ATI RN
ATI RN Med Surg Pharm Competence Exam Questions
Extract:
Question 1 of 5
A nurse is caring for an older adult client who has cancer and is receiving opioids for pain relief. The client has a new prescription for docusate PO daily. When collecting data from the client, which of the following therapeutic effects of docusate should the nurse expect?
Correct Answer: A
Rationale: Docusate is a stool softener commonly prescribed to prevent or relieve constipation, a common side effect of opioid use.
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 administered nitroglycerin sublingually to a client who has angina pectoris and experienced chest pain. The client states that his chest pain is relieved but now he has a headache. Which of the following responses by the nurse is appropriate?
Correct Answer: A
Rationale: Headaches are a common side effect of nitroglycerin due to vasodilation and may decrease over time.
Question 4 of 5
A nurse is preparing to administer diphenhydramine to a client who is to receive a blood transfusion. The nurse should explain that the purpose of diphenhydramine is to prevent which of the following manifestations of a transfusion reaction?
Correct Answer: B
Rationale: Diphenhydramine is an antihistamine used to prevent allergic reactions, such as urticaria (hives), during blood transfusions.
Question 5 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.