ATI RN
ATI Pharmacology NRSG 106 Fletcher Exam Questions
Extract:
Question 1 of 5
A nurse is teaching a client how to draw up regular insulin and NPH insulin in the same syringe. Which of the following instructions should the nurse include?
Correct Answer: D
Rationale: Regular insulin should be clear; cloudiness indicates contamination or expiration, so it should be discarded to ensure safety and efficacy, making option D the correct instruction.
Question 2 of 5
A patient with a history of chronic obstructive pulmonary disease (COPD) and type 2 diabetes has been treated for pneumonia for the past week. The patient has been receiving intravenous corticosteroids as part of his therapy. At this time, the pneumonia has resolved, but when monitoring the blood glucose levels, the nurse notices that the level is still elevated. What is the best explanation for this elevation?
Correct Answer: B
Rationale: Corticosteroids increase glucose levels by promoting gluconeogenesis and insulin resistance, explaining persistent hyperglycemia, making option B the best explanation.
Question 3 of 5
A nurse is caring for a 58-year-old client who has a low oxygen saturation. The nurse is reviewing the client's data to create a plan of care. Complete the diagram by drawing arrows to connect the condition and two parameters the nurse should monitor to assess the client's progress.
Correct Answer: C
Rationale: Monitoring lung sounds and chest expansion directly assesses respiratory function and oxygen delivery, critical for low oxygen saturation, making option C relevant.
Question 4 of 5
A patient has prescriptions for two inhalers. One inhaler is a bronchodilator, and the other is a corticosteroid. Which instruction regarding these inhalers will the nurse give to the patient?
Correct Answer: A
Rationale: Using the bronchodilator first opens airways, enhancing the corticosteroid's delivery to the lungs, improving efficacy, making option A the correct instruction.
Question 5 of 5
A nurse is caring for an adolescent client who has a long history of diabetes mellitus and is being admitted to the emergency department confused, flushed, and with an acetone odor on the breath. Diabetic ketoacidosis is suspected. The nurse should anticipate using which of the following types of insulin to treat this client?
Correct Answer: B
Rationale: Regular insulin is used in diabetic ketoacidosis for its rapid onset and ability to quickly lower blood glucose and correct acidosis, making option B the appropriate choice.