ATI RN
ATI Pharmacology 2023 III Questions
Extract:
Question 1 of 4
A nurse in a provider's office is evaluating the effectiveness of alendronate for a client who has osteoporosis. Which of the following diagnostic results should the nurse review?
Correct Answer: C
Rationale: The correct answer is C: Dual-energy x-ray absorptiometry (Dexa scan). This diagnostic test measures bone mineral density, which is crucial in assessing the effectiveness of alendronate in treating osteoporosis. Dexa scan provides quantitative data on bone mass and helps monitor changes over time. Reviewing this result will help the nurse evaluate the medication's impact on the client's bone health.
Other choices are incorrect because:
A: Urine specific gravity is not relevant in evaluating alendronate's effectiveness for osteoporosis.
B: Hemoglobin AIC (Hb AI
C) is used to assess long-term blood glucose control in diabetes, not related to osteoporosis treatment.
D: Lumbar puncture is an invasive procedure to collect cerebrospinal fluid, unrelated to osteoporosis management.
Question 2 of 4
A nurse accidently administers metformin instead of metoprolol to a client. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Check the client's glucose level. Metformin is used to treat diabetes, so administering it instead of metoprolol can cause hypoglycemia. Checking the client's glucose level is crucial to monitor for and manage potential hypoglycemia. Monitoring thyroid function levels (
B), collecting uric acid level (
C), and obtaining HDL level (
D) are not directly related to the administration error and are not immediate priorities. The nurse should focus on addressing the potential hypoglycemia first.
Question 3 of 4
A nurse is preparing to titrate a continuous nitroprusside infusion for a client. The nurse should plan to titrate the infusion according to which of the following assessments?
Correct Answer: A
Rationale: The correct answer is A: Blood pressure. When titrating nitroprusside infusion, blood pressure is the most critical assessment parameter as nitroprusside is a vasodilator that directly affects blood pressure. Monitoring blood pressure closely allows for immediate adjustments to maintain the desired therapeutic effect without causing hypotension or other adverse effects. Stroke volume, cardiac output, and urine output are important assessments in general cardiac care but are not specific to titrating nitroprusside infusion. Monitoring these parameters alone may not provide sufficient information to adjust the infusion accurately.
Question 4 of 4
A nurse is planning care for a group of clients. Which of the following client's medications should be monitored by the nurse for hearing loss related to a medication interaction?
Correct Answer: C
Rationale: The correct answer is C: Furosemide and amikacin. Furosemide is a loop diuretic known to cause ototoxicity, including hearing loss. Amikacin is an aminoglycoside antibiotic also associated with ototoxicity. When combined, they can potentiate each other's ototoxic effects, increasing the risk of hearing loss. Monitoring for any signs of hearing impairment is crucial.
Incorrect choices:
A: Propranolol and raloxifene - These medications are not known to cause hearing loss.
B: Losartan and atorvastatin - These medications are not associated with hearing loss.
D: Digoxin and levothyroxine - These medications are not typically linked to hearing loss.
Extract:
Nurses' Notes
Laboratory Results
0900:
The client is being seen in the office. The client reports feeling fatigued and having a heavy menstrual cycle the past year.
Upon assessment, the client's conjunctiva and mucosal membranes are pale. Provider notified and laboratory samples to be drawn.
A nurse is caring for a female client in a provider's office.
Question 5 of 4
For each of the statements made by the client, click to specify whether the statement indicates an understanding or no understanding of the teaching provided. Options: A. 'If I experience black stools, I should notify my provider.' B. 'I should avoid taking antacids while on this medication.' C. 'I should take my medications on an empty stomach.' D. 'I should rinse my mouth after taking this medication.' E. 'I should take this medication with orange juice.'
Correct Answer: B,D,E
Rationale:
Correct
Answer: B, D, E
Explanation:
B. 'I should avoid taking antacids while on this medication.' - Correct. Antacids can interfere with the absorption of certain medications.
D. 'I should rinse my mouth after taking this medication.' - Correct. Some medications may cause oral irritation or taste disturbances.
E. 'I should take this medication with orange juice.' - Incorrect. Unless specified by the provider, it's generally advised to avoid taking medications with citrus juices as they can interact with the medication.
Summary:
A. 'If I experience black stools, I should notify my provider.' - This indicates understanding as black stools can be a sign of gastrointestinal bleeding.
C. 'I should take my medications on an empty stomach.' - This is incorrect for some medications that require food.
E. 'I should take this medication with orange juice.' - Incorrect due to potential interactions.