ATI RN
ATI RN Med Surg Pharm Competence Exam Questions
Extract:
Question 1 of 5
A nurse is reinforcing teaching with a client who has multiple sclerosis and a new prescription for baclofen. Which of the following instructions should the nurse include?
Correct Answer: A
Rationale: Baclofen can cause drowsiness and impair motor skills, so clients should avoid driving until they understand how the medication affects them.
Question 2 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 3 of 5
A nurse is caring for a client who has cirrhosis and a prescription for lactulose. Following administration, the nurse should monitor the client for which of the following adverse effects?
Correct Answer: C
Rationale: Lactulose is a hyperosmotic laxative that can cause diarrhea as a common side effect.
Question 4 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 5 of 5
A nurse is reinforcing teaching with a client who is to self-administer regular insulin and NPH insulin from the same syringe. Which of the following instructions should the nurse provide?
Correct Answer: C
Rationale: Regular insulin should appear clear; cloudiness indicates contamination and it should be discarded.