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ATI Pharmacology Endocrine and Hematology 2023

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Exam Details

Title ATI Pharmacology Endocrine and Hematology 2023

Type Nursing

Category RN Nursing Exams

Subcategory ATI Exams (RN)

Domain PHARMACOLOGY (RN ati)

Fragment N/A

Module RN-NURSING

Status active

Rating 95.00%

Attempts 100

Year 2025

Duration 120 min

Questions 44

Pass Score 90%

Difficulty Moderate

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1 : A nurse is assisting with the care of a client who has a prescription for 3,000 mL of

intravenous fluids over the next 24 hours. The nurse should set the volumetric pump to

deliver how many milliliters per hour?

125 rnL/hr.

130 mL/hr.

135 mL/hr.

140 mL/hr.

Hint : When solving this type of problem, follow these steps: First, check the total amount of fluid prescribed and the total time it is meant to be infused over. Use this formula: Rate (mL/hour)=Total Volume (mL)÷Time (hours) .Ensure you double-check your calculation for accuracy.

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2 : A nurse is preparing to administer cefixime to a patient. The dose is 200 mg PO. Available is cefixime oral suspension 100 mg/mL How many milliliters should the nurse administer? Use a leading zero if it applies. Do not use a trailing zero.

Hint : When solving this type of medication calculation, remember the formula: Volume to administer (mL) = Prescribed dose (mg) ÷ Concentration (mg/mL) Steps: Identify the prescribed dose (in this case, 200 mg). Check the concentration of the solution available (in this case, 100 mg/mL). Divide the prescribed dose by the concentration to find the volume to administer.

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3 : A nurse is reinforcing teaching with a patient who has hypertension and a new prescription for verapamil. The nurse should instruct the patient to avoid taking this medication with which of the following foods?

Grapefruit

Spinach..

Broccoli

Carrots.

Hint : When taking medications, always check for potential food interactions. Grapefruit is a common culprit for interacting with many drugs, especially those metabolized by the liver.

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4 : A nurse is caring for a client who is taking levothyroxine for hypothyroidism. Which of the following indicates the client's dose is too high?

Decreased temperature.

Hypotension

Tachycardia.

Constipation.

Hint : When assessing for signs of thyroid medication overdose, look for symptoms that align with hyperthyroidism, such as increased heart rate, anxiety, or feeling overheated.

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5 : A male client tells the nurse that he does not want the female assistive personnel (AP)

involved in his care. Which of the following statements should the nurse give?

"Don't you trust a female AP assigned to your care?"

"l understand your request to have only male staff members attend to your care."

"It's not appropriate to make such a request. All staff members are trained to provide professional care regardless of gender."

"I'll arrange for a male AP to do your personal care since you asked for it".

Hint : When addressing client concerns, focus on therapeutic communication techniques: Acknowledge the client's feelings or requests with understanding. Avoid dismissiveness or confrontation, as these hinder rapport-building. Always aim to foster trust and a sense of collaboration while respecting individual preferences.

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6 : A nurse is reinforcing teaching with a client who is to self-administer regular insulin and NPH insulin from the same syringe. Which of the following instructions should the nurse provide?

Inject air into the regular insulin first.

Shake the NPH insulin until it is well mixed.

Draw up the NPH insulin into the syringe first

Discard regular insulin if it appears cloudy.

Hint : When teaching clients about insulin mixing: Remember, clear before cloudy (Regular before NPH). Always check insulin appearance—clear insulin (regular) should never be cloudy. Proper technique ensures safe administration.

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7 : A nurse is reviewing laboratory data from a client who has a pulmonary embolism and I receiving IV heparin. Which of the following findings should the nurse report to the provider?

Patient's platelets 100,000.

Prothrombin time (PT) 12 seconds.

Thrombin time (TT) 55 seconds.

Hematocrit 35%.

Hint : When reviewing lab data for clients on anticoagulants like heparin: Pay close attention to platelet counts to monitor for thrombocytopenia or HIT. Assess clotting times (e.g., PT, TT) for abnormalities, but prioritize findings that pose immediate risks, such as low platelets.

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8 : A nurse is reinforcing discharge instructions for a client who has asthma and is about to start taking theophylline. The nurse should instruct the client to monitor which of the following findings is an adverse effect of the medication.

Drowsiness.

Constipation.

Tachycardia

None of the above.

Hint : When learning about medications, focus on their mechanism of action and how they affect the body. For theophylline, remember it can stimulate the heart and nervous system, leading to symptoms like tachycardia or restlessness.

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9 : A nurse is preparing to administer heparin subcutaneously to a client. Which of the following is an appropriate action by the nurse?

A. Use a I-inch needle to inject the medication.

B. Use a needle to inject the medication.

C Massage the injection site after administration of the medication.

D. Inject the medication into the abdomen above the level of the iliac crest.

Hint : When administering subcutaneous heparin: Choose the correct site (abdomen, away from the umbilicus). Use a short needle and inject at a 90-degree angle. Avoid massaging the site to minimize bruising or hematoma formation.

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10 : A nurse is reinforcing teaching for a client who has angina pectoris and a new prescription to apply a nitroglycerin transdermal patch daily. Which of the following instructions should the nurse give the client?

A. Use an old patch with medication residue on the inside and discard it in a closed receptacle.

B. Keep a nitroglycerin patch in place for 72 hours before replacing.

C. Apply the patch to a hairy area of the skin for better adherence.

D. Cleanse the skin before applying a nitroglycerin patch.

Hint : When teaching about nitroglycerin patches: Ensure the client understands the importance of skin preparation (clean and dry, avoiding hairy areas). Instruct them on timing (apply for 12-14 hours, remove for a nitrate-free interval). Avoid reusing patches or leaving them on for extended periods to prevent medication buildup or tolerance.

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11 : A nurse is preparing to administer heparin subcutaneously to a client who has deep vein thrombosis. Which of the following actions should the nurse take?

A. Insert the needle at a 90-degree angle

B. Massage the injection site after administering the heparin.

C. Prepare for a blood test prior to injecting the heparin.

D. Select a 22-gauge needle for heparin administration.

Hint : For subcutaneous heparin administration: Use a short, fine needle (e.g., 25- to 27-gauge, 5/8-inch). Inject at a 90-degree angle (or 45 degrees for very thin clients). Avoid rubbing or massaging the site to minimize bruising.

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12 : A nurse is preparing to administer risperidone 5 mg PO. Available is risperidone 2 mg tablets. How many tablets should the nurse administer? (Round the answer to the nearest tenth, Use a leading zero if it applies.

Do not use a trailing zero).

Hint : When performing medication calculations: Divide the prescribed dose by the available dose per tablet. Round to the nearest tenth if instructed. Use a leading zero if the result is less than 1 (e.g., 0.5), and avoid trailing zeros to ensure clarity (e.g., "2.5 tablets" instead of "2.50 tablets").

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13 : A nurse is reinforcing teaching with a client who has a new prescription for nebulizer treatments. Which of the following client statements indicates to the nurse a need for further teaching?

A "l should wash the mouthpiece with warm soapy water each day"

B. "I'll store my nebulizer at room temperature?'

C. "l won't seal my lips around the mouthpiece and take slow, deep breaths:'

D. "I'll keep medication in my nebulizer at all times."-

Hint : When teaching clients about nebulizer use: Emphasize proper medication handling (add medication just before use). Highlight the importance of cleaning the device daily and storing it appropriately. Ensure the client understands inhalation techniques for effective treatment.

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14 : A nurse is preparing to administer dextrose 5% in water IV to infuse at 100 mlJ60 min.

The drop factor on the manual IV tubing is 60 gtt/mL.

The nurse should set the IV flow rate to deliver how many gtt/min. (Round to the nearest whole number).

Hint : When solving IV flow rate problems: Multiply the volume to infuse by the drop factor (manual tubing rate). Divide the result by the time in minutes. Round to the nearest whole number if required.

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15 : Which medication should the nurse have available to reverse heparin's effects for a client who has thrombophlebitis and is receiving a continuous heparin infusion?

A. Protamine sulfate.

B. Deferoxamine.

C. Sodium polystyrene sulfonate.

D.Acetylcysteine

Hint : When dealing with heparin toxicity or excessive anticoagulation: Always have protamine sulfate readily available as the reversal agent. Monitor the client's coagulation status (e.g., activated partial thromboplastin time, or aPTT) and watch for signs of bleeding.

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16 : A nurse is caring for a client who has hypertension and is to start taking Atenolol.

The nurse should instruct the client to monitor which of the following findings is an adverse effect of this medication.

Constipation.

Postural hypotension

Dermatitis.

Cardiac arrest.

Hint : When teaching clients about Atenolol: Emphasize monitoring for dizziness or lightheadedness, especially when changing positions. Encourage slow movements when standing up to reduce the risk of postural hypotension. Report any unusual symptoms to the healthcare provider promptly.

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17 : A nurse is preparing to administer lorazepam 2 mg PO.

Available in lorazepam 1 mg tablets.

How many tablets should the nurse administer?

Hint : hen calculating how many tablets to administer: Use the formula: Number of tablets = Prescribed dose (mg) ÷ Dose per tablet (mg) Divide the prescribed dose by the dose per tablet. Double-check your math to ensure accuracy. If the answer involves decimals, follow instructions for rounding if applicable.

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18 : A nurse in a provider's office is collecting data from a client who has hypothyroidism. Which of the following should the nurse expect?

A. Bradycardia.

B. Moist skin.

C. Blurred vision.

D. Insomnia

Hint : When assessing hypothyroidism, look for symptoms related to a slowing of body functions: Cold intolerance, fatigue, weight gain, dry skin, bradycardia, and hair thinning. These findings are key indicators of hypothyroidism.

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19 : A nurse is teaching a newly licensed nurse about insulin storage. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?

A. "l can keep the current vial of insulin in use stored at room

B. "l should store unopened vials of insulin in the refrigerator"

C. "l should discard the current vial of insulin after six doses have been taken."-

D. "l should return any unused vials of insulin to the healthcare provider's office for disposal."

Hint : When teaching about insulin storage: Emphasize keeping unopened vials in the refrigerator. Store opened vials at room temperature for ease of use, following the timeline provided by the manufacturer. Highlight proper disposal methods for expired or unused insulin.

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20 : A nurse in the emergency department is assisting with the care of a client who has a deep laceration on her left lower forearm and is bleeding heavily from the wound. Which of the following actions should the nurse take first?

A. Apply a tourniquet just above the wound.

B. Place the client in a modified Trendelenburg position.

C. Apply pressure directly to the wound.

D. Settle the client in a reclining position.

Hint : When managing heavy bleeding: Always start with direct pressure over the wound to control the bleeding. Use tourniquets only in extreme cases if direct pressure fails. Positioning the client may follow once bleeding is under control.

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21 : Question 21

A nurse is preparing to administer levothyroxine 100mcg po to a client who has hypothyroidism. Available levothyroxine is 50 mcg tablets. How many tablets should the nurse administer? (Round off to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Hint : When solving medication dosage calculations: Divide the prescribed dose by the strength of the available tablets. Round your answer as instructed (in this case, rounding to the nearest whole number isn't needed as the result is exact). Use a leading zero for amounts less than 1 but avoid trailing zeros.

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22 : Which of the following statements indicates that the client understands the effects of warfarin (coumadin)?

A. "I'll use my electric razor for shaving."

B. "I'll take aspirin for my headaches"

C. "I'll be sure to eat foods with lots of vitamin K."

D. "It's okay to have a couple of glasses of wine with dinner".

Hint : When reinforcing teaching about warfarin: Educate clients on avoiding activities or substances that increase the risk of bleeding (e.g., shaving with traditional razors, taking aspirin). Stress the importance of consistent vitamin K intake and avoiding alcohol or large dietary changes. Encourage clients to monitor for signs of excessive bleeding, such as bruising or prolonged bleeding, and report these promptly.

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23 : A nurse is preparing to administer amoxicillin 250 mg PO. Available is amoxicillin oral suspension 125 mg/5 mL. How many mL should the nurse administer? (Round the answer to the nearest whole number.

Use a leading zero if it applies.

Do not use a trailing zero.)

Hint : When calculating the volume of liquid medication to administer, follow these steps: Use the formula: Volume (mL) = Prescribed dose (mg) ÷ Concentration (mg/mL) Identify the prescribed dose (e.g., 250 mg) and the concentration of the liquid medication. If the concentration is given per a specific volume (e.g., 125 mg/5 mL), calculate the mg per mL by dividing. Perform the calculation carefully, and round the final answer to the nearest whole number if instructed.

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24 : A nurse is preparing to administer Lactated Ringer's solution IV to infuse at 120 mL/hr for a client who has a respiratory disorder. The drop factor in the manual IV tubing is 60 gWmL. The nurse should set the flow rate to deliver how many gtts/min?

Hint : When calculating the IV flow rate: Use the formula: Flow rate (gtt/min) = (Volume to infuse per hour (mL) × Drop factor gtt/mL )÷ Time (60 minutes) Plug in the given values: Volume to infuse per hour: 120 mL. Drop factor: 60 gtt/mL. Time: Always assume 60 minutes for hourly rates. Simplify the calculation step by step for accuracy.

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25 : The physician orders vancomycin hydrochloride 2 g/day by mouth in 4 divided doses. The pharmacy fills the client's prescription with 500 mg vancomycin hydrochloride capsules. The nurse should instruct the client to take how many capsules per dose?

Hint : To calculate the correct number of capsules for divided doses: Convert units: Ensure the total daily dose is in the same unit as the dose available (e.g., grams to milligrams). Divide the total daily dose by the number of doses prescribed to find the amount per dose. Determine how many capsules are needed by dividing the dose per administration by the strength of the capsules provided.

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26 : A nurse is preparing to administer a clientS daily dose of NPH insulin at 0730.

The nurse should expect this type of insulin to peak within which of the following timeframes after administration?.

30 minutes to 3 hours

2 to 6 hours

4 to 5 hours.

6 to 10 hours

Hint : Dosage Calculations: Divide the total daily dose by the number of doses prescribed. Ensure units (e.g., mg or g) match. Insulin Peak Times: Familiarize yourself with the onset, peak, and duration of different types of insulin (e.g., rapid-acting, intermediate-acting, long-acting).

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27 : A nurse is preparing to administer 400 mL of 0.9% sodium chloride IV over 8 hours.

The drop factor of the manual IV tubing is 60 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.)

Hint : To calculate the IV flow rate (gtt/min): Use the formula: Flow rate (gtt/min) = Volume to infuse (mL) × Drop factor (gtt/mL) ÷ Time in minutes Convert the infusion time into minutes (e.g., 8 hours = 8 × 60 = 480 minutes). Substitute the values into the formula and simplify step by step. Round the final answer to the nearest whole number, as instructed.

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28 : A nurse is caring for a client who has a prescription for digoxin 0.25 mg PO daily.

The amount available is digoxin 0.125 mg tablet.

How many tablets should the nurse administer per dose? (Round to the nearest whole number.

Use a leading zero if it applies. Do not use a trailing zero.)

Hint : When calculating dosage: Divide the prescribed dose by the dose per tablet. Round to the nearest whole number only if explicitly required. Use a leading zero for values less than 1, but do not use trailing zeros for clarity.

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29 : A nurse is caring for a client who has asthma.

The client asks the nurse how albuterol helps his breathing.

Which of the following information should the nurse include in the response? (Select all that apply).

The medication will increase the amount of mucus

The medication will prevent wheezing.

The medication will open the airways.

The medication will decrease coughing

Hint : When teaching about albuterol: Explain its primary role as a bronchodilator. Emphasize how it helps relieve symptoms of asthma like wheezing and shortness of breath. Clarify that it does not treat mucus production or directly control coughing.

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30 : A nurse is reinforcing teaching for a client who has angina pectoris and a new prescription to apply a nitroglycerin transdermal patch daily.

Which of the following instructions should the nurse give the client?

Remove the used patch with medication areas to the inside and discard it in a closed receptacle.

Keep the current nitroglycerin patch in place for 24 hours per day.

Cleanse the excess hair from the skin before applying a nitroglycerin patch

Apply a second patch in place if angina pain occurs.

Hint : When teaching about nitroglycerin transdermal patch use, emphasize the following key points: Patch Removal: Safely remove the patch with the medicated side folded inward to prevent medication exposure. Dispose of it in a closed receptacle to avoid accidental contact by others. Application Guidelines: Rotate the patch site daily to prevent skin irritation. Remove the patch after 12-14 hours to allow for a nitrate-free period, which helps prevent tolerance. Managing Angina: Do not apply a second patch for angina pain. Follow the provider's instructions, such as using nitroglycerin sublingual tablets for immediate relief.

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31 : A nurse is caring for a client who has a thrombus and is receiving a continuous infusion of heparin. The client asks the nurse how long it will take for the heparin to dissolve the clot. Which of the following responses should the nurse make?.

"The time it takes for heparin to dissolve a clot depends on the size of the clot.

"The time it takes for heparin to dissolve a clot varies between clients:

"Usually, it takes at least 2 to 3 days for heparin to dissolve a clot.

"Heparin prevents new clots from forming rather than dissolving existing ones.".

Hint : When discussing anticoagulant therapy: Explain that heparin prevents clot progression and formation, allowing the body to naturally break down existing clots. Highlight the importance of monitoring for therapeutic levels using lab tests like aPTT.

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32 : A nurse suspects that another nurse on the unit is removing a small amount of morphine from the syringe before administering the medication to the client.

Which of the following actions should the nurse take?

Inform the charge nurse about her suspicion.

Report the incident to the hospital security department.

Ask the assistant personnel (AP) to observe the other nurse's actions.

Approach the other nurse to discuss her suspicion

Hint : When addressing suspected misconduct: Always follow the chain of command—start by informing your immediate supervisor (e.g., the charge nurse). Maintain confidentiality and professionalism at all times. Ensure the priority remains on client safety and adherence to organizational policies.

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33 : A nurse is reinforcing teaching with a client who is to start subcutaneous heparin.

Which of the following information should the nurse include in the teaching?

Use a soft-bristled toothbrush.

Inject the medication deep into the thigh muscle.

Expect stools to become black and tarry.

Easy bruising indicates the medication is effective

Hint : When teaching about subcutaneous heparin: Emphasize safety precautions to prevent bleeding, such as using soft-bristled toothbrushes and avoiding activities that increase injury risks. Teach clients to recognize and report signs of bleeding, including unusual bruising, black stools, or prolonged bleeding. Reinforce proper subcutaneous injection technique, typically into the abdomen, rotating sites to avoid irritation.

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34 : A nurse is reinforcing teaching about the manifestations of hyperglycemia with a client who has diabetes mellitus.

Which of the following statements by the client indicates an understanding of the teaching?

Might experience blurry vision at times.

Appetite will be decreased.

Breath may have a fruity odor

Will be less thirsty than usual.

Hint : When discussing hyperglycemia: Teach clients about the 3 P's: polyuria (frequent urination), polydipsia (increased thirst), and polyphagia (increased hunger). Highlight other signs like fatigue, blurred vision, and fruity-smelling breath as critical indicators.

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35 : A nurse is preparing to administer dextrose 3.5% in water (D3.5W) 1200 mL to infuse over 24 hours.

The drop factor of the manual IV infusion is 15 gtt/mL.

How many gtt/min should the nurse set the infusion to deliver? (Round to the nearest whole number.

Use a leading zero if it applies. Do not use a trailing zero.).

Hint : To calculate the IV flow rate (gtt/min): Use the formula: Flow rate (gtt/min) = Volume to infuse (mL) x Drop factor (gtt/mL) ÷ Time in minutes Convert the time from hours to minutes: Multiply the number of hours by 60 to get the total time in minutes. Plug in the values provided: Volume to infuse (in mL). Drop factor (in gtt/mL). Time (in minutes). Perform the calculation step by step and round the final answer to the nearest whole number.

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36 : A nurse is preparing to administer 0.99% sodium chloride (NaCl) 750 mL IV to infuse over 8 hr. The nurse should set the IV pump to deliver how many mL/hr? (Round to the nearest whole number.

Use a leading zero if it applies. Do not use a trailing zero.)

Hint : When calculating the IV pump rate (mL/hr): Use the formula: Rate (mL/hr) = Total volume to infuse (mL) ÷ Time (hours) Substitute the values: Total volume to infuse: 750 mL. Time: 8 hours. Divide the total volume by the time to find the rate in mL/hr. Round your answer to the nearest whole number as instructed.

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37 : A nurse on a medical-surgical unit is caring for a client who asks to review his medical record.

Which of the following responses should the nurse make?

You will have to submit a written request for access to your record.

We will provide you a copy of your records when we are preparing you for discharge.

Sorry, but you do not have the time to read your chart.

I can set up a time for you to meet with your provider to go over your medical record.

Hint : When responding to requests to review medical records: Respect the client's right to access their information. Facilitate the process in a supportive and professional manner. Collaborate with the provider if needed to ensure the client fully understands the details of their medical record.

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38 : A nurse administers subcutaneous NPH insulin at 0700 to a child who has diabetes.

At which of the following times should the nurse observe for hypoglycemia caused by the onset of the medication?

Hint : When monitoring clients after insulin administration: Be familiar with the onset, peak, and duration of each type of insulin. Onset: When the medication begins to lower blood glucose. Peak: When insulin is most effective at lowering blood glucose. Duration: How long the medication remains active. Ensure frequent blood glucose checks, particularly during the onset and peak times, to detect and manage hypoglycemia promptly.

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39 : A nurse is assisting with the care of a client who is receiving heparin by IV infusion.

Which of the following medications should the nurse have available in the event of an overdose?

Protamine

Glucagon

Oxygen

Insulin

Hint : When caring for clients on anticoagulants like heparin: Always have protamine sulfate available as the antidote for heparin overdose. Monitor clients closely for signs of excessive anticoagulation, such as unusual bleeding or prolonged clotting times. Follow institutional protocols for the safe administration of reversal agents.

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40 : A nurse is preparing to administer insulin lispro to a client who has type 1 diabetes mellitus.

Which of the following actions should the nurse plan to take?

Inject insulin lispro 15 min before a meal.

Monitor the client for polyuria after the insulin lispro injection.

Check the expiration date after the insulin lispro specification.

Administer using a syringe with no washing.

Hint : When administering insulin lispro: Timing is essential: Inject insulin lispro 15 minutes before a meal to align with its rapid onset. Safety precautions: Always check the expiration date before administering the medication and ensure the injection site is clean and rotated to prevent irritation or infection. Monitor for hypoglycemia: Be vigilant about symptoms such as sweating, dizziness, or shakiness, especially after administration.

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41 : A nurse is preparing to administer dexamethasone 3 mg PO.

Available are dexamethasone 1.5 mg tablets.

How many tablets should the nurse administer? (Round the answer to the nearest whole number.

Use a leading zero if it applies. Do not use a trailing zero.)

Hint : To calculate the number of tablets to administer: Use the formula: Number of tablets = Prescribed dose (mg) ÷ Dose per tablet (mg) Substitute the values: Prescribed dose: 3 mg. Dose per tablet: 1.5 mg. Perform the division: 3 ÷1.5 Round the result to the nearest whole number if necessary.

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42 : A nurse is reinforcing teaching with a client who has diabetes mellitus and a new prescription for lispro and Lantus insulins.

Which of the following statements by the client indicates an understanding of the teaching?

Insulin injected into the thigh is the most rapidly absorbed.

Should shake the bottle of insulin before withdrawing the medication.

Unopened vials of insulin should be kept in the refrigerator.

All insulin types can be mixed together in the same syringe.

Hint : When teaching about insulin use: Storage: Unopened vials should be kept in the refrigerator to maintain effectiveness. Opened vials may be stored at room temperature but follow the manufacturer's instructions. Injection sites: Insulin is absorbed most rapidly in the abdomen, so it’s often the preferred site for injection. Mixing insulins: Not all insulins can be mixed. For example, Lantus (glargine) should never be mixed with other insulins.

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43 : A nurse is collecting data from a client who has diabetes mellitus.

The client is confused, flushed, and has an acetone odor on their breath.

The nurse should anticipate a prescription for which of the following types of insulin to treat the client.

Regular insulin.

NPH insulin.

Lispro insulin.

Glargine insulin

Hint : hen managing DKA: Regular insulin is used intravenously for rapid action. Monitor blood glucose and ketone levels closely during treatment. Address underlying causes and ensure proper hydration and electrolyte balance.

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44 : A nurse is preparing to administer aspirin 650 mg PO. Available in aspirin 325 mg tablets.

How many tablets should the nurse administer?

Hint : To calculate the number of tablets to administer: Use the formula: Number of tablets = Prescribed dose (mg) ÷ Dose per tablet (mg) Substitute the values: Prescribed dose: 650 mg. Dose per tablet: 325 mg. Divide 650 mg by 325 mg per tablet to find the total number of tablets. Round the result to the nearest whole number if needed.

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Ans

1 : A nurse is assisting with the care of a client who has a prescription for 3,000 mL ofintravenous fluids over the next 24 hours. The nurse should set the volumetric pump todeliver how many milliliters per hour?125 rnL/hr.130 mL/hr.135 mL/hr. 140 mL/hr.

2 : A nurse is preparing to administer cefixime to a patient. The dose is 200 mg PO. Available is cefixime oral suspension 100 mg/mL How many milliliters should the nurse administer? Use a leading zero if it applies. Do not use a trailing zero.

3 : A nurse is reinforcing teaching with a patient who has hypertension and a new prescription for verapamil. The nurse should instruct the patient to avoid taking this medication with which of the following foods?

4 : A nurse is caring for a client who is taking levothyroxine for hypothyroidism. Which of the following indicates the client's dose is too high?

5 : A male client tells the nurse that he does not want the female assistive personnel (AP)involved in his care. Which of the following statements should the nurse give?

6 : A nurse is reinforcing teaching with a client who is to self-administer regular insulin and NPH insulin from the same syringe. Which of the following instructions should the nurse provide?

7 : A nurse is reviewing laboratory data from a client who has a pulmonary embolism and I receiving IV heparin. Which of the following findings should the nurse report to the provider?

8 : A nurse is reinforcing discharge instructions for a client who has asthma and is about to start taking theophylline. The nurse should instruct the client to monitor which of the following findings is an adverse effect of the medication.

9 : A nurse is preparing to administer heparin subcutaneously to a client. Which of the following is an appropriate action by the nurse?

10 : A nurse is reinforcing teaching for a client who has angina pectoris and a new prescription to apply a nitroglycerin transdermal patch daily. Which of the following instructions should the nurse give the client?

11 : A nurse is preparing to administer heparin subcutaneously to a client who has deep vein thrombosis. Which of the following actions should the nurse take?

12 : A nurse is preparing to administer risperidone 5 mg PO. Available is risperidone 2 mg tablets. How many tablets should the nurse administer? (Round the answer to the nearest tenth, Use a leading zero if it applies.Do not use a trailing zero).

13 : A nurse is reinforcing teaching with a client who has a new prescription for nebulizer treatments. Which of the following client statements indicates to the nurse a need for further teaching?

14 : A nurse is preparing to administer dextrose 5% in water IV to infuse at 100 mlJ60 min.The drop factor on the manual IV tubing is 60 gtt/mL.The nurse should set the IV flow rate to deliver how many gtt/min. (Round to the nearest whole number).

15 : Which medication should the nurse have available to reverse heparin's effects for a client who has thrombophlebitis and is receiving a continuous heparin infusion?

16 : A nurse is caring for a client who has hypertension and is to start taking Atenolol.The nurse should instruct the client to monitor which of the following findings is an adverse effect of this medication.

17 : A nurse is preparing to administer lorazepam 2 mg PO.Available in lorazepam 1 mg tablets.How many tablets should the nurse administer?

18 : A nurse in a provider's office is collecting data from a client who has hypothyroidism. Which of the following should the nurse expect?

19 : A nurse is teaching a newly licensed nurse about insulin storage. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?

20 : A nurse in the emergency department is assisting with the care of a client who has a deep laceration on her left lower forearm and is bleeding heavily from the wound. Which of the following actions should the nurse take first?

22 : Which of the following statements indicates that the client understands the effects of warfarin (coumadin)?

23 : A nurse is preparing to administer amoxicillin 250 mg PO. Available is amoxicillin oral suspension 125 mg/5 mL. How many mL should the nurse administer? (Round the answer to the nearest whole number.Use a leading zero if it applies.Do not use a trailing zero.)

24 : A nurse is preparing to administer Lactated Ringer's solution IV to infuse at 120 mL/hr for a client who has a respiratory disorder. The drop factor in the manual IV tubing is 60 gWmL. The nurse should set the flow rate to deliver how many gtts/min?

25 : The physician orders vancomycin hydrochloride 2 g/day by mouth in 4 divided doses. The pharmacy fills the client's prescription with 500 mg vancomycin hydrochloride capsules. The nurse should instruct the client to take how many capsules per dose?

26 : A nurse is preparing to administer a clientS daily dose of NPH insulin at 0730.The nurse should expect this type of insulin to peak within which of the following timeframes after administration?.

28 : A nurse is caring for a client who has a prescription for digoxin 0.25 mg PO daily. The amount available is digoxin 0.125 mg tablet.How many tablets should the nurse administer per dose? (Round to the nearest whole number.Use a leading zero if it applies. Do not use a trailing zero.)

29 : A nurse is caring for a client who has asthma.The client asks the nurse how albuterol helps his breathing.Which of the following information should the nurse include in the response? (Select all that apply).

30 : A nurse is reinforcing teaching for a client who has angina pectoris and a new prescription to apply a nitroglycerin transdermal patch daily.Which of the following instructions should the nurse give the client?

31 : A nurse is caring for a client who has a thrombus and is receiving a continuous infusion of heparin. The client asks the nurse how long it will take for the heparin to dissolve the clot. Which of the following responses should the nurse make?.

32 : A nurse suspects that another nurse on the unit is removing a small amount of morphine from the syringe before administering the medication to the client.Which of the following actions should the nurse take?

33 : A nurse is reinforcing teaching with a client who is to start subcutaneous heparin.Which of the following information should the nurse include in the teaching?

34 : A nurse is reinforcing teaching about the manifestations of hyperglycemia with a client who has diabetes mellitus.Which of the following statements by the client indicates an understanding of the teaching?

36 : A nurse is preparing to administer 0.99% sodium chloride (NaCl) 750 mL IV to infuse over 8 hr. The nurse should set the IV pump to deliver how many mL/hr? (Round to the nearest whole number.Use a leading zero if it applies. Do not use a trailing zero.)

37 : A nurse on a medical-surgical unit is caring for a client who asks to review his medical record.Which of the following responses should the nurse make?

38 : A nurse administers subcutaneous NPH insulin at 0700 to a child who has diabetes.At which of the following times should the nurse observe for hypoglycemia caused by the onset of the medication?

39 : A nurse is assisting with the care of a client who is receiving heparin by IV infusion.Which of the following medications should the nurse have available in the event of an overdose?

40 : A nurse is preparing to administer insulin lispro to a client who has type 1 diabetes mellitus.Which of the following actions should the nurse plan to take?

41 : A nurse is preparing to administer dexamethasone 3 mg PO.Available are dexamethasone 1.5 mg tablets.How many tablets should the nurse administer? (Round the answer to the nearest whole number.Use a leading zero if it applies. Do not use a trailing zero.)

42 : A nurse is reinforcing teaching with a client who has diabetes mellitus and a new prescription for lispro and Lantus insulins.Which of the following statements by the client indicates an understanding of the teaching?

43 : A nurse is collecting data from a client who has diabetes mellitus.The client is confused, flushed, and has an acetone odor on their breath.The nurse should anticipate a prescription for which of the following types of insulin to treat the client.

44 : A nurse is preparing to administer aspirin 650 mg PO. Available in aspirin 325 mg tablets.How many tablets should the nurse administer?

1 : A nurse is assisting with the care of a client who has a prescription for 3,000 mL of

intravenous fluids over the next 24 hours. The nurse should set the volumetric pump to

deliver how many milliliters per hour?

125 rnL/hr.

130 mL/hr.

135 mL/hr.

140 mL/hr.

5 : A male client tells the nurse that he does not want the female assistive personnel (AP)

involved in his care. Which of the following statements should the nurse give?

12 : A nurse is preparing to administer risperidone 5 mg PO. Available is risperidone 2 mg tablets. How many tablets should the nurse administer? (Round the answer to the nearest tenth, Use a leading zero if it applies.

Do not use a trailing zero).

14 : A nurse is preparing to administer dextrose 5% in water IV to infuse at 100 mlJ60 min.

The drop factor on the manual IV tubing is 60 gtt/mL.

The nurse should set the IV flow rate to deliver how many gtt/min. (Round to the nearest whole number).

16 : A nurse is caring for a client who has hypertension and is to start taking Atenolol.

The nurse should instruct the client to monitor which of the following findings is an adverse effect of this medication.

17 : A nurse is preparing to administer lorazepam 2 mg PO.

Available in lorazepam 1 mg tablets.

How many tablets should the nurse administer?

23 : A nurse is preparing to administer amoxicillin 250 mg PO. Available is amoxicillin oral suspension 125 mg/5 mL. How many mL should the nurse administer? (Round the answer to the nearest whole number.

Use a leading zero if it applies.

Do not use a trailing zero.)

26 : A nurse is preparing to administer a clientS daily dose of NPH insulin at 0730.

The nurse should expect this type of insulin to peak within which of the following timeframes after administration?.

28 : A nurse is caring for a client who has a prescription for digoxin 0.25 mg PO daily.

The amount available is digoxin 0.125 mg tablet.

How many tablets should the nurse administer per dose? (Round to the nearest whole number.

Use a leading zero if it applies. Do not use a trailing zero.)

29 : A nurse is caring for a client who has asthma.

The client asks the nurse how albuterol helps his breathing.

Which of the following information should the nurse include in the response? (Select all that apply).

30 : A nurse is reinforcing teaching for a client who has angina pectoris and a new prescription to apply a nitroglycerin transdermal patch daily.

Which of the following instructions should the nurse give the client?

32 : A nurse suspects that another nurse on the unit is removing a small amount of morphine from the syringe before administering the medication to the client.

Which of the following actions should the nurse take?

33 : A nurse is reinforcing teaching with a client who is to start subcutaneous heparin.

Which of the following information should the nurse include in the teaching?

34 : A nurse is reinforcing teaching about the manifestations of hyperglycemia with a client who has diabetes mellitus.

Which of the following statements by the client indicates an understanding of the teaching?

36 : A nurse is preparing to administer 0.99% sodium chloride (NaCl) 750 mL IV to infuse over 8 hr. The nurse should set the IV pump to deliver how many mL/hr? (Round to the nearest whole number.

Use a leading zero if it applies. Do not use a trailing zero.)

37 : A nurse on a medical-surgical unit is caring for a client who asks to review his medical record.

Which of the following responses should the nurse make?

38 : A nurse administers subcutaneous NPH insulin at 0700 to a child who has diabetes.

At which of the following times should the nurse observe for hypoglycemia caused by the onset of the medication?

39 : A nurse is assisting with the care of a client who is receiving heparin by IV infusion.

Which of the following medications should the nurse have available in the event of an overdose?

40 : A nurse is preparing to administer insulin lispro to a client who has type 1 diabetes mellitus.

Which of the following actions should the nurse plan to take?

41 : A nurse is preparing to administer dexamethasone 3 mg PO.

Available are dexamethasone 1.5 mg tablets.

How many tablets should the nurse administer? (Round the answer to the nearest whole number.

Use a leading zero if it applies. Do not use a trailing zero.)

42 : A nurse is reinforcing teaching with a client who has diabetes mellitus and a new prescription for lispro and Lantus insulins.

Which of the following statements by the client indicates an understanding of the teaching?

43 : A nurse is collecting data from a client who has diabetes mellitus.

The client is confused, flushed, and has an acetone odor on their breath.

The nurse should anticipate a prescription for which of the following types of insulin to treat the client.

44 : A nurse is preparing to administer aspirin 650 mg PO. Available in aspirin 325 mg tablets.

How many tablets should the nurse administer?