ATI RN
ATI RN Med Surg Pharm Competence Exam Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is 1 day postoperative following gynecologic surgery and reports incisional pain. Which of the following actions should the nurse take first?
Correct Answer: C
Rationale: The first step in managing pain is to assess the severity by asking the client to rate their pain on a scale from 0 to 10.
Question 2 of 5
A nurse is preparing to administer 0.9% sodium chloride (NS) 100 mL IV to infuse over 4 hr. The drip factor of the manual IV tubing is 60 gtt/mL. The nurse should set the manual IV infusion to deliver how many gtt/min? (Round the answer to the nearest whole number.)
Correct Answer: 25 gtt/min.
Rationale: Drip rate (gtt/min) = (100 mL / 240 min) x 60 gtt/mL = 25 gtt/min.
Question 3 of 5
A nurse is caring for a client who is receiving warfarin therapy to prevent a deep vein thrombosis. Which of the following medications should the nurse have available in the event of an overdose?
Correct Answer: C
Rationale: Vitamin K is the antidote for warfarin overdose, reversing its anticoagulant effects.
Question 4 of 5
When checking the medication administration records of four clients, a nurse notes that they all require oral medications that are prescribed to be administered once daily in the morning. Which of the following medications should the nurse administer first?
Correct Answer: C
Rationale: Alendronate should be administered on an empty stomach with the client sitting upright to enhance absorption and minimize esophageal irritation.
Question 5 of 5
A nurse is preparing to administer 0.9% sodium chloride (NaCl) 750 mL IV to infuse over 8 hr. The nurse should set the IV pump to deliver how many mL/hr? (Round to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 94 mL/hr
Rationale:
To calculate the infusion rate, divide the total volume (750 mL) by the total infusion time (8 hr): 750 mL / 8 hr = 93.75 mL/hr. Rounding to the nearest whole number gives 94 mL/hr.