ATI RN
ATI RN Pharmacology Exam 2024 With NGN Questions
Extract:
Question 1 of 5
How many mL/h should the nurse set the IV infusion pump to deliver half the total volume of lactated Ringer's (4,080 mL) in the first 8 hours?
Correct Answer: D
Rationale: The correct answer is D: 255 mL/h.
To deliver half of 4,080 mL in 8 hours, you need to administer 2,040 mL in 8 hours.
To calculate the infusion rate, divide the total volume by the total time: 2,040 mL รท 8 hours = 255 mL/h. This rate ensures half of the total volume is infused within the specified time frame.
Choice A (200 mL/h) is too slow, as it would not deliver half the volume in 8 hours.
Choices B, C, and E exceed the required rate and would deliver more than half the volume in 8 hours.
Question 2 of 5
Which of the following medication prescriptions should the nurse identify as being complete?
Correct Answer: C
Rationale: The correct answer is C, Digoxin 0.25 mg PO daily. This prescription is complete because it includes the name of the medication (Digoxin), the dosage (0.25 mg), the route (PO), and the frequency (daily). The dosage is specified, and clear instructions are given for administration.
Choice A is incomplete as it lacks frequency information.
Choice B is incomplete as it lacks the frequency and route of administration.
Choice D is incomplete as it lacks the medication name and dosage information.
Choices E, F, and G are not provided.
Question 3 of 5
Which of the following medications for pain relief can be taken concurrently with enoxaparin?
Correct Answer: C
Rationale:
Correct
Answer: C (Acetaminophen)
Rationale:
1. Acetaminophen is a non-steroidal anti-inflammatory drug (NSAI
D) that does not affect platelet function.
2. Enoxaparin is an anticoagulant that works by inhibiting blood clot formation.
3. Taking acetaminophen with enoxaparin does not increase the risk of bleeding.
4.
Choices A, B, and D (Ibuprofen, Naproxen sodium, Aspirin) are NSAIDs that can increase the risk of bleeding when taken with enoxaparin.
Question 4 of 5
Which of the following findings should the nurse document as a manifestation of pseudoparkinsonism in a client taking haloperidol?
Correct Answer: B
Rationale: The correct answer is B: Shuffling gait. Pseudoparkinsonism is a side effect of antipsychotic medications like haloperidol, characterized by symptoms resembling Parkinson's disease. A shuffling gait, where the client takes small steps with feet barely leaving the floor, is a classic manifestation. Serpentine limb movement (
A) is not typically associated with pseudoparkinsonism. Nonreactive pupils (
C) can be a sign of anticholinergic toxicity, not pseudoparkinsonism. Smacking lips (
D) is more indicative of tardive dyskinesia, another side effect of antipsychotics.
Question 5 of 5
Which of the following findings should indicate to the nurse that the ondansetron has been effective?
Correct Answer: B
Rationale: The correct answer is B: Client reports a decrease in nausea. Ondansetron is commonly prescribed to treat nausea and vomiting. A decrease in nausea indicates the medication's effectiveness in managing this specific symptom.
Choices A, C, and D are incorrect because ondansetron does not directly target pain, coughing, or diarrhea. It is important for the nurse to focus on the primary purpose of the medication and assess the related symptoms to determine its effectiveness.