ATI RN
ATI RN Med Surg Pharm Competence Exam Questions
Question 1 of 5
A nurse is preparing to administer 0.9% sodium chloride (NaCl) 750 mL IV to infuse over 8 hr. The nurse should set the IV pump to deliver how many mL/hr? (Round to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 94 mL/hr
Rationale:
To calculate the infusion rate, divide the total volume (750 mL) by the total infusion time (8 hr): 750 mL / 8 hr = 93.75 mL/hr. Rounding to the nearest whole number gives 94 mL/hr.
Question 2 of 5
A nurse is preparing to administer hydrochlorothiazide 25 mg PO every 8 hr. The amount available is hydrochlorothiazide 50 mg/tab. How many tablets should the nurse administer per dose? (Round the answer to the nearest tenth/whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 0.5 tablets.
Rationale:
To determine the number of tablets, divide the desired dose (25 mg) by the available strength (50 mg/tablet): 25 mg / 50 mg/tablet = 0.5 tablets.
Question 3 of 5
A nurse is reviewing the chart of a client who is scheduled to have radiological studies of the kidneys performed with the use of IV contrast dye. Which of the following client medications should the nurse withhold prior to the examination?
Correct Answer: D
Rationale: Metformin should be withheld prior to procedures involving contrast dye because it can increase the risk of lactic acidosis when combined with contrast agents, especially in clients with renal impairment.
Question 4 of 5
A nurse is caring for a client who has type 1 diabetes mellitus. The nurse misread the client's morning fasting blood glucose level as 210 mg/dL instead of 120 mg/dL and administered the insulin dose appropriate for a reading over 200 mg/dL. Which of the following actions should the nurse identify as the priority?
Correct Answer: C
Rationale: The priority is to immediately check the client's current blood glucose level to determine if hypoglycemia has occurred due to the overadministration of insulin.
Question 5 of 5
A nurse is reinforcing teaching with a client who is to start taking enteric-coated naproxen for rheumatoid arthritis. Which of the following client statements by the client indicates a need for further teaching?
Correct Answer: B
Rationale: Enteric-coated tablets should not be crushed, as it can destroy the coating and cause irritation to the stomach.