ATI RN
ATI Pathophysiology Exam Questions
Question 1 of 5
A patient is taking alendronate (Fosamax) for the treatment of osteoporosis. What instructions should the nurse provide to ensure the effectiveness of the medication?
Correct Answer: B
Rationale: The correct answer is B. Alendronate should be taken in the morning with a full glass of water and the patient should remain upright for at least 30 minutes. This is important to prevent esophageal irritation and ensure proper absorption of the medication.
Choice A is incorrect because alendronate should not be taken with food as it can decrease its absorption.
Choice C is incorrect as taking the medication before bed increases the risk of esophageal irritation and reduces absorption due to lying down.
Choice D is also incorrect because taking alendronate with milk or other calcium-rich foods can decrease its absorption.
Question 2 of 5
A male patient with benign prostatic hyperplasia (BPH) is prescribed finasteride (Proscar). What therapeutic effect is expected from this medication?
Correct Answer: A
Rationale: The correct answer is A: Reduction in prostate size and improvement in urinary symptoms. Finasteride works by reducing the size of the prostate gland, which in turn helps alleviate urinary symptoms such as frequency, urgency, weak stream, and incomplete emptying of the bladder.
Choice B is incorrect as while finasteride can improve urine flow indirectly by reducing prostate size, it does not directly increase urine flow.
Choice C is incorrect because finasteride is not intended to improve erectile function.
Choice D is incorrect as finasteride does not primarily provide relief from pain associated with BPH.
Question 3 of 5
A patient is prescribed testosterone gel for hypogonadism. What important instruction should the nurse provide regarding the application of this medication?
Correct Answer: A
Rationale: The correct answer is to apply the testosterone gel to the chest or upper arms. This is recommended to minimize the risk of unintentional transfer of the medication to others, especially women and children, through skin contact. Applying the gel to the face, neck, or genitals is not advised as it can lead to unintended exposure to others. Additionally, applying the gel to the scalp or back is not appropriate as these areas are not indicated for absorption of testosterone.
Question 4 of 5
A client with cystic fibrosis is admitted with a pulmonary exacerbation. Which intervention should the nurse prioritize?
Correct Answer: B
Rationale: During a pulmonary exacerbation in cystic fibrosis, the priority intervention is to initiate airway clearance techniques. These techniques help clear mucus from the airways, improving ventilation and reducing the risk of respiratory complications. Administering a high-calorie, high-protein diet is beneficial for overall nutrition but is not the priority during an exacerbation. Encouraging an active lifestyle is important for long-term health but does not address the immediate need for managing exacerbations. Monitoring for signs of respiratory distress is important, but initiating airway clearance techniques takes precedence in the management of pulmonary exacerbations in cystic fibrosis.
Question 5 of 5
What important instruction should the nurse provide about taking medroxyprogesterone acetate (Provera) for a patient with endometriosis?
Correct Answer: A
Rationale: The correct answer is to take the medication at the same time each day to maintain consistent hormone levels and effectiveness. This consistency is crucial for achieving therapeutic outcomes.
Choice B is incorrect because medroxyprogesterone should be taken at the same time each day, regardless of food intake.
Choice C is incorrect because side effects should be reported to the healthcare provider for further evaluation rather than discontinuing the medication abruptly.
Choice D is incorrect as medroxyprogesterone is usually taken daily for the prescribed duration.