ATI PN PHARMACOLOGY PROCTORED EXAM
2024 (7 VERSIONS)
A nurse is preparing to administer heparin 15,000 units subcutaneously every 12 hr.
The amount
... [Show More] available is heparin injection 20,000 units/mL. How many mL should the
nurse administer per dose? (Round the answer to the nearest tenth. Do not use a
trailing zero. - ANS-0.8
A nurse is preparing to administer acetaminophen 650 mg PO every 6 hr PRN for pain.
The amount available is acetaminophen liquid 500 mg/5 mL.
how many mL should
the nurse administer per dose? (Round the answer to the nearest tenth. Use a leading
zero if it applies. Do not use a trailing zero. - ANS-6.5
A nurse is preparing to administer dextrose 5% in water (D5W) 750 mL IV to infuse over
6 hr. The nurse should set the IV pump to
deliver how many mL/hr? (Round the answer to the nearest whole number. Do not use
a trailing zero. - ANS-125
A nurse is assessing a client's IV infusion site. Which of the following findings should the
nurse identify as an indication of phlebitis? (Select all that apply.)
A. Pallor
B. Dampness
C. Erythema
D. Coolness
E. Pain - ANS-C. Erythema
E. Pain
(C. Erythema at the insertion site is a manifestation of phlebitis.
E.Pain at the insertion site is a manifestation of phlebitis.)
A nurse manager is reviewing the facility's policies for IV therapy with the members of
his team. The nurse manager should remind the team that which of the following
techniques helps minimize the risk of catheter embolism?
A. Performing hand hygiene before and after IV insertion
B. Rotating IV sites at least every 72 hr
C. Minimizing tourniquet time
D. Avoiding reinserting the needle into an IV catheter - ANS-D. Avoiding reinserting the
needle into an IV catheter
(The nurse manager should remind the members of the team to avoid reinserting the
stylet needle into an IV catheter. This action can result in severing the end of the
catheter and consequently cause a catheter embolism)
A nurse is preparing to initiate IV therapy for an older adult client. Which of the following
actions should the nurse plan to take?
A provider prescribes phenobarbital for a client who has a seizure disorder. The
medication has a long half-life of 4 days. How many times per day should the nurse
expect to administer this medication?
A. One
B. Two
C. Three
D. Four - ANS-A. One
(Medications with long half-lives remain at their therapeutic levels between doses for
long periods of time. The nurse should expect to administer this medication once a day.)
A staff educator is reviewing medication dosages and factors that influence medication
metabolism with a group of nurses at an in-service presentation. Which of the following
factors should the educator include as a reason to administer lower medication
dosages? (Select all that apply.)
A. Increased renal secretion
B. Increased medication-metabolizing enzymes
C. Liver failure
D. Peripheral vascular disease
E. Concurrent use of medication the same pathway metabolizes - ANS-C. Liver failure
E. Concurrent use of medication the same pathway metabolizes
C. Liver failure decreases metabolism and thus increases the concentration of a
medication. This requires decreasing the dosage.
E. When the same pathway metabolizes two medications, they compete for metabolism,
thereby increasing the concentration of one or both medications. This requires
decreasing the dosage of one or both
A nurse is preparing to administer eye drops to a client. Which of the following actions
should the nurse take? (Select all that apply.)
A. Have the client lie on her side.
B. Ask the client to look up at the ceiling.
C. Tell the client to blink when the drops enter her eye.
D. Drop the medication into the center of the client's conjunctival sac.
E. Instruct the client to close her eye gently after instillation - ANS-B. Ask the client to
look up at the ceiling.
D. Drop the medication into the center of the client's conjunctival sac.
E. Instruct the client to close her eye gently after instillation
(B. The client should look upward to keep the drops from falling onto her cornea.
D. The nurse should drop the medication into the
center of the conjunctival sac to promote distribution.
E. The client should close her eye gently to promote distribution of the medication)
A nurse is completing discharge teaching for a client who has a new prescription for
transdermal patches. Which of the following statements should the nurse identify as an
indication that the client understands the instructions?
A. "I will clean the site with an alcohol swab before I apply the patch."
B. "I will rotate the application sites weekly."
C. "I will apply the patch to an area of skin with no hair."
D. "I will place the new patch on the site of the old patch. - ANS-C. "I will apply the patch
to an area of skin with no hair."
(The client should apply the patch to a hairless area of skin to promote absorption of the
medication.)
A nurse reviewing a client's medical record notes a new prescription for verifying the
trough level of the client's medication. Which of the following actions should the nurse
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