ATI RN
ATI Pharmacology NRSG 106 Fletcher Exam Questions
Extract:
Question 1 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 2 of 5
A nurse is caring for an adolescent client who has a long history of diabetes mellitus and is being admitted to the emergency department confused, flushed, and with an acetone odor on the breath. Diabetic ketoacidosis is suspected. The nurse should anticipate using which of the following types of insulin to treat this client?
Correct Answer: B
Rationale: Regular insulin is used in diabetic ketoacidosis for its rapid onset and ability to quickly lower blood glucose and correct acidosis, making option B the appropriate choice.
Question 3 of 5
A nurse is reviewing the medication list for a client who has a new diagnosis of type 2 diabetes mellitus. The nurse should recognize which of the following medications can cause glucose intolerance?
Correct Answer: B
Rationale: Prednisone, a corticosteroid, causes glucose intolerance by increasing glucose production and insulin resistance, impacting diabetes control, making option B correct.
Question 4 of 5
During a routine checkup, a patient states that she is unable to take the prescribed antihistamine because of one of its most common adverse effects. The nurse suspects that which adverse effect has been bothering this patient?
Correct Answer: C
Rationale: Drowsiness is a common adverse effect of many antihistamines, often leading patients to discontinue use, as it can impair daily activities, making option C the most likely issue.
Question 5 of 5
A patient with a tracheostomy has difficulty removing excessive, thick mucus from the respiratory tract. The nurse expects that which drug will be ordered to aid in the removal of mucus?
Correct Answer: B
Rationale: Guaifenesin, an expectorant, thins and loosens mucus, aiding its removal in patients with thick secretions, making option B the expected drug.