ATI RN
Pharmacology/Lifespan Considerations Questions
Question 1 of 5
A patient who is taking a combination oral contraceptive begins taking carbamazepine. After several weeks, the patient tells the nurse she has begun experiencing spotting during her cycle. What will the nurse tell her to do?
Correct Answer: B
Rationale: Carbamazepine, a P450 inducer, accelerates OC metabolism, reducing estrogen levels and causing breakthrough spotting. Increasing the estrogen dose can compensate for this. Condoms alone (A) abandon hormonal benefits, altering carbamazepine (C) affects its efficacy, and stopping OCs (D) risks pregnancy, making option B the best advice.
Question 2 of 5
Nonselective beta-blockers may be used to treat hypertension and
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 3 of 5
A 24-year-old client reports taking acetaminophen fairly regularly for headaches. The nurse knows that a client who consumes excess acetaminophen per day or regularly consumes alcoholic beverages should be observed for what adverse effect?
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 4 of 5
A nurse is teaching a client receiving treatment for asthma with albuterol. While serious adverse effects are uncommon, the following may occur. (select one that does not apply)
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 5 of 5
A 52-year-old male patient with a family history of cardiac disease reports to the clinic with a complaint of intermittent chest pain. A review of his medical record reveals that he was started on 112.5 mcg of synthetic T4 (Synthroid) three weeks ago for a TSH level of 7.2. While he reports improved energy and mental clarity since starting on Synthroid he is concerned about the chest pain. You take his vital signs and find he has a BP of 142/86 and a regular pulse at 128. Which of the following represents your best treatment plan for this patient?
Correct Answer: B
Rationale: Excess thyroid hormone can cause tachycardia and chest pain (pulse 128); decreasing Synthroid (B) and ordering TSH/EKG assesses thyroid levels and cardiac status. No change (A) risks worsening symptoms, stress test (C) alone misses thyroid adjustment, and discontinuation (D) is premature for lifelong therapy.