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ATI RN Med Surg Pharm Competence Exam Questions

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Question 1 of 5

A nurse is reinforcing teaching with a client who has angina pectoris about starting therapy with nitroglycerin sublingual tablets. Which of the following statements by the client indicates an understanding of the teaching?

Correct Answer: C

Rationale: If one dose of nitroglycerin does not relieve chest pain after 5 minutes, the client should call 911.

Question 2 of 5

A nurse is reviewing the laboratory findings of a client who has liver failure with ascites. The client takes spironolactone. Which of the following findings is an adverse effect of the medication?

Correct Answer: C

Rationale: Spironolactone is a potassium-sparing diuretic that can cause hyperkalemia, indicated by a serum potassium level of 5.2 mEq/L.

Question 3 of 5

A nurse is caring for an older adult client who has cancer and is receiving opioids for pain relief. The client has a new prescription for docusate PO daily. When collecting data from the client, which of the following therapeutic effects of docusate should the nurse expect?

Correct Answer: A

Rationale: Docusate is a stool softener commonly prescribed to prevent or relieve constipation, a common side effect of opioid use.

Question 4 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 5 of 5

A nurse is caring for an older adult client who is 5 days postoperative following a total hip arthroplasty and is receiving meperidine for pain. While the nurse is taking morning vital signs, the client begins to experience a seizure. Which of the following should the nurse recognize as the possible cause for this seizure?

Correct Answer: A

Rationale: A cumulative effect from meperidine can lead to neurotoxic effects, including seizures, especially in older adults.

Similar Questions

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?
A nurse is preparing to administer potassium chloride 20 mEq. The amount available is potassium chloride liquid 40 mEq/15 mL. How many mL should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)
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?
A nurse is caring for a client who has a new prescription for warfarin. The nurse should use the results of which of the following diagnostic tests to monitor the effect of this therapy?
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?

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