ATI RN
ATI RN Med Surg Pharm Competence Exam Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has cirrhosis and a prescription for lactulose. Following administration, the nurse should monitor the client for which of the following adverse effects?
Correct Answer: C
Rationale: Lactulose is a hyperosmotic laxative that can cause diarrhea as a common side effect.
Question 2 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 3 of 5
A nurse is reinforcing teaching with a client who is to start taking enteric-coated naproxen for rheumatoid arthritis. Which of the following client statements by the client indicates a need for further teaching?
Correct Answer: B
Rationale: Enteric-coated tablets should not be crushed, as it can destroy the coating and cause irritation to the stomach.
Question 4 of 5
A nurse is preparing to administer 0.9% sodium chloride (NaCl) 750 mL IV to infuse over 8 hr. The nurse should set the IV pump to deliver how many mL/hr? (Round to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 94 mL/hr
Rationale:
To calculate the infusion rate, divide the total volume (750 mL) by the total infusion time (8 hr): 750 mL / 8 hr = 93.75 mL/hr. Rounding to the nearest whole number gives 94 mL/hr.
Question 5 of 5
A nurse is talking with a client who is about to start taking nitroglycerin oral, sustained-release capsules. Which of the following instructions should the nurse include?
Correct Answer: D
Rationale: Nitroglycerin sustained-release capsules should be swallowed whole to ensure slow, consistent release.