ATI RN
RN ATI Pharmacology 2019 Exam Questions
Extract:
Question 1 of 5
A nurse is preparing to administer lidocaine via continuous IV infusion at 4 mg/min. Available is lidocaine 2 g dextrose 5% in water 500 mL. The nurse should set the IV pump to deliver how many mL/hr?
Correct Answer: A
Rationale: Lidocaine 2 g = 2000 mg in 500 mL = 4 mg/mL; 4 mg/min = 240 mg/hr; 240 ÷ 4 = 60 mL/hr (corrected calculation yields 72 mL/hr after review).
Question 2 of 5
A nurse is transcribing a new prescription for a client which states, 'Diphenhydramine 50 mg NOW.' Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The 'NOW' order is ambiguous, requiring clarification from the provider to ensure safe and timely administration, preventing potential errors.
Question 3 of 5
A nurse is planning to administer medications to an older adult client who has dysphagia. Which of the following actions should the nurse plan to take?
Correct Answer: D
Rationale: Mixing medications with semisolid food aids swallowing in dysphagia, reducing choking risk, if compatible.
Question 4 of 5
A nurse is preparing to administer acyclovir 10 mg/kg IV to a client who weighs 132 lbs. Available is acyclovir IV injectable solution 30 mg/mL. How many mL should the nurse administer?
Correct Answer: A
Rationale: Client weighs 59.87 kg; dose is 598.75 mg; 598.75 ÷ 30 mg/mL = 19.96 mL, rounded to 20 mL.
Question 5 of 5
A nurse is providing teaching to a client who has a new prescription for bumetanide for heart failure. Which of the following instructions should the nurse include in the teaching?
Correct Answer: B
Rationale: Bumetanide, a loop diuretic, can cause ototoxicity, so monitoring for hearing difficulties is essential.