ATI RN
ATI Pharmacology 2023 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). The Dexa scan is a diagnostic test used to measure bone mineral density and assess the effectiveness of osteoporosis treatment like alendronate. It helps in monitoring the client's bone health and determining if the medication is working to prevent further bone loss. Reviewing the Dexa scan results can provide valuable information on the client's response to the treatment.
Choice A (Urine specific gravity) is not relevant to evaluating the effectiveness of alendronate for osteoporosis.
Choice B (Hemoglobin A1
C) is a test for diabetes management and not specific to osteoporosis treatment.
Choice D (Lumbar puncture) is an invasive procedure used to collect cerebrospinal fluid and is not related to evaluating osteoporosis treatment.
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:
Rationale: A nurse administering metformin instead of metoprolol can lead to hypoglycemia. Checking the client's glucose level is crucial to assess for hypoglycemia and provide appropriate treatment. Monitoring thyroid function levels (
B), uric acid level (
C), and HDL level (
D) are not immediate priorities in this scenario. Thyroid function levels are not directly affected by metformin or metoprolol. Uric acid levels and HDL levels are also not directly relevant to the situation at hand.
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 a nitroprusside infusion, monitoring blood pressure is crucial as nitroprusside is a potent vasodilator that can cause hypotension. By adjusting the infusion rate based on blood pressure readings, the nurse can prevent hypotension or hypertension. Monitoring stroke volume, cardiac output, or urine output is not specific to nitroprusside titration and may not reflect the immediate effects of the medication on blood pressure. Blood pressure is the most direct indicator of the medication's hemodynamic effects and guides titration to maintain optimal perfusion pressure.
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 hearing loss, especially when combined with amikacin, an aminoglycoside antibiotic also associated with ototoxicity. The interaction between these two medications can potentiate the risk of hearing loss. Propranolol, raloxifene, losartan, atorvastatin, digoxin, and levothyroxine are not typically associated with hearing loss as a medication interaction. Monitoring Furosemide and amikacin is crucial to prevent potential auditory complications.
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 can cause oral irritation, so rinsing the mouth is necessary.
E. "I should take this medication with orange juice." - Incorrect. Taking medication with specific juices can affect absorption. It is not recommended to take this medication with orange juice.