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ATI Med Surg Pharm Comprehensive Exam 1 Questions

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Question 1 of 5

The client with acute pancreatitis asks why she is taking omeprazole. What is the nurse's best response?

Correct Answer: C

Rationale: Omeprazole is a proton pump inhibitor that reduces the production of gastric acid, which can help alleviate symptoms and promote healing in acute pancreatitis.

Question 2 of 5

A nurse is caring for a client whose serum potassium level is 5.3 mEq/L. Which of the following scheduled medications should the nurse plan to administer?

Correct Answer: A

Rationale: Furosemide is a loop diuretic that helps to lower potassium levels, making it appropriate for a client with hyperkalemia (potassium level of 5.3 mEq/L).

Question 3 of 5

A nurse is preparing to administer clindamycin 900 mg by intermittent IV bolus over 30 min. Available is clindamycin 900 mg in 100 mL dextrose 5% (DW). The nurse should set the IV pump to deliver how many mL/hr? (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 infusion rate in mL/hr for administering clindamycin 900 mg in 100 mL dextrose 5% over 30 minutes, you would use the formula: (
Total Volume in mL / Time in hours) = Rate in mL/hr. Since the medication needs to be administered over 30 minutes, you convert 30 minutes into hours, which is 0.5 hours. Using the formula, you get (100 mL / 0.5 hours) = 200 mL/hr.

Question 4 of 5

A nurse is teaching about necessary baseline examinations with a female client who is to start taking atorvastatin. Which of the following baseline examinations should the nurse include in the teaching?

Correct Answer: A

Rationale: Liver function tests are necessary before starting atorvastatin due to the medication's potential for hepatotoxicity.

Question 5 of 5

A nurse is administering morphine 2 mg IV every 2 to 4 hr to a client who has an abdominal incision. The nurse should monitor the client for which of the following adverse effects?

Correct Answer: C

Rationale: Orthostatic hypotension is a known adverse effect of morphine due to its potential to cause vasodilation and lower blood pressure, especially when the client changes positions.

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