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Exam Review

Ati RN Pharmacology 2023 Retake 1

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Total Questions : 59

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Question 1:

A nurse is assessing a client who is receiving a peripheral IV infusion and notes infiltration of fluid into the tissues surrounding the insertion site. Which of the following actions should the nurse take?

Answer and Explanation

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Question 2:

A nurse is caring for a group of clients. Which of the following situations requires an incident report?

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Question 3:

A nurse is providing teaching to a client who has a new prescription for carbamazepine for the treatment of seizures. The nurse should instruct the client to monitor for which of the following adverse effects?

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Question 4:

A nu’se is preparing to administer heparin subcutaneously to a client. Which of the following actions should the nurse plan to take to minimize bleeding following the injection?

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Question 5:

A nurse is assessing the vital signs of a client who is taking amiodarone. The nurse should anticipate which of the following findings as an adverse effect of the medication?

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Question 6:

A nurse is reviewing a client's medication administration record and f’nds digoxin was administered to the client with a heart rate of 58/min. Which of the following actions should the nurse take first?

Answer and Explanation

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Question 7:

A nurse is administering 4 mg of hydromorphone to a client by mouth every 4 hr. The medication is provided as hydromorphone 8 mg per tablet. Which of the following actions is appropriate for the nurse to take?

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Question 8:

A nurse is caring for a client who has cirrhosis of the liver and is receiving spironolactone. Which of the following findings indicates that the client is responding to the treatment?

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Question 9:

A nurse is caring for a client who is taking warfarin and reports taking several new herbal supplements. The nurse should identify that which of the following supplements is contraindicated for concurrent use with warfarin?

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Question 10:

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 15 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.)

Answer and Explanation
Correct Answer: "50" gtt/min

Explanation

Volume delivered per minute:

Flow rate (mL/hr) = 200 mL/hr (from previous steps)

Volume per minute (mL/min) = Flow rate (mL/hr) / 60 minutes/hour

Volume per minute (mL/min) = 200 mL/hr / 60 minutes/hour = 3.33 mL/min (round to two decimals for accuracy)

Convert volume per minute to gtt/min using the drop factor:

Drop factor = 15 gtt/mL

Volume per minute (mL/min) = 3.33 mL/min (rounded value)

Flow rate (gtt/min) = Volume per minute (mL/min) x Drop factor (gtt/mL)

Flow rate (gtt/min) = 3.33 mL/min x 15 gtt/mL

Flow rate (gtt/min) = 50 gtt/min (round to nearest whole number as requested)

Therefore, the nurse should set the manual IV infusion to deliver approximately 50 gtt/min.


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