ATI RN
ATI RN Med Surg Pharm Competence Exam Questions
Extract:
Question 1 of 5
A nurse is preparing to administer enteric-coated aspirin to an older adult client who had a cerebrovascular accident and has difficulty swallowing medications. The client asks the nurse if she will crush the medication to make it easier to swallow. Which of the following responses should the nurse make?
Correct Answer: D
Rationale: Crushing an enteric-coated medication destroys its protective coating, leading to rapid absorption and potential stomach irritation.
Question 2 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 3 of 5
A nurse is caring for a client who has thrombophlebitis and is receiving a continuous infusion of heparin. The client asks the nurse how long it will take for the heparin to dissolve the clot. Which of the following responses should the nurse make?
Correct Answer: C
Rationale: Heparin is an anticoagulant that prevents further clot formation, not a thrombolytic that dissolves existing clots.
Question 4 of 5
A nurse is caring for a client who has type 1 diabetes mellitus. The nurse misread the client's morning fasting blood glucose level as 210 mg/dL instead of 120 mg/dL and administered the insulin dose appropriate for a reading over 200 mg/dL. Which of the following actions should the nurse identify as the priority?
Correct Answer: C
Rationale: The priority is to immediately check the client's current blood glucose level to determine if hypoglycemia has occurred due to the overadministration of insulin.
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.