ATI RN
ATI RN Med Surg Pharm Competence Exam Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has a new prescription for warfarin. The nurse should use the results of which of the following diagnostic tests to monitor the effect of this therapy?
Correct Answer: D
Rationale: Warfarin's effect is monitored using prothrombin time (PT) or INR, which measures blood clotting time.
Question 2 of 5
A nurse is reinforcing teaching with a client who is to self-administer regular insulin and NPH insulin from the same syringe. Which of the following instructions should the nurse provide?
Correct Answer: C
Rationale: Regular insulin should appear clear; cloudiness indicates contamination and it should be discarded.
Question 3 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 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 is reinforcing teaching with a client who takes prednisone orally to prevent organ rejection following a kidney transplant. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: C
Rationale: Prednisone can cause elevated blood glucose levels, requiring regular monitoring.