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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

Exam Status : active

Rating : 95.00%

Attempts Allowed : 100

Exam Year : 2025

Duration : 120 minutes

Total Questions : 10

Passing Score : 90%

Difficulty : Moderate

Instructions : Answer all questions carefully and within the allocated time, using current best practices and critical thinking.

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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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Ans

ATI Pharmacology Endocrine and Hematology 2023

No.

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?

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?