ATI RN
ATI Med Surg Pharm Comprehensive Exam 1 Questions
Extract:
Question 1 of 5
A nurse is preparing to administer an IV fluid bolus of 200 mL dextrose 5% in water over 30 min. The drop factor of the manual IV tubing is 15 gtt/mL. The nurse should set the manual IV infusion to deliver how many gtt/min? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 100
Rationale:
To calculate the flow rate for an IV fluid bolus, you can use the formula: (Volume in mL * Drop factor) / Time in minutes. For a 200 mL dextrose 5% in water to be administered over 30 minutes with a drop factor of 15 gtt/mL, the calculation would be (200 * 15) / 30, which equals 100 gtt/min.
Question 2 of 5
A nurse is administering morphine 2 mg IV every 2 to 4 hr to a client who has an abdominal incision. The nurse should monitor the client for which of the following adverse effects?
Correct Answer: C
Rationale: Orthostatic hypotension is a known adverse effect of morphine due to its potential to cause vasodilation and lower blood pressure, especially when the client changes positions.
Question 3 of 5
A nurse is providing teaching to a client about preventing skin cancer. Which of the following client statements indicates a need for further teaching?
Correct Answer: A
Rationale: This statement indicates a need for further teaching as a high fiber diet is not directly related to reducing the risk of skin cancer.
Question 4 of 5
A nurse withdraws morphine 2 mg from a 4-mg/mL vial to inject IM for a client. Which of the following actions should the nurse take for wasting the excess medication?
Correct Answer: D
Rationale: Having a second nurse witness the disposal of the excess medication ensures proper documentation and accountability for controlled substances.
Question 5 of 5
A client who has Type 2 diabetes mellitus asks the nurse, 'Why did I develop diabetes?' Which of the following responses should the nurse make?
Correct Answer: D
Rationale: Type 2 diabetes mellitus is characterized by insulin resistance and decreased insulin secretion by the pancreas.