ATI RN
ATI Pharmacology NRSG 106 Fletcher Exam Questions
Extract:
Question 1 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 2 of 5
A nurse is preparing to administer levothyroxine 0.175 mg PO once a day. The amount available is levothyroxine 8 mcg/tablet. How many tablets should the nurse administer per dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: D
Rationale: Converting 0.175 mg to 175 mcg, then dividing by 8 mcg/tablet gives 21.875 tablets, rounded to 22, making option D the correct dose.
Question 3 of 5
A nurse is providing discharge instructions to a client who has asthma and is about to start taking theophylline (Theo-24). The nurse should tell the client that this medication might cause which of the following adverse effects?
Correct Answer: A
Rationale: Theophylline, a methylxanthine, stimulates the heart, potentially causing tachycardia, a key adverse effect to monitor, making option A correct.
Question 4 of 5
A nurse is assessing a client who has heart failure and is prescribed furosemide. Which of the following findings is an adverse effect of this medication?
Correct Answer: A
Rationale: Furosemide, a loop diuretic, increases potassium excretion, leading to hypokalemia, which can cause muscle weakness or arrhythmias, making option A correct.
Question 5 of 5
A nurse is preparing to administer 10 units of regular insulin and 20 units of NPH insulin to a client who has diabetes mellitus. When mixing the two types of insulin, which of the following actions should the nurse take first?
Correct Answer: B
Rationale: Injecting air into the regular insulin vial first equalizes pressure and prevents contamination of the regular insulin with NPH, ensuring accurate dosing, making option B the correct first step.