ATI RN
ATI Pharmacology NRSG 106 Fletcher Exam Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has nephrotic syndrome and is receiving high-dose corticosteroid therapy. For which of the following electrolyte imbalances should the nurse monitor?
Correct Answer: B
Rationale: Corticosteroids increase potassium excretion, leading to hypokalemia, which can cause muscle weakness or arrhythmias, making option B the imbalance to monitor.
Question 2 of 5
The nurse is planning an educational program on sildenafil to a group of older male clients. Which of the following information should the nurse include in the educational program?
Correct Answer: D
Rationale: Sildenafil with nitrates can cause severe hypotension due to synergistic vasodilation, a critical point for patient safety, making option D essential to include.
Question 3 of 5
A nurse is preparing to administer 10 units of regular insulin and 20 units of NPH insulin to a client who has diabetes mellitus. When mixing the two types of insulin, which of the following actions should the nurse take first?
Correct Answer: B
Rationale: Injecting air into the regular insulin vial first equalizes pressure and prevents contamination of the regular insulin with NPH, ensuring accurate dosing, making option B the correct first step.
Question 4 of 5
A nurse is preparing to administer levothyroxine 0.175 mg PO once a day. The amount available is levothyroxine 8 mcg/tablet. How many tablets should the nurse administer per dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: D
Rationale: Converting 0.175 mg to 175 mcg, then dividing by 8 mcg/tablet gives 21.875 tablets, rounded to 22, making option D the correct dose.
Question 5 of 5
A nurse is reviewing discharge instructions with a client who has rheumatoid arthritis and a new prescription for prednisone. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: B
Rationale: Prednisone can cause hypokalemia, and bananas are a potassium-rich food, helping to maintain electrolyte balance, indicating the client understands the dietary needs associated with this medication.