ATI RN
ATI Pharmacology Assessment 1 Questions
Question 1 of 5
A nurse is caring for a client who has hyperlipidemia and a new prescription for colesevelam. The nurse should monitor the client for which of the following manifestations as an adverse effect of colesevelam?
Correct Answer: D
Rationale: The correct answer is D: Constipation. Colesevelam is a bile acid sequestrant used to lower cholesterol. One common adverse effect is constipation due to its mechanism of action in binding bile acids in the intestines, which can lead to decreased bowel movements. Monitoring for constipation is essential to prevent complications.
Other choices are incorrect because: A: Hyperglycemia is not a common adverse effect of colesevelam. B: Stomatitis is not typically associated with colesevelam use. C: Fever is not a known adverse effect of colesevelam. Overall, constipation is the most likely adverse effect to monitor for in this scenario.
Question 2 of 5
A nurse is caring for a client who has a new diagnosis of adrenal insufficiency. Which of the following prescriptions should the nurse anticipate from the provider?
Correct Answer: D
Rationale: The correct answer is D: Fludrocortisone. Adrenal insufficiency leads to a deficiency in cortisol and aldosterone. Fludrocortisone is a mineralocorticoid replacement that helps regulate sodium and potassium levels, compensating for aldosterone deficiency. Phenytoin (
A) is an anticonvulsant, Calcitonin (
B) is used for osteoporosis, and Buspirone (
C) is an anxiolytic - none of which address adrenal insufficiency.
Therefore, the correct prescription to anticipate for adrenal insufficiency is Fludrocortisone (
D).
Question 3 of 5
A nurse is providing teaching to a client who has a new prescription for methimazole for the treatment of hyperthyroidism. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: B
Rationale: The correct answer is B: I will contact the provider if my throat becomes sore. This statement indicates the client understands a potential side effect of methimazole, agranulocytosis, which can present as a sore throat. Contacting the provider promptly is crucial. The other choices are incorrect because: A: Methimazole does not typically cause constipation. C: Weighing oneself is not directly related to the medication's effectiveness. D: Methimazole is not taken as needed but as prescribed regularly to manage hyperthyroidism.
Question 4 of 5
A nurse is caring for a client in the emergency department. The client is at risk for developing which of the following conditions?
Correct Answer: E
Rationale: The correct answer is E: Hypoglycemia. In the emergency department, a client at risk for hypoglycemia may have low blood sugar levels which can lead to serious complications like confusion, seizures, and loss of consciousness. Monitoring blood glucose levels and providing appropriate interventions are crucial. Hypercalcemia (
A), hypotension (
B), hypokalemia (
C), and hypernatremia (
D) are not typically immediate risks in the emergency setting for this scenario. Hypercalcemia is high calcium levels, hypotension is low blood pressure, hypokalemia is low potassium levels, and hypernatremia is high sodium levels.
Question 5 of 5
A nurse is providing teaching to a client who has a new prescription for folic acid. The client states, “I thought that was only given during pregnancy.â€. Which of the following statements should the nurse make?
Correct Answer: D
Rationale: The correct answer is D: Folic acid is important for the building of blood cells. Folic acid is essential for the synthesis of DNA and the production of red blood cells. It plays a crucial role in preventing anemia and promoting overall blood cell health. Folic acid is not primarily given for stimulating the immune system (
A), increasing medication absorption (
B), or managing benign prostatic hyperplasia (
C).
Therefore, the correct choice focuses on the key role of folic acid in blood cell formation, aligning with the client's query about its necessity outside of pregnancy.