ATI RN
ATI Pharmacology Assessment 1 Questions
Question 1 of 5
A nurse is caring for a client who has osteoporosis and a new prescription for alendronate. Which of the following should the nurse assess prior to initiating therapy?
Correct Answer: D
Rationale: The correct answer is D: Pregnancy status. Alendronate is contraindicated during pregnancy as it can harm the fetus. Assessing pregnancy status before initiating therapy is crucial to ensure the safety of the client and the unborn child. Checking CBC results (choice
A) is not directly related to alendronate therapy for osteoporosis. Family history of colon cancer (choice
B) and thyroid function (choice
C) are not immediate concerns when starting alendronate.
Therefore, they do not take priority over pregnancy status.
Question 2 of 5
A nurse is talking with a client who has a new prescription for an ipratropium inhaler to treat exercise-induced bronchospasm. Which of the following client statements should the nurse report to the provider?
Correct Answer: C
Rationale: The correct answer is C: "I am allergic to atropine." This statement should be reported to the provider because ipratropium is a derivative of atropine, which can trigger an allergic reaction in individuals allergic to atropine. Reporting this information is crucial to prevent any potential adverse reactions.
Incorrect choices:
A: This statement is relevant but not as urgent to report compared to a known allergy to atropine.
B: It is important to educate the client on proper inhaler use, and using albuterol as needed may still be necessary.
D: Drinking red wine does not directly impact the use of the ipratropium inhaler for exercise-induced bronchospasm.
Question 3 of 5
A nurse is preparing to administer medications to a client who has type 1 diabetes mellitus. The client takes lispro insulin and has a new prescription for pramlintide. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Monitor for hypoglycemia for 3 hr after pramlintide administration. Pramlintide is an amylin analog that can lower blood glucose levels and increase the risk of hypoglycemia. Monitoring for hypoglycemia for 3 hours after administration ensures prompt identification and intervention if needed. Option A is incorrect as pramlintide is not known to cause weight gain. Option C is incorrect as pramlintide should be injected subcutaneously into the thigh or abdomen, not the upper arm. Option D is incorrect as pramlintide should be administered immediately before a meal, not 30 minutes prior.
Question 4 of 5
A nurse is providing teaching to a client who has rheumatoid arthritis and is starting to take hydroxychloroquine. Which of the following client statements indicates an understanding of the teaching?
Correct Answer: C
Rationale: The correct answer is C: "I will need to have regular eye exams while taking this medication." This statement indicates an understanding of the teaching because hydroxychloroquine can potentially cause eye-related side effects, such as retinopathy. Regular eye exams are essential to monitor for any signs of eye damage.
Choice A is incorrect because crushing hydroxychloroquine can alter its effectiveness.
Choice B is incorrect as abruptly discontinuing the medication can lead to a flare-up of rheumatoid arthritis symptoms.
Choice D is incorrect because taking a double dose of hydroxychloroquine can increase the risk of side effects without providing any additional benefit.
Question 5 of 5
A nurse is providing teaching to a client who has a duodenal ulcer and is starting to take sucralfate. Which of the following instructions should the nurse include in the teaching?
Correct Answer: D
Rationale: The correct answer is D: Increase fluid intake while taking the medication. This is important because sucralfate works best when it is dissolved in a sufficient amount of water in the stomach. Increasing fluid intake helps the medication coat and protect the ulcer effectively.
Choice A is incorrect because sucralfate should be taken on an empty stomach, not with meals.
Choice B is incorrect because there is no need to reduce dietary fiber while taking sucralfate.
Choice C is incorrect because antacids should not be taken simultaneously with sucralfate as they can interfere with its effectiveness.