ATI RN
ATI Pharmacology NRSG 106 Fletcher Exam Questions
Extract:
Question 1 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 2 of 5
A nurse is reviewing the medication list for a client who has a new diagnosis of type 2 diabetes mellitus. The nurse should recognize which of the following medications can cause glucose intolerance?
Correct Answer: B
Rationale: Prednisone, a corticosteroid, causes glucose intolerance by increasing glucose production and insulin resistance, impacting diabetes control, making option B correct.
Question 3 of 5
A nurse is teaching a client who is to begin taking tamoxifen to treat breast cancer. The nurse should instruct the client to expect which of the following findings as an adverse effect of the medication?
Correct Answer: B
Rationale: Tamoxifen increases the risk of thromboembolic events, such as clots, a serious adverse effect to monitor, making option B the expected finding.
Question 4 of 5
A nurse is preparing to administer lispro insulin to a client who has type 1 diabetes mellitus. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Lispro insulin, a rapid-acting insulin, should be injected 15 minutes before a meal to align with its fast onset and prevent hypoglycemia, making option C the correct action.
Question 5 of 5
A patient who has been on long-term corticosteroid therapy has had surgery to correct an abdominal hernia. The nurse keeps in mind that which potential effect of this medication may have the most impact on the patient's recovery?
Correct Answer: D
Rationale: Long-term corticosteroid use impairs the inflammatory response and immune system, leading to delayed wound healing, which significantly impacts surgical recovery due to increased infection risk and slower tissue repair.