ATI RN
ATI RN Pharmacology 2023 IV Questions
Extract:
Question 1 of 5
A nurse is interviewing a client who was newly admitted prior to administering medications. The client tells the nurse, 'I forgot to tell the doctor I take albuterol for asthma.' For which of the following medications should the nurse withhold the dose and notify the provider?
Correct Answer: D
Rationale: Propranolol, a beta-blocker, can decrease the effectiveness of albuterol, a beta-2 agonist, and exacerbate asthma symptoms, requiring provider notification.
Question 2 of 5
A nurse is assessing a client who is in labor and is receiving epidural anesthesia. Which of the following findings should the nurse identify as the priority?
Correct Answer: A
Rationale: Hypotension is a common side effect of epidural anesthesia due to vasodilatory effects and can lead to decreased perfusion to vital organs and compromise fetal oxygenation, making it the priority.
Question 3 of 5
A nurse is preparing to administer dextrose 5% in water 350 mL IV to infuse over 3 hr. The drop factor of the manual IV tubing is 10 gtt/mL. The nurse should set the manual IV infusion to deliver how many gtt/min?
Correct Answer: A
Rationale: Calculate: (350 mL * 10 gtt/mL) / (3 hr * 60 min/hr) = 3500 gtt / 180 min ≈ 19.44 gtt/min, rounded to 19.
Question 4 of 5
A nurse is speaking with the adult child of a client who is terminally ill and has decided to discontinue further treatment. The adult child states, 'I am not going to let this happen.' Which of the following responses should the nurse make?
Correct Answer: C
Rationale: This response respects the client's autonomy and supports ethical principles in end-of-life care.
Question 5 of 5
A nurse is assessing a client who has muscarinic agonist poisoning. Following administration of atropine, which of the following findings should indicate to the nurse that the treatment has been effective?
Correct Answer: B
Rationale: Atropine increases heart rate by blocking vagal effects, so a heart rate of 90/min indicates reversal of bradycardia caused by muscarinic agonists.