ATI RN
ATI RN Med Surg Pharm Competence Exam Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has thrombophlebitis and is receiving a continuous infusion of heparin. The client asks the nurse how long it will take for the heparin to dissolve the clot. Which of the following responses should the nurse make?
Correct Answer: C
Rationale: Heparin is an anticoagulant that prevents further clot formation, not a thrombolytic that dissolves existing clots.
Question 2 of 5
A nurse is preparing to administer lactated Ringer's solution IV to infuse at 120 mL/hr for a client who has a respiratory disorder. The drop factor on the manual IV tubing is 60 gtt/mL. The nurse should set the IV flow rate to deliver how many gtt/min? (Round to the nearest whole number.)
Correct Answer: 120 gtt/min.
Rationale: Drip rate (gtt/min) = (120 mL/hr / 60 min/hr) x 60 gtt/mL = 120 gtt/min.
Question 3 of 5
A nurse is caring for a client who has thrombophlebitis and is receiving a continuous infusion of heparin. The client asks the nurse how long it will take for the heparin to dissolve the clot. Which of the following responses should the nurse make?
Correct Answer: C
Rationale: Heparin is an anticoagulant that prevents further clot formation, not a thrombolytic that dissolves existing clots.
Question 4 of 5
A nurse is reinforcing teaching with a client with bacterial conjunctivitis of the right eye, and a prescription for an antibiotic ophthalmic ointment. Which of the following statements should the nurse make?
Correct Answer: D
Rationale: Applying a thin line of ointment into the conjunctival sac ensures effective delivery without irritating the eye.
Question 5 of 5
A nurse is reinforcing teaching with a client who has a new prescription for phenytoin. The nurse should recognize that which of the following statements by the client indicates a need for further teaching?
Correct Answer: D
Rationale: Phenytoin should not be stopped abruptly as it may lead to rebound seizures. The client needs further teaching to understand the importance of continuing the medication as prescribed.