ATI RN
ATI RN Pharmacology 2023 III Questions
Question 1 of 5
A nurse is assessing a client who is receiving a peripheral IV infusion and notes infiltration of fluid into the tissues surrounding the insertion site. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Elevate the extremity. Elevating the extremity helps to reduce swelling and prevent further infiltration of fluid into the tissues. By raising the arm above the level of the heart, gravity helps to return the fluid back into the bloodstream. Applying pressure to the IV site (choice
A) may aggravate tissue damage. Flushing the IV catheter (choice
C) is not necessary in this situation and could exacerbate the issue. Slowing the infusion rate (choice
D) is not as effective as elevating the extremity in preventing further infiltration.
Question 2 of 5
A nurse is caring for a client who is taking warfarin and reports taking several new herbal supplements. The nurse should identify that which of the following supplements is contraindicated for concurrent use with warfarin?
Correct Answer: D
Rationale: The correct answer is D: Ginkgo biloba. Ginkgo biloba may increase the risk of bleeding when taken with warfarin due to its antiplatelet effects. Warfarin is an anticoagulant that works by inhibiting blood clotting factors. When combined with Ginkgo biloba, which also has anticoagulant properties, the risk of bleeding is significantly increased. Probiotics (
A), Coenzyme Q10 (
B), and Valerian (
C) do not have known interactions with warfarin that would increase the risk of bleeding. In summary, Ginkgo biloba is contraindicated due to potential additive anticoagulant effects, while the other options are safe to use concurrently with warfarin.
Extract:
Nurses' Notes
Laboratory Results
Provider Prescriptions
3 days ago:
Client presents with reports of intermittent spotting between menstrual cycles. Pelvic examination and swabs for sexually transmitted infections obtained by the provider. Medications include a combined oral contraceptive.
Today:
Client returns to office to discuss results of laboratory test Education provided on newly obtained prescriptions
Question 3 of 5
Select the 2 statements the nurse should include in the teaching.
| You should avoid the sun while taking this medication. |
| You should use an alternate form of birth control while taking this medication. |
| It is common to experience headache or blurred vision while taking this medication. |
| This medication may cause constipation. |
| You should take this medication with dairy products. |
Correct Answer: A,B
Rationale:
To determine the correct answer, we need to consider the statements that the nurse should include in the teaching. Option A is correct as avoiding the sun while taking medication can prevent photosensitivity reactions. Option B is also correct as some medications can interfere with birth control effectiveness. Options C, D, and E are incorrect as they do not address crucial information for medication safety.
Extract:
Question 4 of 5
A nurse is preparing to mix short-acting insulin with NPH insulin from two vials. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Inject air into the vial to withdraw the short-acting insulin. This is the correct action because when mixing short-acting insulin with NPH insulin, it is important to prevent contamination and ensure accurate dosing. By injecting air into the vial before withdrawing the short-acting insulin, the nurse prevents a vacuum from forming in the vial and makes it easier to withdraw the correct amount of insulin. This step helps maintain the integrity of both insulins and ensures accurate dosing.
Incorrect choices:
A: Administer the insulin within 20 min of preparing it - This is incorrect as insulin should be administered immediately after mixing.
B: Ensure the NPH insulin is drawn into the syringe first - This is incorrect as the short-acting insulin should be drawn first to prevent contamination.
D: Use two separate syringes to mix the insulin - This is incorrect as mixing in the same syringe is not recommended to avoid inaccurate dosing.
Question 5 of 5
A nurse is caring for a client who is receiving an intravenous infusion via pump at a rate of 3 mL/min. The infusion started 2 hr ago with 500 mL in the medication bag. How many ml have been infused?
Correct Answer: C
Rationale: The correct answer is C (360 mL).
To calculate the amount infused, multiply the infusion rate (3 mL/min) by the total time (2 hours x 60 min/hour = 120 min). 3 mL/min x 120 min = 360 mL.
Choice A (180 mL) is incorrect because it does not account for the full 2 hours of infusion.
Choice B (157 mL) is incorrect as it is too low for a 2-hour infusion at 3 mL/min.
Choice D (334 mL) is incorrect as it is also too low for a 2-hour infusion at 3 mL/min.