ATI RN
ATI Pharmacology N211 Delia Exam Questions
Extract:
Question 1 of 5
A nurse is preparing to administer midazolam 0.2 mg/kg via IV bolus now. The client weighs 220 lb. How many mg should the nurse administer?
Correct Answer: A
Rationale: The correct answer is A: 20 mg.
To calculate the dosage, first convert the client's weight from lbs to kg (220 lbs ÷ 2.2 = 100 kg).
Then, multiply the weight by the dosage (0.2 mg/kg) to get the total dose (100 kg x 0.2 mg/kg = 20 mg). This ensures accurate dosing based on the client's weight. Other choices are incorrect as they do not follow the correct calculation method or do not consider the weight-based dosing protocol.
Question 2 of 5
A nurse is preparing to administer total parental nutrition (TPN) 1800 mL to infuse over 24 hr. The nurse should set the IV pump to deliver how many mL/hr?
Correct Answer: A
Rationale: The correct answer is A: 75 mL/hr.
To calculate the infusion rate, divide the total volume (1800 mL) by the total time (24 hr): 1800 mL / 24 hr = 75 mL/hr. This ensures a consistent and safe infusion rate for the TPN. Other choices are incorrect as they do not provide the accurate calculation based on the volume and time specified in the question. Option B-G are not applicable as the correct answer has already been determined.
Question 3 of 5
A nurse in an acute care mental health facility is preparing to administer morning medication for a client who has been taking lithium for 2 weeks and has a current lithium level of 1.0 mEq/L. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Administer the morning dose of lithium. At a lithium level of 1.0 mEq/L, it is within the therapeutic range (0.6-1.2 mEq/L) for the treatment of bipolar disorder.
Therefore, the nurse should continue with the prescribed medication regimen. Holding the medication (choice
D) without a valid reason could lead to potential relapse of the client's condition.
Choices A, B, and the rest are incorrect because there is no indication for gastric lavage as the lithium level is not extremely elevated, checking the medication record is unnecessary as the client's lithium level is within the therapeutic range, and holding the medication without a valid reason can be detrimental to the client's mental health treatment.
Question 4 of 5
A nurse is teaching a class about safe medication administration. The nurse should include in the teaching that which of the following references are acceptable for safe medication administration? (Select all that apply.)
Correct Answer: A,B,C
Rationale: The correct answers are A, B, and C. Pharmacists are knowledgeable about medications and can provide accurate information. Published journals contain evidence-based information on medication administration. The Physicians Desk Reference is a trusted resource for medication information. Pharmaceutical sales representatives may have biased information and should not be relied upon for safe medication administration. It's important to use reputable and unbiased sources to ensure safe medication practices.
Question 5 of 5
A nurse is caring for an adolescent client who is receiving carbamazepine for partial seizure disorder. Which of the following statements by the client's parent is the nurse's priority?
Correct Answer: A
Rationale: The correct answer is A: He has so many new bruises on his body. This is the nurse's priority because carbamazepine can cause a decrease in platelet count, leading to bruising and bleeding. It indicates a potential serious side effect that requires immediate attention.
Choices B, C, and D are common side effects of carbamazepine but are less urgent compared to potential bleeding issues. The client experiencing dry mouth, nausea, or fatigue are expected side effects that can be managed with interventions. In contrast, new bruises warrant further assessment and monitoring to ensure the client's safety.