ATI RN
RN ATI Pharmacology 2019 Exam Questions
Extract:
Question 1 of 5
A nurse is mixing regular insulin and NPH insulin in the same syringe prior to administering it to a client who has diabetes mellitus. Which of the following actions should the nurse take first?
Correct Answer: B
Rationale: Injecting air into the NPH vial first prevents vacuum formation and contamination when drawing regular insulin first.
Question 2 of 5
A nurse is teaching a client who is pregnant and has iron-deficiency anemia about taking ferrous sulfate elixir. Which of the following instructions should the nurse include in the teaching? (Select all that apply.)
Correct Answer: B,C,D
Rationale: Using a straw prevents tooth staining, increased fiber prevents constipation, and black stools are normal but should be reported to rule out bleeding.
Question 3 of 5
A nurse is caring for a client who is taking azathioprine to treat rheumatoid arthritis. Which of the following laboratory values indicates an adverse effect of this medication?
Correct Answer: B
Rationale: A WBC count of 3,000/mm² indicates leukopenia, an adverse effect of azathioprine due to bone marrow suppression.
Question 4 of 5
A client who has Graves' disease is prescribed methimazole. Which of the following effects should the nurse expect to see after the client has taken the medication for 2 months?
Correct Answer: C
Rationale: Methimazole reduces thyroid hormone levels, slowing metabolism, which can lead to increased sleeping due to fatigue.
Question 5 of 5
A nurse in a provider's office is preparing to teach a middle adult client who has a new diagnosis of metabolic syndrome and an HbA1c of 6. Which of the following medications should the nurse plan to teach the client about first?
Correct Answer: D
Rationale: Metformin is the first-line treatment for metabolic syndrome and type 2 diabetes, improving insulin sensitivity and reducing hepatic glucose production.