ATI RN
ATI Pharmacology Proctored Exam 2024 Questions
Question 1 of 5
A healthcare provider is teaching a client who has a new prescription for Bisacodyl suppositories. Which of the following information should the provider include?
Correct Answer: D
Rationale: When educating a client about Bisacodyl suppositories, it is important to include information about the common side effects. Rectal burning is a frequent side effect that can occur after using Bisacodyl suppositories, so the client should be informed to expect this discomfort. The onset of action for Bisacodyl suppositories is typically within 15 to 60 minutes, so the client should expect results relatively quickly, not in 6 to 12 hours. There is no specific instruction to insert the suppository after breakfast, and keeping the suppository in the refrigerator is not necessary.
Question 2 of 5
A client is receiving Gentamicin. Which of the following laboratory values should the nurse monitor to assess for nephrotoxicity?
Correct Answer: B
Rationale: When a client is receiving Gentamicin, the nurse should monitor serum creatinine levels to assess for nephrotoxicity. Gentamicin is known to potentially cause nephrotoxicity, leading to impaired kidney function. Monitoring serum creatinine levels helps in early detection of any kidney damage or dysfunction.
Question 3 of 5
A client has a new prescription for Cyanocobalamin (Vitamin B12) injections. Which of the following client statements indicates an understanding of the teaching?
Correct Answer: A
Rationale: In this scenario, option A is the correct answer: "I will need to take this medication for the rest of my life." This statement indicates an understanding of the teaching because Cyanocobalamin (Vitamin B12) is often prescribed for conditions like pernicious anemia or B12 deficiency that require lifelong supplementation. Option B is incorrect because stopping the medication when symptoms improve can lead to a relapse of the underlying condition. Option C is incorrect as Vitamin B12 injections are typically administered intramuscularly and not taken orally with food. Option D is also incorrect as there is no need to avoid green, leafy vegetables while taking Vitamin B12 injections. In an educational context, it is crucial for students to understand the importance of patient compliance with medication regimens, especially for chronic conditions. Teaching patients about the need for lifelong Vitamin B12 supplementation can help prevent complications associated with B12 deficiency. Students should also learn to differentiate between appropriate and inappropriate dietary restrictions related to specific medications.
Question 4 of 5
A client has a new prescription for Dabigatran. Which of the following instructions should be included?
Correct Answer: A
Rationale: The correct answer is A) Take the medication with food. This instruction is crucial because Dabigatran is an oral anticoagulant that can irritate the stomach lining, potentially leading to gastrointestinal upset. Taking the medication with food helps to minimize this side effect and enhances absorption. Option B) Store the capsules in a pill organizer is incorrect because while it is a good practice for medication organization, it is not directly related to the safe and effective use of Dabigatran. Option C) Crush the medication before swallowing is incorrect because Dabigatran should not be crushed as it is available in a specific formulation for controlled release. Crushing the medication can alter its pharmacokinetics and may lead to erratic drug levels in the body. Option D) Expect frequent headaches while taking this medication is incorrect because headaches are not a common side effect of Dabigatran. Providing this information without evidence may cause unnecessary anxiety in the client. In an educational context, it is important to emphasize the significance of following specific instructions for each medication to ensure optimal therapeutic outcomes and minimize potential risks. Understanding the rationale behind these instructions helps in promoting safe medication administration practices and patient compliance.
Question 5 of 5
A client has a prescription for Amphotericin B. Which of the following laboratory values should be monitored by the nurse to assess for an adverse effect of this medication?
Correct Answer: A
Rationale: Amphotericin B is known to cause nephrotoxicity, a potential adverse effect that can be monitored by checking the client's serum creatinine levels. Regular monitoring of serum creatinine helps in early identification of kidney damage and allows for timely intervention to prevent further complications.