ATI RN
ATI RN Med Surg Pharm Competence Exam Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is postoperative and receiving fentanyl via patient controlled analgesia. The client has a prescription for naloxone. The nurse understands that the purpose of naloxone is which of the following?
Correct Answer: A
Rationale: Naloxone is an opioid antagonist that reverses the effects of opioids, particularly respiratory depression.
Question 2 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 3 of 5
A nurse is reinforcing teaching with a client who has a prescription for simvastatin. Which of the following instructions should the nurse provide?
Correct Answer: A
Rationale: Simvastatin is most effective when taken in the evening because cholesterol synthesis is highest at night.
Question 4 of 5
A nurse is collecting data from a client who has diabetes mellitus. The client is confused, flushed, and has an acetone odor on his breath. The nurse should anticipate a prescription for which of the following types of insulin to treat the client?
Correct Answer: B
Rationale: The client shows signs of diabetic ketoacidosis, and regular insulin is fast-acting, used to manage acute episodes like DKA.
Question 5 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.