ATI RN
ATI Pharmacology NRSG 106 Fletcher Exam Questions
Extract:
Question 1 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 2 of 5
A nurse is providing teaching for a client who has diabetes and a new prescription for insulin glargine. Which of the following instructions should the nurse provide regarding this type of insulin?
Correct Answer: D
Rationale: Insulin glargine is a long-acting insulin that provides a steady, continuous level of insulin for up to 24 hours, typically administered once daily. The correct duration is 18 to 24 hours, making option D accurate.
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 73-year-old male patient is in the clinic for a yearly physical and is asking for a prescription for sildenafil. He has listed on his health history that he is taking a nitrate for angina. The nurse is aware that which problem may occur if sildenafil is taken with a nitrate?
Correct Answer: D
Rationale: Sildenafil and nitrates both cause vasodilation, leading to a significant drop in blood pressure, which can be life-threatening, making option D the correct concern.
Question 5 of 5
A patient will be starting therapy with a corticosteroid. The nurse reviews the prescriber's orders and notes that an interaction may occur if the corticosteroid is taken with which of these drug classes?
Correct Answer: B
Rationale: Corticosteroids and NSAIDs both increase gastrointestinal bleeding risk, making their combination hazardous, requiring careful monitoring, making option B correct.