ATI RN
ATI RN Pharmacology 2023 II Questions
Extract:
Question 1 of 5
A nurse is preparing to administer cefazolin 1 g in 0.9% sodium chloride 100 mL via intermittent IV bolus over 30 minutes. 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: 50
Rationale:
Step 1: Determine the total volume (100 mL).
Step 2: Determine the time (30 minutes).
Step 3: Calculate the flow rate in mL/min (100 mL ÷ 30 min = 3.33 mL/min).
Step 4: Calculate gtt/min (3.33 mL/min × 15 gtt/mL = 49.95 gtt/min).
Step 5: Round to 50 gtt/min.
Question 2 of 5
A nurse is providing teaching to a client who has a prescription for total parenteral nutrition (TPN). Which of the following information should the nurse include in the teaching?
Correct Answer: B
Rationale: You will receive TPN through a central vein' is correct. TPN is typically administered through a central venous catheter because it is a hypertonic solution that can irritate peripheral veins.
Question 3 of 5
A nurse is caring for a client who is receiving high-dose metoclopramide. The nurse should monitor the client for which of the following adverse effects?
Correct Answer: D
Rationale: Tardive dyskinesia is a serious adverse effect of metoclopramide, especially with long-term or high-dose use. It involves involuntary, repetitive movements and can be irreversible.
Question 4 of 5
A nurse is planning care for a group of clients. Which of the following client's medications should be monitored by the nurse for hearing loss related to a medication interaction?
Correct Answer: B
Rationale: Furosemide and amikacin is the correct combination. Both furosemide (a loop diuretic) and amikacin (an aminoglycoside antibiotic) have ototoxic potential, and their combined use increases the risk of hearing loss.
Question 5 of 5
A nurse is preparing to administer a medication to a client. Using the rights of medication administration, which of the following actions should the nurse take to ensure the right medication is administered to the client?
Correct Answer: B
Rationale: Use two client identifiers prior to administering the medication is essential to ensure the right medication is given to the right client. This helps prevent medication errors.