ATI RN
ATI RN Pharmacology 2023 III Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is receiving an intravenous infusion via pump at a rate of 3 mL/min. The infusion started 2 hr ago with 500 mL in the medication bag. How many ml have been infused?
Correct Answer: C
Rationale: The correct answer is C (360 mL).
To calculate the amount infused, multiply the infusion rate (3 mL/min) by the total time (2 hours x 60 min/hour = 120 min). 3 mL/min x 120 min = 360 mL.
Choice A (180 mL) is incorrect because it does not account for the full 2 hours of infusion.
Choice B (157 mL) is incorrect as it is too low for a 2-hour infusion at 3 mL/min.
Choice D (334 mL) is incorrect as it is also too low for a 2-hour infusion at 3 mL/min.
Extract:
Vital Signs
Nurses' Notes
1 week ago:
Temperature 37° C (98.6° F) Heart rate 64/min Respiratory rate 12/min
Blood pressure 118/72 mm Hg Today:
Temperature 37.2° C (98.9° F) Heart rate 82/min Respiratory rate 16/min
Blood pressure 110/68 mm Hg
A nurse is caring for a client in the clinic.
Question 2 of 5
Which of the following client statements indicates to the nurse the teaching was effective? Select all that apply.
Correct Answer: C,D,E
Rationale: The correct answers are C, D, and E. Statement C shows understanding of oral care post-teaching. Statement D indicates awareness of avoiding alcohol while on medication. Statement E reflects comprehension of soft diet.
Choices A and B are incorrect as they demonstrate misunderstandings. A firm-bristle toothbrush is not recommended for oral hygiene, and avoiding folic acid with medication is unnecessary.
Extract:
Question 3 of 5
A nurse is assessing a client who has received oxycodone. The nurse notes that the client's respiratory rate is 8/min. The nurse should identify that which of the following is the pathophysiology for the client's respiratory rate?
Correct Answer: C
Rationale: Answer C is correct because oxycodone, an opioid analgesic, causes central nervous system depression, which can lead to respiratory depression. Opioids act on the brainstem, decreasing the sensitivity of the respiratory center to carbon dioxide levels, resulting in decreased respiratory rate.
Choices A, B, and D are incorrect because they do not directly relate to the respiratory depression caused by oxycodone. Opioids do not inhibit prostaglandin synthesis (
Choice
A), block sodium channels (
Choice
B), or promote vasodilation of cranial arteries (
Choice
D) in a way that directly affects respiratory rate.
Extract:
Nurses' Notes
Provider Prescriptions
0900:
The client is being seen in the office. The client reports feeling fatigued and having a heavy menstrual cycle the past year. Upon assessment, the client's conjunctiva and mucosal membranes are pale. Provider notified and laboratory samples to be drawn. 2 Days Later:
Provider reviewed laboratory results and prescription written.
Question 4 of 5
For each of the statements made by the client, click to specify whether the statement indicates an understanding or no understanding of the teaching provided.
| Options | Understanding | No Understanding |
|---|---|---|
| I should avoid taking antacids while on this medication. | ||
| If I experience black stools, I should notify my provider. | ||
| I should rinse my mouth after taking this medication. | ||
| I should take this medication with orange juice. | ||
| I should take my medication on an empty stomach.†|
Correct Answer: A (Understanding), B (No Understanding), C (Understanding), D (Understanding), E (Understanding)
Rationale: The correct answer is:
Explanation:
A: "I should avoid taking antacids while on this medication." - This is correct as antacids can interfere with the absorption of certain medications.
B: "If I experience black stools, I should notify my provider." - This indicates no understanding as black stools can be a sign of gastrointestinal bleeding, which should be reported.
C: "I should rinse my mouth after taking this medication." - This is correct as rinsing the mouth can help prevent side effects like oral thrush.
D: "I should take this medication with orange juice." - This is incorrect as certain medications may interact with citrus juices like orange juice.
E: "I should take my medication on an empty stomach." - This is correct for some medications that require specific conditions for absorption.
Therefore, options A, C, D, and E show understanding of the teaching, while option B shows no understanding
Extract:
Nurses' Notes
Laboratory Results
Day 1:
Temperature 36.9°C (98.4" F)
Heart rate 78/min
Blood pressure 118/76 mm Hg
Respiratory rate 18/min
Day 14:
Temperature 36.3" C (97.4" F)
Heart rate 86/min
Blood pressure 110/66 mm Hg
Respiratory rate 16/min
Question 5 of 5
Click to highlight the findings that require immediate follow-up.
Correct Answer: A,B,C,D
Rationale: The correct answer is A, B, C, and D. A, mild headaches, could indicate a potential neurological issue. B, severe nausea and vomiting, may signify a serious gastrointestinal problem. C, difficulty remembering medication times, is a cognitive concern. D, low sodium levels, can lead to various health complications. These findings require immediate follow-up to address potential health risks. Other choices (E, F, G) are left blank as they are not relevant to the immediate health concerns highlighted in the question.