ATI RN
ATI Pharmacology Endocrine and Hematology Questions
Question 1 of 5
A nurse is assisting with the care of a client who has a prescription for 3,000 mL of intravenous fluids over the next 24 hours. The nurse should set the volumetric pump to deliver how many milliliters per hour?
Correct Answer: A
Rationale: The correct answer is A: 125 mL/hr.
To calculate the rate of IV fluid administration, divide the total volume by the total time: 3000 mL ÷ 24 hours = 125 mL/hr. This ensures a consistent and safe delivery of fluids over the prescribed time frame.
Choices B, C, and D are incorrect as they do not accurately divide the total volume by the total time. It's important to calculate the rate precisely to prevent under or over infusion, which can lead to adverse effects.
Question 2 of 5
A nurse is preparing to administer cefixime to a patient. The dose is 200 mg PO. Available is cefixime oral suspension 100 mg/mL. How many milliliters should the nurse administer?
Correct Answer: B
Rationale: The correct answer is B: 2 mL.
To calculate the amount of cefixime oral suspension needed, divide the prescribed dose by the concentration of the suspension. In this case, 200 mg ÷ 100 mg/mL = 2 mL.
Choice A is incorrect as it underestimates the amount needed.
Choices C and D overestimate the amount.
Question 3 of 5
A nurse is reinforcing teaching with a patient who has hypertension and a new prescription for verapamil. The nurse should instruct the patient to avoid taking this medication with which of the following foods?
Correct Answer: A
Rationale: The correct answer is A: Grapefruit. Verapamil can interact with grapefruit juice, leading to increased levels of verapamil in the blood, potentially causing serious side effects such as low blood pressure and irregular heartbeat. Grapefruit contains compounds that inhibit the enzyme responsible for breaking down verapamil in the body, leading to higher concentrations of the medication. Spinach, broccoli, and carrots do not have this interaction with verapamil, so they are safe to consume.
Question 4 of 5
A nurse is caring for a client who is taking levothyroxine for hypothyroidism. Which of the following indicates the client's dose is too high?
Correct Answer: C
Rationale: The correct answer is C: Tachycardia. Levothyroxine is a medication used to treat hypothyroidism by increasing thyroid hormone levels. If the client's dose is too high, it can lead to hyperthyroidism symptoms, such as tachycardia (fast heart rate), due to an excess of thyroid hormone. Decreased temperature (
A) is a sign of hypothyroidism, not hyperthyroidism. Hypotension (
B) is more likely to occur with hypothyroidism, as thyroid hormone helps regulate blood pressure. Constipation (
D) is a symptom of hypothyroidism, not hyperthyroidism.
Question 5 of 5
A male client tells the nurse that he does not want the female assistive personnel (AP) involved in his care. Which of the following statements should the nurse give?
Correct Answer: B
Rationale:
Correct
Answer: B
Rationale: Option B acknowledges the client's preference in a respectful and empathetic manner. By expressing understanding and addressing the client's request for male staff members, the nurse shows sensitivity to the client's comfort and autonomy. This response promotes a therapeutic relationship based on mutual respect and trust.
Summary:
A: This option is confrontational and does not validate the client's feelings or concerns.
C: While this option emphasizes professionalism, it does not address the client's specific request and lacks empathy.
D: This option assumes the client's preference without validating his choice or showing understanding.
Options E, F, G: Not provided, but they would likely be incorrect as they do not address the client's request for male staff members.