ATI RN
ATI Pharmacology NRSG 106 Fletcher Exam Questions
Extract:
Question 1 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 2 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 3 of 5
A nurse is receiving a telephone prescription for a client and documents it as metformin 500 mg PO BID. Which of the following elements should the nurse identify is missing from the prescription?
Correct Answer: C
Rationale: The prescription includes dosage (500 mg), route (PO), and frequency (BI
D), but 'metformin' is assumed and not explicitly stated, making the medication name the missing element.
Question 4 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 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.