ATI RN
ATI Pathophysiology Test Bank Questions
Question 1 of 5
Why is testosterone therapy prescribed for a 70-year-old man being treated for osteoporosis?
Correct Answer: D
Rationale: The primary reason for prescribing testosterone therapy for osteoporosis in men is to restore testosterone levels, not specifically to increase bone density. Testosterone plays a crucial role in maintaining bone density, so by restoring testosterone levels, it indirectly helps in maintaining bone density. Choices A and B are partially correct but do not address the primary reason for testosterone therapy in this context. Choice C is incorrect as the main focus of testosterone therapy in osteoporosis treatment is not related to enhancing sexual performance.
Question 2 of 5
A male patient is receiving testosterone therapy for hypogonadism. What adverse effect should the nurse be most concerned about?
Correct Answer: C
Rationale: The correct answer is C: Increased risk of cardiovascular events. Cardiovascular events such as stroke and myocardial infarction are the most concerning adverse effects of testosterone therapy, especially in older patients. Choice A, increased risk of breast cancer, is not a common adverse effect of testosterone therapy in males. Choice B, increased risk of liver dysfunction, is a potential adverse effect but is not the most concerning. Choice D, increased risk of prostate cancer, is a consideration in patients with a history of prostate cancer or those with prostate carcinoma, not typically in patients receiving testosterone therapy for hypogonadism.
Question 3 of 5
A patient is taking testosterone for hypogonadism. What adverse effect should the nurse monitor for during this therapy?
Correct Answer: B
Rationale: The correct adverse effect to monitor for when a patient is taking testosterone for hypogonadism is an increased risk of cardiovascular events. Testosterone therapy has been associated with an elevated risk of cardiovascular events such as heart attack and stroke, especially in older patients. Monitoring cardiovascular health is crucial during testosterone therapy. The other choices are incorrect because testosterone therapy is not primarily linked to liver dysfunction (choice A), prostate cancer (choice C), or bone fractures (choice D).
Question 4 of 5
A patient is starting on medroxyprogesterone acetate (Provera) for endometriosis. What should the nurse include in the patient teaching?
Correct Answer: B
Rationale: The correct answer is B. Patients starting on medroxyprogesterone acetate (Provera) for endometriosis should be instructed to take the medication at the same time each day to maintain consistent hormone levels and effectiveness. Choice A is incorrect because medroxyprogesterone acetate can be taken with or without food. Choice C is unrelated to the medication and not a specific concern with its use. Choice D is incorrect as patients should not discontinue the medication without consulting their healthcare provider, even if side effects occur.
Question 5 of 5
A nurse is providing education to a patient starting hormone replacement therapy (HRT) for menopausal symptoms. What should the nurse emphasize regarding the long-term risks associated with HRT?
Correct Answer: A
Rationale: Rationale: The correct answer is A) HRT may increase the risk of cardiovascular events, including heart attack and stroke. Explanation: Hormone replacement therapy (HRT) has been associated with an increased risk of cardiovascular events, such as heart attacks and strokes. Estrogen, a common component of HRT, can have both beneficial and harmful effects on the cardiovascular system. While estrogen can improve cholesterol levels and blood vessel function, it can also promote blood clot formation and increase the risk of thrombotic events. Why others are wrong: B) HRT may decrease the risk of osteoporosis: While HRT can help prevent bone loss and reduce the risk of osteoporosis, the long-term use of HRT is not recommended solely for this purpose due to the associated risks. C) HRT may improve mood and energy levels: While some women may experience improved mood and energy levels with HRT, the long-term risks of HRT, especially related to cardiovascular events, outweigh these potential benefits. D) HRT may decrease the risk of breast cancer: HRT has actually been associated with an increased risk of breast cancer, especially with long-term use. Educational context: It is crucial for nurses to educate patients about the potential risks and benefits of HRT to make informed decisions about their treatment. By understanding the risks associated with HRT, patients can work with their healthcare providers to weigh these risks against the benefits and explore alternative treatments or lifestyle modifications to manage menopausal symptoms effectively while minimizing potential harm.