ATI Pharmacology Proctored Actual Exam
Review (2025 updated) fully solved
A nurse on a medical‑surgical unit administers a hypnotic medication to an older
adult client at 2100. The next morning, the client is drowsy and wants to sleep instead
of eating breakfast. Which of the following factors should the nurse identify as a
possible reason for the client's drowsiness?
A. Reduced cardiac function
B. First‑pass effect
C. Reduced hepatic function
D. Increased gastric motility
C. Reduced hepatic function
(Older adults have reduced hepatic function, which can prolong the effects of
medications the liver metabolizes. The client probably needs a lower dosage of the
hypnotic medication)
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.
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
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
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. Use a disposable razor to remove excess hair on the extremity.
B. Select the back of the client's hand to insert the IV catheter.
C. Distend the veins by using a blood pressure cuff.
D. Direct the client to raise his arm above his heart
Review (2025 updated) fully solved
A nurse on a medical‑surgical unit administers a hypnotic medication to an older
adult client at 2100. The next morning, the client is drowsy and wants to sleep instead
of eating breakfast. Which of the following factors should the nurse identify as a
possible reason for the client's drowsiness?
A. Reduced cardiac function
B. First‑pass effect
C. Reduced hepatic function
D. Increased gastric motility
C. Reduced hepatic function
(Older adults have reduced hepatic function, which can prolong the effects of
medications the liver metabolizes. The client probably needs a lower dosage of the
hypnotic medication)
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.
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
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
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. Use a disposable razor to remove excess hair on the extremity.
B. Select the back of the client's hand to insert the IV catheter.
C. Distend the veins by using a blood pressure cuff.
D. Direct the client to raise his arm above his heart
