ATI RN
ATI RN Pharmacology 2023 III Questions
Extract:
Question 1 of 5
A nurse is preparing to mix short-acting insulin with NPH insulin from two vials. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Inject air into the vial to withdraw the short-acting insulin. This is the correct action because when mixing short-acting insulin with NPH insulin, it is important to prevent contamination and ensure accurate dosing. By injecting air into the vial before withdrawing the short-acting insulin, the nurse prevents a vacuum from forming in the vial and makes it easier to withdraw the correct amount of insulin. This step helps maintain the integrity of both insulins and ensures accurate dosing.
Incorrect choices:
A: Administer the insulin within 20 min of preparing it - This is incorrect as insulin should be administered immediately after mixing.
B: Ensure the NPH insulin is drawn into the syringe first - This is incorrect as the short-acting insulin should be drawn first to prevent contamination.
D: Use two separate syringes to mix the insulin - This is incorrect as mixing in the same syringe is not recommended to avoid inaccurate dosing.
Question 2 of 5
A nurse is caring for a client who is receiving an intravenous infusion via pump at a rate of 3 mL/min. The infusion started 2 hr ago with 500 mL in the medication bag. How many ml have been infused?
Correct Answer: C
Rationale: The correct answer is C (360 mL).
To calculate the amount infused, multiply the infusion rate (3 mL/min) by the total time (2 hours x 60 min/hour = 120 min). 3 mL/min x 120 min = 360 mL.
Choice A (180 mL) is incorrect because it does not account for the full 2 hours of infusion.
Choice B (157 mL) is incorrect as it is too low for a 2-hour infusion at 3 mL/min.
Choice D (334 mL) is incorrect as it is also too low for a 2-hour infusion at 3 mL/min.
Extract:
Vital Signs
Nurses' Notes
1 week ago:
Temperature 37° C (98.6° F) Heart rate 64/min Respiratory rate 12/min
Blood pressure 118/72 mm Hg Today:
Temperature 37.2° C (98.9° F) Heart rate 82/min Respiratory rate 16/min
Blood pressure 110/68 mm Hg
A nurse is caring for a client in the clinic.
Question 3 of 5
Which of the following client statements indicates to the nurse the teaching was effective? Select all that apply.
Correct Answer: C,D,E
Rationale: The correct answers are C, D, and E. Statement C shows understanding of oral care post-teaching. Statement D indicates awareness of avoiding alcohol while on medication. Statement E reflects comprehension of soft diet.
Choices A and B are incorrect as they demonstrate misunderstandings. A firm-bristle toothbrush is not recommended for oral hygiene, and avoiding folic acid with medication is unnecessary.
Extract:
Question 4 of 5
A nurse is assessing a client who has received oxycodone. The nurse notes that the client's respiratory rate is 8/min. The nurse should identify that which of the following is the pathophysiology for the client's respiratory rate?
Correct Answer: C
Rationale: Answer C is correct because oxycodone, an opioid analgesic, causes central nervous system depression, which can lead to respiratory depression. Opioids act on the brainstem, decreasing the sensitivity of the respiratory center to carbon dioxide levels, resulting in decreased respiratory rate.
Choices A, B, and D are incorrect because they do not directly relate to the respiratory depression caused by oxycodone. Opioids do not inhibit prostaglandin synthesis (
Choice
A), block sodium channels (
Choice
B), or promote vasodilation of cranial arteries (
Choice
D) in a way that directly affects respiratory rate.
Extract:
Nurses' Notes
Provider Prescriptions
0900:
The client is being seen in the office. The client reports feeling fatigued and having a heavy menstrual cycle the past year. Upon assessment, the client's conjunctiva and mucosal membranes are pale. Provider notified and laboratory samples to be drawn. 2 Days Later:
Provider reviewed laboratory results and prescription written.
Question 5 of 5
For each of the statements made by the client, click to specify whether the statement indicates an understanding or no understanding of the teaching provided.
| Options | Understanding | No Understanding |
|---|---|---|
| I should avoid taking antacids while on this medication. | ||
| If I experience black stools, I should notify my provider. | ||
| I should rinse my mouth after taking this medication. | ||
| I should take this medication with orange juice. | ||
| I should take my medication on an empty stomach.†|
Correct Answer: A (Understanding), B (No Understanding), C (Understanding), D (Understanding), E (Understanding)
Rationale: The correct answer is:
Explanation:
A: "I should avoid taking antacids while on this medication." - This is correct as antacids can interfere with the absorption of certain medications.
B: "If I experience black stools, I should notify my provider." - This indicates no understanding as black stools can be a sign of gastrointestinal bleeding, which should be reported.
C: "I should rinse my mouth after taking this medication." - This is correct as rinsing the mouth can help prevent side effects like oral thrush.
D: "I should take this medication with orange juice." - This is incorrect as certain medications may interact with citrus juices like orange juice.
E: "I should take my medication on an empty stomach." - This is correct for some medications that require specific conditions for absorption.
Therefore, options A, C, D, and E show understanding of the teaching, while option B shows no understanding