PN ATI PHARMACOLOGY EXAM WITH NGN 2025
- avoiding tourniquets, using BP cuff to visualize.
- no slapping
- hold their hand below the heart.
- avoid using the back of the hand
- avoid rigorous friction while cleaning site. - Correct answer-What are specific considerations for adult
clients, clients who are taking anticoagulants, and clients who have fragile veins?
Infiltration - Correct answer-An IV that is pale, has local swelling, decreased skin temperature around
the site, damp dressing and slowed infusion is what complication?
- Stop the infusion and remove catheter
- elevate extremity
- encourage ROM
- apply a cold or warm compress depending on the solution infiltrated.
- check with the provider to determine whether they still need IV therapy. - Correct answer-What is the
treatment for infiltrated IV?
Extravasation (infiltration of vesicant) - Correct answer-An IV is painful, burning, red and swelling what
complication is occurring?
- Stop the infusion and notify the provider
,- follow facility protocol. (withdrawing the vesicant solution from the IV access and infusing an antidote
through catheter before removal.
- repeated treatment for infiltration. - Correct answer-what is the treatment for extravasation?
Fluid overload - Correct answer-A pt receiving IV solutions begins appearing with distended neck veins,
hypertension, tachycardia, SOB, crackles in lungs, and edema what complication is occurring?
- Slow IV rate or stop.
- raise HOB
- monitor VS & O2
- Adjust the rate after correcting fluid.
- anticipate administering diuretics - Correct answer-What is the treatment for fluid overload?
Phlebitis/thrombophlebitis - Correct answer-A pt with an IV appears edematous, erythema, throbbing,
burning, or pain at the site, increased skin temperature, red line, and slowed infusion
are s/s of what IV complication?
- promptly d/c the infusion and remove the catheter.
- elevate extremity
- apply a cold compress to minimize flow of blood, then warm to increase circulation.
- restart if needed.
- obtain a specimen for culture at site. - Correct answer-what treatments are there for
phlebitis/thrombophlebitis?
- Rotate sites at least every 72 hours according to facility policy.
- Monitory IV sites using phlebitis scale
- avoid lower extremities
- use hand hygiene
- use surgical aseptic technique. - Correct answer-What are some ways to prevent thrombophlebitis?
, Central nervous system stimulation - Correct answer-what type of medication would put a patient at risk
for seizures and precautions should be taken.
Central nervous system depression - Correct answer-what type of medication would require a patient to
do not drive, operate heavy machinery, or participate in other activities can be dangerous.
Anticholinergic drugs - Correct answer-what type of medications will require clients to increase fluids for
their dry mouth, wear sunglasses for photophobia, maintaining urinary habits, and avoid overheating.
Cardiovascular medications - Correct answer-What type of medications would make clients monitor for
indications of orthostatic hypotension (lightheadedness, dizziness).
- monitoring AST and ALT
- n/v
- jaundice
- dark urine
- abdominal discomfort
- anorexia
Primarily with acetaminophen. - Correct answer-A nurse should do what when giving medications that
can create hepatoxicity?
Primarily result of antimicrobial agents and NSAIDs.
- monitor creatinine and BUN
- peak and trough - Correct answer-What should the nurse monitor for drugs that cause nephrotoxicity?
Nephrotoxicity - Correct answer-Acyclovir, ahminoglycosides, cyclosporine, NSAIDs, amphotericin B are
all medications that can cause what?
Tyramine (cheese and processed meat) - Correct answer-Clients taking MAOIs should avoid food with
what in it?
- avoiding tourniquets, using BP cuff to visualize.
- no slapping
- hold their hand below the heart.
- avoid using the back of the hand
- avoid rigorous friction while cleaning site. - Correct answer-What are specific considerations for adult
clients, clients who are taking anticoagulants, and clients who have fragile veins?
Infiltration - Correct answer-An IV that is pale, has local swelling, decreased skin temperature around
the site, damp dressing and slowed infusion is what complication?
- Stop the infusion and remove catheter
- elevate extremity
- encourage ROM
- apply a cold or warm compress depending on the solution infiltrated.
- check with the provider to determine whether they still need IV therapy. - Correct answer-What is the
treatment for infiltrated IV?
Extravasation (infiltration of vesicant) - Correct answer-An IV is painful, burning, red and swelling what
complication is occurring?
- Stop the infusion and notify the provider
,- follow facility protocol. (withdrawing the vesicant solution from the IV access and infusing an antidote
through catheter before removal.
- repeated treatment for infiltration. - Correct answer-what is the treatment for extravasation?
Fluid overload - Correct answer-A pt receiving IV solutions begins appearing with distended neck veins,
hypertension, tachycardia, SOB, crackles in lungs, and edema what complication is occurring?
- Slow IV rate or stop.
- raise HOB
- monitor VS & O2
- Adjust the rate after correcting fluid.
- anticipate administering diuretics - Correct answer-What is the treatment for fluid overload?
Phlebitis/thrombophlebitis - Correct answer-A pt with an IV appears edematous, erythema, throbbing,
burning, or pain at the site, increased skin temperature, red line, and slowed infusion
are s/s of what IV complication?
- promptly d/c the infusion and remove the catheter.
- elevate extremity
- apply a cold compress to minimize flow of blood, then warm to increase circulation.
- restart if needed.
- obtain a specimen for culture at site. - Correct answer-what treatments are there for
phlebitis/thrombophlebitis?
- Rotate sites at least every 72 hours according to facility policy.
- Monitory IV sites using phlebitis scale
- avoid lower extremities
- use hand hygiene
- use surgical aseptic technique. - Correct answer-What are some ways to prevent thrombophlebitis?
, Central nervous system stimulation - Correct answer-what type of medication would put a patient at risk
for seizures and precautions should be taken.
Central nervous system depression - Correct answer-what type of medication would require a patient to
do not drive, operate heavy machinery, or participate in other activities can be dangerous.
Anticholinergic drugs - Correct answer-what type of medications will require clients to increase fluids for
their dry mouth, wear sunglasses for photophobia, maintaining urinary habits, and avoid overheating.
Cardiovascular medications - Correct answer-What type of medications would make clients monitor for
indications of orthostatic hypotension (lightheadedness, dizziness).
- monitoring AST and ALT
- n/v
- jaundice
- dark urine
- abdominal discomfort
- anorexia
Primarily with acetaminophen. - Correct answer-A nurse should do what when giving medications that
can create hepatoxicity?
Primarily result of antimicrobial agents and NSAIDs.
- monitor creatinine and BUN
- peak and trough - Correct answer-What should the nurse monitor for drugs that cause nephrotoxicity?
Nephrotoxicity - Correct answer-Acyclovir, ahminoglycosides, cyclosporine, NSAIDs, amphotericin B are
all medications that can cause what?
Tyramine (cheese and processed meat) - Correct answer-Clients taking MAOIs should avoid food with
what in it?
