ATI RN
ATI RN Med Surg Pharm Competence Exam Questions
Extract:
Question 1 of 5
A nurse in a provider's office is reinforcing teaching with a client who has anemia and has been taking ferrous gluconate for several weeks. Which of the following instructions should the nurse include?
Correct Answer: C
Rationale: Ferrous gluconate is best absorbed on an empty stomach, though it can be taken with meals to minimize gastrointestinal upset.
Question 2 of 5
A nurse is collecting data from an older adult client who has been taking digoxin for the past several months. For which of the following manifestations of digoxin toxicity should the nurse monitor?
Correct Answer: D
Rationale: Anorexia is a common early symptom of digoxin toxicity and should be monitored by the nurse.
Question 3 of 5
A nurse is reviewing the laboratory findings of a client who has liver failure with ascites. The client takes spironolactone. Which of the following findings is an adverse effect of the medication?
Correct Answer: C
Rationale: Spironolactone is a potassium-sparing diuretic that can cause hyperkalemia, indicated by a serum potassium level of 5.2 mEq/L.
Question 4 of 5
A nurse is reviewing the chart of a client who is scheduled to have radiological studies of the kidneys performed with the use of IV contrast dye. Which of the following client medications should the nurse withhold prior to the examination?
Correct Answer: D
Rationale: Metformin should be withheld prior to procedures involving contrast dye because it can increase the risk of lactic acidosis when combined with contrast agents, especially in clients with renal impairment.
Question 5 of 5
A nurse is caring for a client who has type 1 diabetes mellitus. The nurse misread the client's morning fasting blood glucose level as 210 mg/dL instead of 120 mg/dL and administered the insulin dose appropriate for a reading over 200 mg/dL. Which of the following actions should the nurse identify as the priority?
Correct Answer: C
Rationale: The priority is to immediately check the client's current blood glucose level to determine if hypoglycemia has occurred due to the overadministration of insulin.