ATI RN
ATI Pharmacology 2023 Questions
Extract:
Question 1 of 5
A nurse is providing teaching to a client about how to self-administer subcutaneous injections of enoxaparin. Which of the following instructions should the nurse include?
Correct Answer: A
Rationale: The correct answer is A: Ensure that the air bubble remains in the syringe. This is important because enoxaparin is an anticoagulant medication, and any air in the syringe could lead to inaccurate dosing. The air bubble acts as a safety measure to prevent losing any medication. Option B is incorrect as rubbing the site can cause irritation and bruising. Option C is incorrect as enoxaparin is typically injected into the abdomen, not the lateral thigh. Option D is incorrect as releasing the skin fold too soon can cause the medication to leak out.
Question 2 of 5
A nurse is preparing to administer cefazolin 1 g in 0.9% sodium chloride 100 ml- via intermittent IV bolus over 30 min. The drop factor of the manual IV tubing is I5 gtt/mL. The nurse should set the manual IV infusion to deliver how many gtt/min? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: A
Rationale:
To calculate the IV infusion rate, first, convert the infusion time to minutes (30 min).
Then, calculate the total volume to be infused (100 mL). Next, determine the total number of drops needed (15 gtt/mL x 100 mL) = 1500 drops. Finally, divide the total drops by the infusion time in minutes (1500 drops / 30 min) = 50 gtt/min. This is why choice A (50) is correct.
Choices B, C, and D are incorrect as they do not match the calculated infusion rate.
Question 3 of 5
A nurse is planning to administer a controlled substance to a client who is experiencing pain. Which of the following actions should the nurse plan to take first?
Correct Answer: B
Rationale: The correct answer is B: Identify the client using two identifiers. This is the first step the nurse should take to ensure the right client receives the medication. By confirming the client's identity with two identifiers, such as name and date of birth, the nurse minimizes the risk of medication errors. Removing the medication from the cabinet (
A) should come after confirming the client's identity. Comparing medication amounts (
C) and documenting administration (
D) are important steps but should follow client identification to prioritize patient safety.
Question 4 of 5
A nurse is caring for a group of clients. Which of the following situations requires an incident report?
Correct Answer: C
Rationale: The correct answer is C because administering insulin 1 hr before scheduled time can have serious consequences on the client's blood sugar levels. Incident reports are required for any unexpected or adverse events that occur during client care.
Choices A and B are expected outcomes that do not necessarily require incident reports.
Choice D, receiving a meal tray late, is a minor issue that does not pose immediate harm to the client.
Question 5 of 5
A home care nurse is teaching a client about safe medication disposal. Which of the following instructions should the nurse include?
Correct Answer: D
Rationale:
Rationale:
Choice D is correct because returning expired medication to the pharmacist ensures proper disposal, preventing environmental harm and misuse.
Choice A is incorrect as it can lead to accidental ingestion.
Choice B is incorrect as it can contaminate water sources.
Choice C is incorrect as it can harm aquatic life.