ATI RN
ATI Pharmacology NRSG 106 Fletcher Exam Questions
Extract:
Question 1 of 5
A nurse is teaching a client who has diabetes mellitus and a new prescription for glimepiride. The nurse should teach the client to avoid which of the following drinks while taking this medication?
Correct Answer: A
Rationale: Alcohol can enhance glimepiride's effect, risking severe hypoglycemia, making it critical to avoid, as opposed to milk, grapefruit juice, or coffee, which have minimal or no significant interactions.
Question 2 of 5
A 73-year-old male patient is in the clinic for a yearly physical and is asking for a prescription for sildenafil. He has listed on his health history that he is taking a nitrate for angina. The nurse is aware that which problem may occur if sildenafil is taken with a nitrate?
Correct Answer: D
Rationale: Sildenafil and nitrates both cause vasodilation, leading to a significant drop in blood pressure, which can be life-threatening, making option D the correct concern.
Question 3 of 5
A patient who has type 2 diabetes is scheduled for an oral endoscopy and has been NPO (nothing by mouth) since midnight. What is the best action by the nurse regarding the administration of her oral antidiabetic drugs?
Correct Answer: B
Rationale: Contacting the prescriber ensures safe management of antidiabetic drugs during NPO status, preventing hypo- or hyperglycemia, making option B the best action.
Question 4 of 5
A woman visits a health center requesting oral contraceptives. Which laboratory test is most important for the nurse to assess before the patient begins oral contraceptive therapy?
Correct Answer: D
Rationale: A pregnancy test is critical before starting oral contraceptives to rule out pregnancy, as they are contraindicated in pregnant women, making option D the most important test.
Question 5 of 5
A nurse is teaching a client who has a new prescription for codeine. Which of the following instructions should the nurse include in the teaching?
Correct Answer: D
Rationale: Codeine can cause orthostatic hypotension, leading to dizziness or falls, so changing positions slowly is a key safety instruction, making option D correct.