritation.
Question 5 of 5
A nurse in a provider's office is reinforcing teaching with a client who is taking multiple medications. The nurse should instruct the client to avoid performing hazardous activities while taking which of the following medications that can cause daytime sedation?
Correct Answer: A
Rationale: Triazolam, a benzodiazepine, can cause daytime sedation, increasing the risk of hazardous activities.