ATI RN
ATI RN Pharmacology 2023 IV Questions
Extract:
Question 1 of 4
A nurse is preparing to administer dextrose 5% in water 500 mL over 12 hr to a client. The nurse should set the IV pump to deliver how many mL/hr?
Correct Answer: A
Rationale: The correct answer is A: 42 mL/hr.
To calculate the IV pump rate, divide the total volume to be infused by the total time in hours (500 mL รท 12 hr = 41.67, rounded to 42 mL/hr). This ensures a consistent and accurate delivery of dextrose over the prescribed duration.
Choices B, C, and D are incorrect as they do not result from the correct calculation. It's important to calculate the IV pump rate precisely to prevent under or over-infusion, which can lead to potential harm to the client.
Question 2 of 4
A nurse is preparing to administer a medication to a client when they discover that the wrong medication was dispensed by the pharmacy. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: File a report with the facility to document the incident as a near miss medication error. This action is crucial for patient safety and quality improvement. By documenting the incident as a near miss, the facility can investigate the root cause, implement preventive measures, and prevent future errors. Informing the client (
A) may cause unnecessary distress. Contacting the prescribing provider (
B) is important but should be done after reporting to the facility. Writing in the client's medical record (
C) is not sufficient for proper reporting.
Choices E, F, and G are not relevant to the situation.
Question 3 of 4
A nurse is caring for an adolescent who is receiving treatment for burns and is requesting medication for pain. Which of the following questions should the nurse ask to determine the quality of the adolescent's pain?
Correct Answer: D
Rationale: The correct answer is D: Can you describe what your pain feels like? This question is crucial in determining the quality of pain, as it helps the nurse understand the characteristics of the pain (e.g., sharp, dull, burning). Understanding the quality of pain can provide valuable information for the nurse to identify potential causes and tailor appropriate pain management strategies.
Choice A is incorrect because pointing to the area of severe pain indicates location, not quality.
Choice B focuses on the timing of pain escalation, not quality.
Choice C assesses pain intensity on a numerical scale, not quality.
In summary, asking the adolescent to describe the pain sensation (choice
D) helps the nurse gain insights into the nature of the pain, which is essential for effective pain management.
Question 4 of 4
A nurse in an outpatient clinic is teaching a client who has a new prescription for oxycodone. Which of the following instructions should the nurse include in the teaching?
Correct Answer: C
Rationale: The correct answer is C: You should take a stool softener while taking this medication. Oxycodone is an opioid analgesic that can cause constipation as a side effect. Taking a stool softener can help prevent or alleviate constipation.
Choice A is incorrect because oxycodone does not typically cause increased urination.
Choice B is incorrect because oxycodone should be taken with food to minimize gastrointestinal side effects.
Choice D is incorrect because there is no need to minimize sunlight exposure specifically with oxycodone.
Question 5 of 4
A nurse is assessing a client who is taking furosemide for heart failure. Which of the following findings indicates an adverse effect of the medication?
Correct Answer: B
Rationale: The correct answer is B: Hearing loss. Furosemide is a loop diuretic that can cause ototoxicity, leading to hearing loss. This adverse effect is important for the nurse to monitor in clients taking furosemide. Increased blood pressure (
A) is not an adverse effect of furosemide but rather a desired outcome in heart failure management. Ankle edema (
C) is actually a symptom of heart failure and should improve with furosemide use. Decreased blood sugar (
D) is not a common adverse effect of furosemide.