ATI RN
ATI N211 Pharmacology Exam Questions
Question 1 of 5
A hospice nurse is caring for a client who has terminal cancer and takes PO morphine for pain relief. The client reports that he had to increase the dose of morphine this week to obtain pain relief. Which of the following scenarios should the nurse document as the explanation for this situation?
Correct Answer: A
Rationale:
Tolerance to opioids like morphine requires higher doses over time for the same pain relief, common in terminal cancer pain management. Confusion, improper use, or addiction are less likely explanations.
Question 2 of 5
A nurse is calculating the intake of a client during the past 9 hr. The client's intake includes lactated Ringer's IV at 150 mL/hr. cefazolin 2 g IV intermittent bolus in 100 mL of 0.9% sodium chloride. two units of packed RBCs of 275 mL and 250 mL; two IV bolus infusions of 250 mL of 0.9% sodium chloride, famotidine 20 mg IV intermittent bolus in 50 mL of 0.9% sodium chloride. How many mL of intake should the nurse record?
Correct Answer: 2525
Rationale: Calculate: Lactated Ringer's (150 mL/hr × 9 hr = 1350 mL), cefazolin (100 mL), RBCs (275 + 250 = 525 mL), saline boluses (250 × 2 = 500 mL), famotidine (50 mL).
Total = 1350 + 100 + 525 + 500 + 50 = 2525 mL.
Question 3 of 5
A nurse is preparing to administer 09% sodium chloride 1,200 mL IV to infuse over 24 hr. The drop factor of the manual tubing is 15 g/mL. The nurse should set the manual IV infusion to deliver how many gtt/min? (Round the answer to the nearest whole number. Use a leading zero if it applies. De not use a trailing zero)
Correct Answer: 13
Rationale: Calculate: 1200 mL ÷ 24 hr = 50 mL/hr.
Then, 50 mL/hr × 15 gtt/mL ÷ 60 min = 12.5 gtt/min, rounded to 13 gtt/min.
Question 4 of 5
A nurse is teaching a female client who is experiencing alcohol withdrawal about chlordiazepoxide. Which of the following information should the nurse include in the teaching?
Correct Answer: A
Rationale: Chlordiazepoxide is teratogenic, so notifying the provider about pregnancy is critical. Doubling the dose risks overdose, breast tenderness is not a side effect, and it causes hypotension, not hypertension.
Question 5 of 5
A nurse is teaching a client who has been taking prednisone to treat asthma and has a new prescription to discontinue the medication. The nurse should explain to the client to reduce the dose gradually to prevent which of the following adverse effects?
Correct Answer: B
Rationale: Gradual dose reduction prevents adrenocortical insufficiency, as abrupt cessation can impair the body's ability to produce cortisol. Rebound pulmonary congestion, dehydration, and hyperglycemia are not directly related to prednisone discontinuation.