ATI RN
ATI Pharmacology NRSG 106 Fletcher Exam Questions
Extract:
Question 1 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.
Question 2 of 5
A nurse is providing teaching to a client who has osteoporosis and a new prescription for alendronate. Which of the following adverse effects should the nurse instruct the client to report to the provider? (Select all that apply.)
Correct Answer: C,E
Rationale: Jaw pain may indicate osteonecrosis of the jaw, a rare but serious side effect of alendronate, and esophageal erosion can occur if not taken correctly, requiring immediate reporting to prevent complications.
Question 3 of 5
A nurse is reviewing discharge instructions with a client who has rheumatoid arthritis and a new prescription for prednisone. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: B
Rationale: Prednisone can cause hypokalemia, and bananas are a potassium-rich food, helping to maintain electrolyte balance, indicating the client understands the dietary needs associated with this medication.
Question 4 of 5
A nurse is providing teaching to a client who has a new diagnosis of type 2 diabetes mellitus. The nurse should recognize that the client understands the teaching when he identifies which of the following as manifestations of hypoglycemia? (Select all that apply)
Correct Answer: A,C
Rationale: Tremors and confusion are signs of hypoglycemia due to low blood glucose affecting the nervous system, indicating client understanding, while polydipsia, polyphagia, and polyuria are hyperglycemia symptoms.
Question 5 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.