ATI RN
ATI RN Med Surg Pharm Competence Exam Questions
Extract:
Question 1 of 5
A nurse is reviewing the chart of a client who is scheduled to have radiological studies of the kidneys performed with the use of IV contrast dye. Which of the following client medications should the nurse withhold prior to the examination?
Correct Answer: D
Rationale: Metformin should be withheld prior to procedures involving contrast dye because it can increase the risk of lactic acidosis when combined with contrast agents, especially in clients with renal impairment.
Question 2 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 3 of 5
A nurse is reinforcing teaching with a client who is to start taking enteric-coated naproxen for rheumatoid arthritis. Which of the following client statements by the client indicates a need for further teaching?
Correct Answer: B
Rationale: Enteric-coated tablets should not be crushed, as it can destroy the coating and cause irritation to the stomach.
Question 4 of 5
A nurse is reviewing the medication history of a client. The nurse should identify that which of the following medications places the client at risk for hypokalemia?
Correct Answer: A
Rationale: Furosemide is a loop diuretic that increases urine output and reduces potassium levels, leading to hypokalemia.
Question 5 of 5
A nurse is preparing to count the controlled substances in the secure cabinet. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Verifying that the amounts of controlled substances match the inventory record prevents errors or misuse.