Questions 48

ATI RN

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ATI RN Med Surg Pharm Competence Exam Questions

Extract:


Question 1 of 5

A nurse is collecting data from a client who has been taking omeprazole for the past 4 weeks. The nurse determines that the medication is effective when the client reports relief from which of the following symptoms?

Correct Answer: D

Rationale: Omeprazole is a proton pump inhibitor that relieves acid indigestion or heartburn.

Question 2 of 5

A nurse is reinforcing teaching with a client who has a new prescription for phenytoin. The nurse should recognize that which of the following statements by the client indicates a need for further teaching?

Correct Answer: D

Rationale: Phenytoin should not be stopped abruptly as it may lead to rebound seizures. The client needs further teaching to understand the importance of continuing the medication as prescribed.

Question 3 of 5

A nurse is reviewing the laboratory findings of a client who has liver failure with ascites. The client takes spironolactone. Which of the following findings is an adverse effect of the medication?

Correct Answer: C

Rationale: Spironolactone is a potassium-sparing diuretic that can cause hyperkalemia, indicated by a serum potassium level of 5.2 mEq/L.

Question 4 of 5

A nurse is reinforcing discharge teaching with a client following an episode of status asthmaticus. The client has a prescription for two inhalations from an albuterol metered-dose inhaler. Which of the following statements by the client indicates an understanding of the teaching?

Correct Answer: B

Rationale: Holding the breath for 10 seconds after inhaling medication helps ensure the medication is absorbed in the lungs.

Question 5 of 5

A nurse is preparing to administer 0.9% sodium chloride (NS) 100 mL IV to infuse over 4 hr. The drip factor of the manual IV tubing is 60 gtt/mL. The nurse should set the manual IV infusion to deliver how many gtt/min? (Round the answer to the nearest whole number.)

Correct Answer: 25 gtt/min.

Rationale: Drip rate (gtt/min) = (100 mL / 240 min) x 60 gtt/mL = 25 gtt/min.

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