ATI RN
ATI N303 Pharmacology Exam Questions
Extract:
Question 1 of 5
A nurse is assessing an older adult client who is receiving IV therapy. The nurse should recognize that which of the following findings indicates fluid volume excess? (Select all that apply.)
Correct Answer: A,C,E
Rationale: Bounding pulse, pitting edema, and crackles indicate fluid volume excess due to increased blood volume, tissue fluid accumulation, and pulmonary congestion.
Question 2 of 5
A nurse is preparing to administer verapamil by IV bolus to a client who is having cardiac dysrhythmias. For which of the following adverse effects should the nurse monitor when giving this medication?
Correct Answer: C
Rationale: Verapamil, a calcium channel blocker, can cause hypotension due to vasodilation, requiring careful monitoring during IV administration.
Question 3 of 5
A nurse is preparing to administer dextrose 5% in water (DW) 150 mL IV to infuse over 3 hr. The drop factor of the manual IV tubing is 10 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: A
Rationale:
To calculate: 150 mL × 10 gtt/mL ÷ 180 min = 8.33 gtt/min, rounded to 8 gtt/min, ensuring accurate infusion rate.
Question 4 of 5
A nurse is caring for a client who has a central venous catheter and reports hearing a gurgling sound on the side of the catheter insertion. Which of the following complications should the nurse suspect?
Correct Answer: A
Rationale: A gurgling sound suggests partial catheter dislodgment, allowing air entry or fluid leakage, which requires immediate intervention to prevent complications like air embolism.
Question 5 of 5
A nurse is assessing a client who has a peripheral IV with a continuous infusion. Which of the following findings is a manifestation of phlebitis? (Select all that apply.)
Correct Answer: A,B,D,E
Rationale: Erythema, streak formation, warmth, and throbbing indicate vein inflammation characteristic of phlebitis, requiring intervention to prevent further complications.