ATI RN
ATI Pharmacology NRSG 106 Fletcher Exam Questions
Extract:
Question 1 of 5
A nurse is preparing to administer lispro insulin to a client who has type 1 diabetes mellitus. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Lispro insulin, a rapid-acting insulin, should be injected 15 minutes before a meal to align with its fast onset and prevent hypoglycemia, making option C the correct action.
Question 2 of 5
A nurse is providing teaching to a client who has a new diagnosis of type 2 diabetes mellitus. The nurse should recognize that the client understands the teaching when he identifies which of the following as manifestations of hypoglycemia? (Select all that apply)
Correct Answer: A,C
Rationale: Tremors and confusion are signs of hypoglycemia due to low blood glucose affecting the nervous system, indicating client understanding, while polydipsia, polyphagia, and polyuria are hyperglycemia symptoms.
Question 3 of 5
A nurse is providing teaching to a client who has osteoporosis and a new prescription for alendronate. Which of the following adverse effects should the nurse instruct the client to report to the provider? (Select all that apply.)
Correct Answer: C,E
Rationale: Jaw pain may indicate osteonecrosis of the jaw, a rare but serious side effect of alendronate, and esophageal erosion can occur if not taken correctly, requiring immediate reporting to prevent complications.
Question 4 of 5
A patient who has type 2 diabetes is scheduled for an oral endoscopy and has been NPO (nothing by mouth) since midnight. What is the best action by the nurse regarding the administration of her oral antidiabetic drugs?
Correct Answer: B
Rationale: Contacting the prescriber ensures safe management of antidiabetic drugs during NPO status, preventing hypo- or hyperglycemia, making option B the best action.
Question 5 of 5
A nurse is teaching a client who has a new prescription for prednisone to treat rheumatoid arthritis. The nurse should inform the client that which of the following is a therapeutic effect of this medication?
Correct Answer: A
Rationale: Prednisone reduces inflammation by suppressing immune responses, relieving rheumatoid arthritis symptoms, making option A the therapeutic effect.