ATI RN
ATI RN Med Surg Pharm Competence Exam Questions
Extract:
Question 1 of 5
A nurse administered nitroglycerin sublingually to a client who has angina pectoris and experienced chest pain. The client states that his chest pain is relieved but now he has a headache. Which of the following responses by the nurse is appropriate?
Correct Answer: A
Rationale: Headaches are a common side effect of nitroglycerin due to vasodilation and may decrease over time.
Question 2 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 3 of 5
A nurse is caring for a client who asks why she is being prescribed aspirin 325 mg daily following a myocardial infarction. The nurse should instruct the client that aspirin is prescribed for clients who have coronary artery disease for which of the following effects?
Correct Answer: A
Rationale: Aspirin is an antiplatelet agent that helps prevent blood clot formation, reducing the risk of further cardiovascular events.
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
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.