ATI chapter questions Flashcards
A nurse is teaching clients in an outpatient facility about the use of insulin to treat type 1 diabetes mellitus. For which of the following types of insulin should the nurse tell the clients to expect a peak effect 1 to 5 hr after administration?
a. insulin glargine (Lantus)
b. NPH insulin (Humulin N)
c. Regular insulin (Humulin R)
d. Insulin lispro (Humalog)
c. Regular insulin (Humulin R)
A nurse is providing teaching to a client who has type 2 diabetes mellitus and is starting repaglinide (Prandin). Which of the following statements made by the client indicates understanding of the administration of this medication?
a. “I’ll take this medicine with my meals.”
b. “I’ll take this medicine 30 minutes before I eat.”
c. “I’ll take this medicine just before I go to bed.”
d. “I’ll take this medicine as soon as I wake up in the morning.”
b. “I’ll take this medicine 30 minutes before I eat.”
A nurse is caring for a client who has a prescription for metformin (Glucophage). The nurse should monitor the client for which of th4e following adverse effects?
a. Lactic acidosis
b. Hypoglycemia
c. Hyperlipidemia
d. Respiratory alkalosis
a. Lactic acidosis
A nurse is caring for a client in an outpatient facility who has been taking acarbose (Precose) for type 2 diabetes mellitus. Which of the following laboratory tests should the nurse plan to monitor?
a. WBC
b. Serum potassium
c. Platelet count
d. Liver function tests
d. Liver function tests
A nurse is providing instructions to a client who has a prescription for metronidazole (Flagyl) to treat peptic ulcer. The client asks the nurse why this medication has been prescribed. Which of the following responses by the nurse is correct?
a. “The purpose of this medication is to get rid of the infection from giardiasis.”
b. “The purpose of this medication is to get rid of the infection from H. pylori.”
c. “The purpose of this medication is to increase the pH of gastric juices in the stomach.”
d. “The purpose of this medication is to decrease the pH of gastric juices in the stomach.”
b. “The purpose of this medication is to get rid of the infection from H. pylori.
A nurse is caring for a client who is starting omeprazole (Prilosec) PO for management of GERD. The nurse should recognise that this medication works by
a. improving gastric motility
b. decreasing the production of gastric acid.
c. neutralizing gastric acid
d. antagonizing serotonin receptors
b. decreasing the production of gastric acid.
A client is taking sucralfate (Carafate) PO for PUD has been started on phenytoin (Dilantin) to control seizures. Which of the following should be included in the client’s teaching?
a. Take both of these medications at the same time.
b. Take sucralfate with a glass of milk.
c. Allow a 2-hr interval between these medications.
d. Chew the sucralfate thoroughly before swallowing.
c. Allow a 2-hr interval between these medications.
For which of the following clients with PUD is misoprostol (Cytotec) contraindicated?
a. 27-year-old client who is pregnant
b. 75-year-old client who has osteoarthritis
c. 37-year-old client who has a kidney stone
d. 46-year-old client who has a urinary tract infection
a. 27-year-old client who is pregnant
A nurse is caring for a client who was administered prochloperazine 4 hr ago. The client reports spasms of his face. The nurse should anticipate a prescription for which of the following medications?
a. Fomepizole (Antizol)
b. Naloxone
c. Phytonadione (Vitamin K)
d. Diphenhydramine (Benadryl)
d. Diphenhydramine (Benadryl)
A nurse is providing instruction to a client who has a new prescription for ondansetron (Zofran). The nurse should advise the client that which of the following is an adverse effedct of the medication?
a. Headache
b. Urinary retention
c. Tachycardia
d. Black stools
a. Headache
A nurse is providing instructions about the use of laxatives to a client who has heart failure. The nurse should tell the client he should avoid which of the following laxatives?
a. Sodium phosphate (Fleet Phospho-Soda)
b. Psyllium (Metamucil)
c. Bisacodyl (Dulcolax)
d. Polyethylene glycol (MiraLAX)
a. Sodium phosphate (Fleet Phospho-Soda)
A nurse is taking a history for a female client who has irritable bowel syndrome with constipation. Which of the following in the client’s history is a contraindication to lubiprostone (Amitiza)?
a. Myocardial infarction
b. Crohn’s disease
c. Diabetes mellitus
d. Rheumatoid arthritis
b. Crohn’s disease
A nurse is providing instructions to a young adult female client who has a new prescription for beclomethasone (QVAR). Which of the following should the nurse include in the teaching?
a. “Rinse your mouth after each use.”
b. “Limit fluid intake while taking this medication.”
c. “Increase your intake of vitamin B12 while taking this medication.”
d. “You can take the medication as needed.”
a. “Rinse your mouth after each use.”
A nurse is providing instructions to a client who has been prescribed albuterol (Proventil) and beclomethazone (QVAR) inhalers for the control of asthma. Which of the following should the nurse include in the teaching?
a. Alternate which inhaler is used so that both are not taken the same time of day.
b. Use the albuterol inhaler prior to using the beclomethasone inhaler.
c. Only use beclomethasone if experiencing an acute episode.
d. Use the beclomethasone inhaler first and immediately follow with the albuterol inhaler..
b. Use the albuterol inhaler prior to using the beclomethasone inhaler.
A nurse is providing instructions to the parent of an adolescent client who has a new prescription for albuterol (Proventil) PO. Which of the following instructions should the nurse include?
a. “You can take this medication to abort an acute asthma attack.”
b. “Tremors are an adverse effect of this medication.”
c. “Prolonged use of this medication can cause hyperglycemia.”
d. “This medication can slow skeletal growth rate.”
b. “Tremors are an adverse effect of this medication.”
