ATI RN
ATI RN Pharmacology 2023 retake 1 Questions
Question 1 of 5
A nurse is developing a teaching plan for an older adult client who has a new prescription for insulin glargine. Which of the following expected outcomes should the nurse include in the plan?
Correct Answer: A
Rationale:
Correct
Answer: A. The client will wear his reading glasses when drawing up a dose of insulin glargine.
Rationale: Older adults may experience age-related changes in vision, making it important for them to wear reading glasses to accurately measure and administer insulin. This ensures precise dosing and reduces the risk of medication errors. Using insulin glargine before meals is not correct as it is a long-acting insulin typically administered once daily. Using the deltoid muscle as an injection site is not recommended for insulin glargine, as it is usually injected into the subcutaneous tissue of the abdomen, thigh, or upper arm for slower absorption. Taking an additional dose of insulin glargine prior to exercise is unnecessary and may lead to hypoglycemia.
Question 2 of 5
A nurse is providing discharge teaching to a client who will receive total parenteral nutrition (TPN) at home. Which of the following information should the nurse include?
Correct Answer: B
Rationale: The correct answer is B: Instruct the client to weigh themselves daily and record their weight. Daily weight monitoring is crucial for clients receiving TPN to assess fluid balance and nutritional status. Weight changes can indicate fluid retention or dehydration. It helps in adjusting TPN formulations accurately.
A: Incorrect. Central line dressings should be changed as per facility protocol, not necessarily every 24 hours.
C: Incorrect. TPN containers need to be changed every 24 hours to prevent bacterial growth.
D: Incorrect. The rate of TPN infusion should not be altered without healthcare provider's recommendation to avoid complications.
E, F, G: N/A
Question 3 of 5
A nurse is caring for a client whose current bag of total parenteral nutrition (TPN) has finished infusing, and the next bag is not yet available. Which of the following fluids should the nurse prepare to administer?
Correct Answer: B
Rationale: The correct answer is B: Dextrose 10% in water. When a TPN bag finishes infusing and the next bag is unavailable, the nurse should administer a dextrose solution to prevent hypoglycemia. Dextrose provides a quick source of energy for the client. Lactated Ringer's (
A) is not appropriate as it does not contain any glucose for energy. 0.45% sodium chloride (
C) and 0.9% sodium chloride (
D) are isotonic solutions and do not provide the necessary glucose.
Question 4 of 5
A nurse is planning care for a group of clients. Which of the following client's medications should be monitored by the nurse for hearing loss related to a medication interaction?
Correct Answer: D
Rationale: The correct answer is D: Furosemide and amikacin. Furosemide and amikacin can both cause hearing loss independently, and when used together, they increase the risk of ototoxicity. Furosemide is a loop diuretic known to cause hearing loss, especially at higher doses. Amikacin is an aminoglycoside antibiotic that is also associated with ototoxicity.
Therefore, monitoring for hearing loss is crucial when these medications are used together.
Choices A, B, and C do not involve medications known to cause hearing loss or interact to increase the risk.
Question 5 of 5
A nurse is preparing to administer cefazolin 1 g in 0.9% sodium chloride 100 mL via intermittent IV bolus over 30 min. The drop factor of the manual IV tubing is 15 gtt/mL. The nurse should set the manual IV infusion to deliver how many gtt/min?
Correct Answer: A
Rationale: The correct answer is A: 50 gtt/min.
To calculate the IV infusion rate, we need to determine the total volume to be infused over 30 minutes. The total volume to be infused is 100 mL. Convert the volume to drops by multiplying it by the drop factor (100 mL x 15 gtt/mL = 1500 gtt).
To find the rate in gtt/min, divide the total volume by the time in minutes (1500 gtt ÷ 30 min = 50 gtt/min). Setting the manual IV infusion to deliver 50 gtt/min ensures the cefazolin is administered correctly. Other choices are incorrect because they do not follow the correct calculation process or result in different infusion rates.