ATI RN
RN ATI Pharmacology 2019 Exam Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is receiving intravenous therapy and observes redness and inflammation along the vein. The nurse should identify this finding as which of the following complications of IV therapy?
Correct Answer: D
Rationale: Redness and inflammation along the vein indicate phlebitis, caused by irritation or infection from the IV catheter or solution.
Question 2 of 5
A nurse is caring for a group of clients. For which of the following situations should the nurse complete an incident report?
Correct Answer: C
Rationale: Using dextrose 5% in water for a blood transfusion is a serious error, risking hemolysis, and requires an incident report.
Question 3 of 5
A nurse is caring for a client who is receiving a continuous IV infusion of magnesium sulfate for preterm labor. The nurse should discontinue the infusion and prepare to administer calcium gluconate if the client demonstrates which of the following findings? (Select all that apply.)
Correct Answer: A,C
Rationale: Absence of deep-tendon reflexes and decreased consciousness indicate magnesium toxicity, requiring calcium gluconate to counteract effects.
Question 4 of 5
A nurse is preparing to administer acyclovir 10 mg/kg IV to a client who weighs 132 lbs. Available is acyclovir IV injectable solution 30 mg/mL. How many mL should the nurse administer?
Correct Answer: A
Rationale: Client weighs 59.87 kg; dose is 598.75 mg; 598.75 ÷ 30 mg/mL = 19.96 mL, rounded to 20 mL.
Question 5 of 5
A nurse is caring for a client who has heart failure and is taking hydrochlorothiazide. The nurse should monitor the client for which of the following manifestations as an adverse effect of the medication?
Correct Answer: C
Rationale: Hydrochlorothiazide increases potassium excretion, risking hypokalemia, which can cause muscle weakness or arrhythmias.