ATI RN
ATI Pharmacology NRSG 106 Fletcher Exam Questions
Extract:
Question 1 of 5
The nurse is preparing to administer insulin intravenously. Which statement about the administration of intravenous insulin is true?
Correct Answer: B
Rationale:
Correct
Answer: B
Rationale:
1. Intravenous administration of insulin should only be done in critical care settings due to rapid onset.
2. Regular insulin has the fastest onset among all types, making it suitable for intravenous use.
3. Other types like aspart and lispro are not recommended for IV use due to their rapid absorption.
4. Using other forms of insulin intravenously can lead to unpredictable absorption rates and hypoglycemia risk.
Question 2 of 5
The nurse is preparing to administer the contraceptive form of medroxyprogesterone. What route is appropriate?
Correct Answer: A
Rationale: The correct route for administering the contraceptive form of medroxyprogesterone is intramuscular (
A) because it ensures consistent and sustained release of the medication over a longer period. It is crucial for contraceptives to have a reliable delivery method to maintain efficacy. Vaginal (
B) and transdermal (
C) routes may not provide as controlled release or absorption. Subcutaneous (
D) route may not be suitable for this specific medication formulation. Overall, intramuscular administration is the most appropriate choice for ensuring optimal contraceptive effects.
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 correct answer is C: Medication. In the prescription, "metformin 500 mg PO BID," the medication is missing. The nurse should identify the missing medication name as it is crucial for accurate administration. Dosage, route, and time/frequency are all provided in the prescription, so they are not missing. The other choices (A, B,
D) are incorrect as they are all present in the prescription.
Question 4 of 5
A nurse is preparing to administer lispro insulin to a client who has type 1 diabetes mellitus. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Inject the insulin 15 minutes before a meal. Lispro insulin is a rapid-acting insulin that should be administered within 15 minutes before a meal to control postprandial blood glucose levels effectively. Administering with short-acting insulin (choice
A) is incorrect as lispro insulin is already a rapid-acting insulin. Assessing for hypoglycemia 4 hours after the injection (choice
B) is unnecessary as lispro insulin acts quickly and monitoring should be closer to the time of injection. Monitoring for polyuria (choice
D) is not directly related to administering lispro insulin.
Question 5 of 5
A nurse is teaching a client who has diabetes mellitus and receives 25 units of NPH insulin every morning if their blood glucose level is above 200 mg/dL. Which of the following information should the nurse include?
Correct Answer: B
Rationale:
Correct
Answer: B - NPH is an intermediate-acting insulin.
Rationale: NPH insulin is indeed an intermediate-acting insulin, meaning it has a slower onset and a longer duration of action compared to rapid-acting insulins like regular insulin. This information is crucial for the client to understand the timing and effectiveness of their insulin dose in managing their blood glucose levels effectively.
Incorrect
Choices:
A: Discarding the NPH solution if it appears cloudy is not directly related to the action or type of insulin. Cloudiness in insulin can occur due to various reasons and does not necessarily indicate ineffectiveness.
C: Freezing unopened insulin vials is incorrect as insulin should be stored in the refrigerator, not frozen. Freezing can damage the insulin and affect its efficacy.
D: Shaking the insulin vigorously before loading the syringe is incorrect as it can cause air bubbles to form, potentially affecting the accuracy of the insulin dose administered. It is recommended to gently roll the vial between