ATI RN
ATI N303 Pharmacology Exam Questions
Extract:
Question 1 of 5
A nurse is preparing to administer lidocaine 50 mg IV bolus. Available is lidocaine 200 mg/mL. How many mL should the nurse administer (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: A
Rationale:
To calculate: 50 mg ÷ 200 mg/mL = 0.25 mL, rounded to 0.3 mL, ensuring the correct lidocaine dose is administered.
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 administers the wrong medication to a client. Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: Checking vital signs first assesses the client's immediate condition, identifying any adverse effects from the wrong medication to guide further action.
Question 4 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.
Question 5 of 5
A nurse is caring for a client who is taking digoxin for heart failure and develops indications of severe digoxin toxicity. Which of the following medications should the nurse prepare to administer?
Correct Answer: D
Rationale: Fab antibody fragments (Digibind or DigiFab) bind to digoxin, neutralizing its effects and treating severe toxicity, which can cause life-threatening arrhythmias.