ATI RN
ATI RN Pharmacology Proctored Exam Questions
Extract:
Question 1 of 5
A nurse is preparing to administer potassium chloride elixir 20 mEq/day PO to divide equally every 12 hr. Available is 6.7 mEq/5 mL. How many mL should the nurse administer per dose? (Round to the nearest tenth.)
Correct Answer: 7.5
Rationale: The correct answer is 7.5 mL.
To calculate this, first, determine the total daily dose (20 mEq/day) divided by 2 to get the dose per administration (10 mEq every 12 hours). Next, divide the dose per administration by the concentration of the elixir (6.7 mEq/5 mL) to get the mL per dose. Thus, 10 mEq รท 6.7 mEq/5 mL = 7.5 mL. This ensures the patient receives the correct amount of potassium chloride elixir each dose. The other choices are incorrect because they do not correspond to the calculated amount based on the given information.
Extract:
Provider Prescrptions
2 deys later
Ferrous sufate 325 mg PO every other cay. Laboratory Results
0930hrs
Feman 7 agiml (1012 150 ngrmi)
Iron 45 meg/dL (60 to 160 megrdl)
Hemagiobin
Question 2 of 5
For each of the following client statements, click to specify whether the statement indicates an understanding or no understanding of the teaching.
| Client Statement | Understanding | No understanding |
|---|---|---|
| If I experience black stools, I should notify my provider. | ||
| I should rinse my mouth after taking this medication. | ||
| I should avoid taking antacids while on this medication. | ||
| I should take this medication with orange juice. | ||
| I should take my medication on an empty stomach. |
Correct Answer: D
Rationale: [0, 0, 0, 1]
Client Statement D states, "I should take this medication with orange juice." This statement is incorrect for most medications as citrus juices like orange juice can interact with medications.
Therefore, choosing this option indicates no understanding. The other statements do not directly relate to medication instructions, so they should not be selected.
Extract:
Question 3 of 5
A nurse is assessing a client who is taking an osmotic laxative. Which of the following findings should the nurse identify as an indication of fluid volume deficit?
Correct Answer: D
Rationale: The correct answer is D: Oliguria. Osmotic laxatives work by drawing water into the colon to promote bowel movements, potentially leading to fluid loss. Oliguria, decreased urine output, indicates fluid volume deficit due to the body conserving water. Nausea (
A) is a common side effect of laxatives and does not directly indicate fluid volume deficit. Weight gain (
B) is not typically associated with fluid volume deficit. Headache (
C) can occur for various reasons and is not a specific sign of fluid volume deficit in this context.
Question 4 of 5
A nurse is caring for a 4-year-old child following an orthopedic procedure. When assessing the child for pain, which of the following pain scales should the nurse use?
Correct Answer: A
Rationale: The correct answer is A: FACES pain scale. This is appropriate for children aged 3 and older who can point to the face that best represents their pain level. It is simple, easy to understand, and has been validated for use in pediatric populations. The FACES scale allows children to express their pain visually, making it suitable for young children who may not be able to articulate their pain verbally.
The other choices are not as appropriate for assessing pain in a 4-year-old child.
B: Numeric scale may be challenging for young children to understand and use effectively.
C: CRIES scale is typically used for infants and may not be suitable for a 4-year-old child who can communicate more effectively.
D: Word graphic scales may be too complex for young children to comprehend.
Therefore, the FACES pain scale is the most suitable choice for assessing pain in a 4-year-old child post orthopedic procedure.
Question 5 of 5
A nurse is caring for a client who is taking lithium and reports starting a new exercise program. The nurse should assess the client for which of the following electrolyte imbalances?
Correct Answer: C
Rationale: The correct answer is C: Hyponatremia. When a client taking lithium starts a new exercise program, they are at risk for developing hyponatremia due to increased sweating and sodium loss. Hyponatremia can lead to symptoms such as confusion, muscle weakness, and seizures. Assessing for hyponatremia is crucial to prevent serious complications.
Choices A, B, and D are incorrect because they are not typically associated with lithium use or new exercise programs. Hypocalcemia (
A) is more commonly linked to thyroid or parathyroid issues. Hypokalemia (
B) is usually caused by diuretic use or gastrointestinal losses. Hypomagnesemia (
D) is often related to alcoholism or malnutrition.