ATI RN
ATI Pharmacology NRSG 106 Fletcher Exam Questions
Extract:
Question 1 of 5
A patient with a tracheostomy has difficulty removing excessive, thick mucus from the respiratory tract. The nurse expects that which drug will be ordered to aid in the removal of mucus?
Correct Answer: B
Rationale: Guaifenesin, an expectorant, thins and loosens mucus, aiding its removal in patients with thick secretions, making option B the expected drug.
Question 2 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 3 of 5
During a follow-up visit, a patient who has been on estrogen therapy admits that she has continued to smoke cigarettes. The nurse will remind the patient that smoking while on estrogen may lead to increased:
Correct Answer: C
Rationale: Smoking combined with estrogen therapy increases the risk of thrombosis due to enhanced clotting tendencies, posing serious cardiovascular risks, making option C the correct concern.
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 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.