ATI RN
ATI RN Med Surg Pharm Competence Exam Questions
Extract:
Question 1 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 2 of 5
A nurse caring for a client who has a new prescription for atenolol. For which of the following adverse effects should the nurse monitor the client?
Correct Answer: C
Rationale: Atenolol is a beta-blocker that can cause bradycardia as a common adverse effect.
Question 3 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 4 of 5
A nurse is reinforcing discharge teaching with a client who has pulmonary tuberculosis and is to start taking rifampin. Which of the following information should the nurse include?
Correct Answer: A
Rationale: Rifampin causes orange discoloration of urine, sweat, and other body fluids.
Question 5 of 5
A nurse administered nitroglycerin sublingually to a client who has angina pectoris and experienced chest pain. The client states that his chest pain is relieved but now he has a headache. Which of the following responses by the nurse is appropriate?
Correct Answer: A
Rationale: Headaches are a common side effect of nitroglycerin due to vasodilation and may decrease over time.