ATI RN
ATI RN Med Surg Pharm Competence Exam Questions
Extract:
Question 1 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 2 of 5
A client who is postoperative is receiving IV fluids and a unit of whole blood. The nurse should observe the client for which of the following as an early sign of circulatory overload?
Correct Answer: D
Rationale: Dyspnea is an early sign of circulatory overload due to pulmonary congestion from excessive fluid administration.
Question 3 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 4 of 5
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?
Correct Answer: C
Rationale: Heparin is an anticoagulant that prevents further clot formation, not a thrombolytic that dissolves existing clots.
Question 5 of 5
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.)
Correct Answer: 7.5 Ml
Rationale: Volume to administer: (20 mEq / 40 mEq/15 mL) x 15 mL = 7.5 mL.