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ATI LPN · Medical Surgical Nursing · ATI Adult Medical Surgical

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

A patient with type 2 diabetes is prescribed metformin. What instruction should the nurse provide regarding this medication?

A. Take the medication on an empty stomach.

B. Monitor for signs of hypoglycemia.

C. Take the medication with meals.

D. Increase intake of simple carbohydrates.

Expert Explanatory Rationale

Correct Answer: Take the medication with meals.

Question 2 of 5

When assessing a male client who is receiving a unit of packed red blood cells (PRBCs), the nurse notes that the infusion was started 30 minutes ago, and 50 ml of blood is left to be infused. The client's vital signs are within normal limits. He reports feeling 'out of breath' but denies any other complaints. What action should the nurse take at this time?

A. Administer a PRN prescription for diphenhydramine (Benadryl).

B. Start the normal saline attached to the Y-tubing at the same rate.

C. Decrease the intravenous flow rate of the PRBC transfusion.

D. Ask the respiratory therapist to administer PRN albuterol (Ventolin).

Expert Explanatory Rationale

Correct Answer: Decrease the intravenous flow rate of the PRBC transfusion.

Question 3 of 5

A patient with hypertension is prescribed lisinopril. What side effect should the nurse monitor for?

A. Hyperkalemia

B. Hypoglycemia

C. Bradycardia

D. Constipation

Expert Explanatory Rationale

Correct Answer: Hyperkalemia

Question 4 of 5

What is an important teaching point for a patient prescribed dabigatran for atrial fibrillation?

A. Take the medication with food to enhance absorption.

B. Do not crush or chew the capsules.

C. Increase intake of green leafy vegetables.

D. Avoid all dairy products.

Expert Explanatory Rationale

Correct Answer: Do not crush or chew the capsules.

Question 5 of 5

A patient with rheumatoid arthritis is taking prednisone. What is an important side effect for the nurse to monitor?

A. Hyperglycemia

B. Bradycardia

C. Hypotension

D. Hyperkalemia

Expert Explanatory Rationale

Correct Answer: Hyperglycemia

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