ATI RN
ATI RN Pharmacology 2023 III Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has cirrhosis of the liver and is receiving spironolactone. Which of the following findings indicates that the client responding to the treatment?
Correct Answer: C
Rationale: Decreased ascites shows spironolactone's diuretic effect reducing fluid buildup in cirrhosis.
Question 2 of 5
A nurse is planning to administer a prefilled syringe of enoxaparin to a client. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Enoxaparin is injected into abdominal fat for optimal absorption; massaging risks bruising, air bubble stays, and skin is pinched, not held taut.
Question 3 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: Calculation: (100 mL × 15 gtt/mL) / 30 min = 50 gtt/min, rounded to the nearest whole number.
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: Injecting air into the short-acting insulin vial first prevents contamination of the clear insulin with cloudy NPH, ensuring accurate dosing. NPH should be drawn second, timing isn't strictly 20 minutes, and one syringe is sufficient.
Question 5 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: A
Rationale: Propranolol, a beta-blocker, can cause bradycardia; assessing heart rate ensures it's safe to administer.