Questions 108

ATI RN

ATI RN Test Bank

ATI Clinical Exam Questions

Extract:


Question 1 of 5

A nurse is caring for a patient who has a new prescription for atorvastatin. Which of the following instructions should the nurse include? What instructions should the nurse include for atorvastatin?

Correct Answer: B

Rationale: The correct answer is B: Report muscle pain or weakness. This is crucial because atorvastatin, a statin medication, can cause muscle-related side effects like myopathy or rhabdomyolysis. By instructing the patient to report muscle pain or weakness, the nurse can monitor for these serious adverse effects and take appropriate actions if needed.
A: Taking the medication in the morning is not specific to atorvastatin and can be taken at any time.
C: Avoiding foods high in vitamin K is not relevant to atorvastatin, as it does not interact with vitamin K.
D: Taking the medication with grapefruit juice is not recommended with atorvastatin as grapefruit juice can interact with certain medications, but not specifically with atorvastatin.

Question 2 of 5

A nurse is caring for a patient who is receiving continuous bladder irrigation following a transurethral resection of the prostate. Which of the following findings should the nurse report to the provider? Which finding should the nurse report during bladder irrigation?

Correct Answer: C

Rationale: The correct answer is C: Clots in the drainage bag. This finding should be reported to the provider because it may indicate bleeding or clot formation, which can obstruct the catheter and impair the irrigation process. Clots can also increase the risk of urinary retention or infection. Reporting this finding promptly allows the provider to assess the patient's condition and take appropriate interventions to prevent complications.

Incorrect choices:
A: Urine output of 200 mL/hr is within the expected range for continuous bladder irrigation and does not necessarily indicate a problem.
B: Pink-tinged urine is a common finding following prostate surgery and is expected during bladder irrigation.
D: Bladder spasms are common after prostate surgery and can be managed with appropriate medications.
E, F, G: These choices are not provided, but they would be incorrect as they are not related to complications of bladder irrigation post-prostate surgery.

Question 3 of 5

A nurse is caring for a patient who has a new prescription for clonazepam. Which of the following instructions should the nurse include? What instructions should the nurse include for clonazepam?

Correct Answer: A

Rationale: The correct answer is A: Avoid alcohol consumption. Clonazepam is a central nervous system depressant and can cause additive sedative effects when combined with alcohol, leading to increased drowsiness and impaired coordination. This can be dangerous and increase the risk of accidents or overdose.
Therefore, it is essential for the nurse to instruct the patient to avoid alcohol consumption while taking clonazepam.

For the other choices:
B: Taking the medication with food is not specifically required for clonazepam administration.
C: Increasing fluid intake is not directly related to clonazepam use.
D: Reporting any weight gain is important for some medications, but it is not a specific concern with clonazepam.

Overall, the key instruction for the nurse to provide is avoiding alcohol consumption to ensure the safe and effective use of clonazepam.

Question 4 of 5

A nurse is caring for a patient who is postoperative following a thyroidectomy. Which of the following findings should the nurse monitor for? Which finding should the nurse monitor post-thyroidectomy?

Correct Answer: B

Rationale: The correct answer is B: Tachycardia. Following a thyroidectomy, the nurse should monitor for tachycardia due to the risk of thyroid storm, which can cause increased heart rate. Hypotension (
A) is less common post-thyroidectomy. Hyperglycemia (
C) is not a typical finding post-thyroidectomy. Bradypnea (
D) is not expected, as respiratory rate should be monitored for signs of airway obstruction.

Question 5 of 5

A nurse is caring for a patient who has a new prescription for enalapril. Which of the following adverse effects should the nurse monitor for? Which adverse effect should the nurse monitor for enalapril?

Correct Answer: A

Rationale: The correct answer is A: Dry cough. Enalapril is an ACE inhibitor commonly associated with a side effect of a persistent dry cough due to increased bradykinin levels. The nurse should monitor the patient for this adverse effect as it can indicate drug intolerance.

Choices B, C, and D are incorrect as weight loss, tinnitus, and hypoglycemia are not commonly associated with enalapril use. Weight gain may be more common due to fluid retention, tinnitus is not a known side effect, and hypoglycemia is not typically linked with enalapril.

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