ATI RN
ATI Med Surg Pharm Comprehensive Exam 1 Questions
Extract:
Question 1 of 5
A nurse is preparing to administer clindamycin 900 mg by intermittent IV bolus over 30 min. Available is clindamycin 900 mg in 100 mL dextrose 5% (DW). 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 the infusion rate in mL/hr for administering clindamycin 900 mg in 100 mL dextrose 5% over 30 minutes, you would use the formula: (
Total Volume in mL / Time in hours) = Rate in mL/hr. Since the medication needs to be administered over 30 minutes, you convert 30 minutes into hours, which is 0.5 hours. Using the formula, you get (100 mL / 0.5 hours) = 200 mL/hr.
Question 2 of 5
A nurse in a long-term care facility is caring for an older adult client who had a stroke 4 weeks ago and who is unable to move independently. The nurse should monitor for which of the following complications of immobility?
Correct Answer: D
Rationale: A reddened area over the sacrum indicates pressure injury, a common and serious complication of immobility that requires immediate attention.
Question 3 of 5
An older adult client is scheduled to have an elective surgical procedure and informs the nurse that she wants to be designated as a 'do not resuscitate' (DNR) case. Which of the following responses should the nurse provide?
Correct Answer: D
Rationale: The provider should directly discuss the client's wishes regarding a DNR order to ensure understanding and documentation.
Question 4 of 5
A nurse is providing dietary teaching for a client who is Asian-American and is gazing at the floor during the instructions. Which of the following actions should the nurse take to demonstrate culturally sensitive nursing care?
Correct Answer: B
Rationale: Continuing with the discussion respects the client's cultural behavior, as some cultures view direct eye contact as disrespectful.
Question 5 of 5
A nurse is caring for a client who has the following arterial blood gas results: HCO, 18 mEq, PaCO2 28 mm Hg and pH 7.30. The nurse recognizes the client is experiencing which of the following acid base imbalances?
Correct Answer: B
Rationale: Metabolic acidosis is indicated by a low HCO3 (18 mEq/L) and a low pH (7.30). The low PaCO2 is a compensatory response.