Questions 48

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ATI RN Med Surg Pharm Competence Exam Questions

Extract:


Question 1 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.

Question 2 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 3 of 5

A nurse is assisting in the education of a group of clients about the contraindications of warfarin therapy. Which of the following statements is appropriate to include in the instructions?

Correct Answer: D

Rationale: Warfarin is contraindicated during pregnancy due to its potential to cause birth defects and fetal hemorrhage.

Question 4 of 5

A nurse in a provider's office is reinforcing teaching with a client who has anemia and has been taking ferrous gluconate for several weeks. Which of the following instructions should the nurse include?

Correct Answer: C

Rationale: Ferrous gluconate is best absorbed on an empty stomach, though it can be taken with meals to minimize gastrointestinal upset.

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.

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