ATI RN
ATI RN Med Surg Pharm Competence Exam Questions
Extract:
Question 1 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 2 of 5
A nurse is reinforcing teaching with a client who has a prescription for simvastatin. Which of the following instructions should the nurse provide?
Correct Answer: A
Rationale: Simvastatin is most effective when taken in the evening because cholesterol synthesis is highest at night.
Question 3 of 5
A nurse is caring for a client who has a deep vein thrombosis, who received IV heparin for the past 5 days, and now has a new prescription for oral warfarin in addition to the heparin. The client asks the nurse if both medications are necessary. Which of the following is an appropriate response by the nurse?
Correct Answer: D
Rationale: Heparin provides immediate anticoagulation while warfarin takes days to reach a therapeutic INR.
Question 4 of 5
A nurse is assisting in the education of a group of clients about the contraindications of warfarin therapy. Which of the following statements is appropriate to include in the instructions?
Correct Answer: D
Rationale: Warfarin is contraindicated during pregnancy due to its potential to cause birth defects and fetal hemorrhage.
Question 5 of 5
A nurse on a medical unit is planning to administer a nicotine transdermal patch to a female client. Which of the following actions should the nurse plan to include?
Correct Answer: B
Rationale: Dating, timing, and initialing the patch before applying it ensures proper administration and tracking.