ATI RN
ATI RN Pharmacology 2023 II Questions
Extract:
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: D
Rationale: Elevate the extremity is the correct action to take. Elevating the affected limb can help reduce swelling and promote the reabsorption of the infiltrated fluid. Additionally, the IV catheter should be removed, and a new IV site should be selected.
Question 2 of 5
A nurse is caring for a group of clients. Which of the following situations requires an incident report?
Correct Answer: C
Rationale: A client receives their insulin 1 hour before scheduled is a medication error that requires an incident report. Administering insulin at the wrong time can lead to significant changes in blood glucose levels and potential harm to the client, making it necessary to document the incident and investigate the cause.
Question 3 of 5
A nurse is preparing to administer propranolol to a client. Which of the following should the nurse assess prior to administering this medication?
Correct Answer: D
Rationale: Heart rate is the primary assessment needed before administering propranolol. Propranolol can cause bradycardia (slow heart rate), so it is crucial to check the client's heart rate before administration. If the heart rate is below 60 beats per minute, the medication should be withheld, and the provider should be notified.
Question 4 of 5
A nurse is preparing to administer cefazolin 1 g in 0.9% sodium chloride 100 mL via intermittent IV bolus over 30 minutes. 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? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 50
Rationale:
Step 1: Determine the total volume (100 mL).
Step 2: Determine the time (30 minutes).
Step 3: Calculate the flow rate in mL/min (100 mL ÷ 30 min = 3.33 mL/min).
Step 4: Calculate gtt/min (3.33 mL/min × 15 gtt/mL = 49.95 gtt/min).
Step 5: Round to 50 gtt/min.
Question 5 of 5
A nurse is preparing to administer a hazardous IV medication to a client. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Wear gloves when handling the medication is essential to protect the nurse from exposure to hazardous drugs. Gloves provide a barrier to prevent skin contact with the medication, reducing the risk of absorption and contamination.