ATI RN
ATI RN Med Surg Pharm Competence Exam Questions
Extract:
Question 1 of 5
A nurse is preparing to administer lactated Ringer's solution IV to infuse at 120 mL/hr for a client who has a respiratory disorder. The drop factor on the manual IV tubing is 60 gtt/mL. The nurse should set the IV flow rate to deliver how many gtt/min? (Round to the nearest whole number.)
Correct Answer: 120 gtt/min.
Rationale: Drip rate (gtt/min) = (120 mL/hr / 60 min/hr) x 60 gtt/mL = 120 gtt/min.
Question 2 of 5
A nurse is reinforcing discharge teaching with a client who has pulmonary tuberculosis and is to start taking rifampin. Which of the following information should the nurse include?
Correct Answer: A
Rationale: Rifampin causes orange discoloration of urine, sweat, and other body fluids.
Question 3 of 5
A nurse is reinforcing discharge teaching with a client following an episode of status asthmaticus. The client has a prescription for two inhalations from an albuterol metered-dose inhaler. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: B
Rationale: Holding the breath for 10 seconds after inhaling medication helps ensure the medication is absorbed in the lungs.
Question 4 of 5
A nurse is reviewing the chart of a client who is scheduled to have radiological studies of the kidneys performed with the use of IV contrast dye. Which of the following client medications should the nurse withhold prior to the examination?
Correct Answer: D
Rationale: Metformin should be withheld prior to procedures involving contrast dye because it can increase the risk of lactic acidosis when combined with contrast agents, especially in clients with renal impairment.
Question 5 of 5
A nurse is reinforcing teaching with a client who has angina pectoris about starting therapy with nitroglycerin sublingual tablets. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: C
Rationale: If one dose of nitroglycerin does not relieve chest pain after 5 minutes, the client should call 911.