ATI RN
ATI RN Pharmacology Exam 2024 With NGN Questions
Extract:
Question 1 of 5
Which of the following actions should the nurse take when observing infiltration of fluid into the tissue surrounding an IV insertion site?
Correct Answer: C
Rationale: The correct answer is C: Elevate the extremity. Elevating the extremity helps reduce swelling and minimize tissue damage caused by the infiltration of fluid. By elevating the extremity, gravity helps to prevent further spread of the infiltrated fluid into the surrounding tissue. This action promotes better circulation and aids in the reabsorption of the fluid back into the vascular system. Flushing the IV catheter (choice
A) may exacerbate the infiltration, applying pressure to the IV site (choice
B) can cause tissue damage, and slowing the infusion rate (choice
D) may not address the immediate issue of fluid infiltration.
Question 2 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 an antiemetic medication commonly used to treat nausea and vomiting.
Therefore, a decrease in nausea is the expected outcome.
Choices A, C, and D are incorrect because ondansetron specifically targets nausea and vomiting, not pain, coughing, or diarrhea. It is important for the nurse to monitor the client's response to the medication to ensure its effectiveness in managing the intended symptoms.
Question 3 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:
To deliver half of 4,080 mL in 8 hours, first calculate the total volume per hour: 4,080 mL / 8 hours = 510 mL/h. Half of this is 255 mL/h, making choice D the correct answer.
Choices A, B, and C are too low, while choice E is too high, as they do not deliver the required volume in the specified time frame.
Question 4 of 5
Which of the following actions should the nurse take when observing infiltration of fluid into the tissue surrounding an IV insertion site?
Correct Answer: C
Rationale: The correct answer is C: Elevate the extremity. Elevating the extremity helps reduce swelling and minimize tissue damage caused by the infiltration of fluid. By elevating the extremity, gravity helps to prevent further spread of the infiltrated fluid into the surrounding tissue. This action promotes better circulation and aids in the reabsorption of the fluid back into the vascular system. Flushing the IV catheter (choice
A) may exacerbate the infiltration, applying pressure to the IV site (choice
B) can cause tissue damage, and slowing the infusion rate (choice
D) may not address the immediate issue of fluid infiltration.
Question 5 of 5
Which of the following information should the nurse include in the teaching about medication reconciliation?
Correct Answer: C
Rationale:
Rationale: Option C is correct because a transition in care, such as admission or discharge, necessitates medication reconciliation to ensure patient safety. This process involves comparing the medications a patient is currently taking with newly prescribed medications. Option A is incorrect as medication reconciliation is a collaborative effort involving healthcare providers, not just the client's provider. Option B is incorrect because medication reconciliation should encompass all medications the client is taking, not just those ordered at discharge. Option D is incorrect as medication reconciliation should include details like dosages and frequencies, not just names.