ATI Pharmacology Proctored Exam 2023

Questions 120

ATI RN

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ATI Pharmacology Proctored Exam 2023 Questions

Question 1 of 5

A healthcare professional is preparing to administer vancomycin 1 g by intermittent IV bolus. Available is vancomycin 1 g in 100 mL of dextrose 5% in water (D5W) to infuse over 45 min. The drop factor of the manual IV tubing is 10 gtt/mL. How many gtt/min should the healthcare professional adjust the manual IV infusion to deliver?

Correct Answer: A

Rationale: To determine the flow rate in drops per minute (gtt/min), you can use the formula: (Volume in mL x Drop factor) / Time in minutes = Flow rate in gtt/min. In this case, it would be (100 mL x 10 gtt/mL) / 45 min = 22 gtt/min. Therefore, the healthcare professional should adjust the manual IV infusion to deliver 22 gtt/min.

Question 2 of 5

A client has a new prescription for Levodopa/Carbidopa for Parkinson's disease. Which of the following instructions should the nurse include?

Correct Answer: C

Rationale: It is essential to take Levodopa/Carbidopa with food to reduce gastrointestinal side effects. Food helps decrease the likelihood of gastrointestinal upset that may occur when taking this medication. Instructing the client to take the medication with food promotes better tolerance and absorption of the drug.

Question 3 of 5

A client with end-stage cancer receiving Morphine is prescribed Methylnaltrexone. The client's daughter asks why the provider prescribed Methylnaltrexone. Which of the following responses should the nurse make?

Correct Answer: C

Rationale: Methylnaltrexone is an opioid antagonist used to treat severe constipation unrelieved by laxatives in opioid-dependent clients. It blocks the mu opioid receptors in the GI tract, helping to alleviate constipation without affecting pain relief or causing withdrawal symptoms.

Question 4 of 5

A client has a prescription for ceftriaxone. Which of the following information should the nurse include in the teaching?

Correct Answer: B

Rationale: The nurse should instruct the client to discontinue ceftriaxone if a rash develops, as it could indicate an allergic reaction that needs to be reported to the healthcare provider for further evaluation and management.

Question 5 of 5

A client has a new prescription for Alendronate. Which of the following instructions should the nurse include?

Correct Answer: B

Rationale: The correct answer is to instruct the client to remain upright for 30 minutes after taking Alendronate. Alendronate can cause esophageal irritation and even ulceration if it remains in contact with the esophagus. By staying upright, the medication is more likely to pass through the esophagus and into the stomach, reducing the risk of irritation and complications.

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