ATI RN
ATI N303 Pharmacology Exam Questions
Extract:
Question 1 of 5
A nurse is preparing to administer clindamycin 300 mg by intermittent IV bolus over 30 min to a client who has a staphylococci infection. Available is clindamycin premixed in 50 mL 0.90% sodium chloride (NaCl). The nurse should set the IV pump to deliver how many mL/hr? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: A
Rationale:
To calculate: 50 mL ÷ 0.5 hr = 100 mL/hr, ensuring the correct infusion rate for clindamycin administration.
Question 2 of 5
A nurse is caring for a client who has a central venous catheter and reports hearing a gurgling sound on the side of the catheter insertion. Which of the following complications should the nurse suspect?
Correct Answer: A
Rationale: A gurgling sound suggests partial catheter dislodgment, allowing air entry or fluid leakage, which requires immediate intervention to prevent complications like air embolism.
Question 3 of 5
A nurse is preparing to administer a medication to a client who states, 'That looks different from the pill I usually take.' Which of the following responses should the nurse make?
Correct Answer: B
Rationale: Asking the client to describe the pill verifies its identity, ensuring the correct medication is administered and addressing the client's concern.
Question 4 of 5
A nurse is caring for a client who is on warfarin therapy for atrial fibrillation. The client's INR is 5.2. Which of the following medications should the nurse prepare to administer?
Correct Answer: D
Rationale: Vitamin K reverses warfarin's anticoagulant effects by promoting clotting factor synthesis, reducing the high INR of 5.2, which indicates an increased bleeding risk.
Question 5 of 5
A nurse is assessing an older adult client who is receiving digoxin. The nurse should recognize that which of the following findings is a manifestation of digoxin toxicity?
Correct Answer: C
Rationale: Anorexia is a common early sign of digoxin toxicity, often accompanied by nausea and vomiting, requiring prompt evaluation.