ATI RN
ATI Pharmacology Assessment 1 Questions
Extract:
Question 1 of 5
A nurse is caring for a client receiving an intermittent IV bolus of gentamicin twice daily. Which of the following laboratory values should the nurse monitor while the client is receiving this medication? (Select all that apply.)
Correct Answer: C,E
Rationale: Serum creatinine levels should be monitored to assess kidney function, as gentamicin can cause nephrotoxicity. Monitoring WBC count is important to detect any signs of infection or bone marrow suppression.
Question 2 of 5
A nurse is providing teaching to a client who has osteoporosis and is starting to take oral ibandronate. Which of the following instructions should the nurse include in the teaching?
Correct Answer: D
Rationale: Taking one tablet of ibandronate on the same date each month is correct. This ensures consistent dosing and helps maintain the medication's effectiveness.
Question 3 of 5
A nurse is caring for a client who is taking a glucocorticoid. Which of the following findings should indicate to the nurse the client is experiencing hypokalemia? (Select all that apply.)
Correct Answer: A,E
Rationale: Muscle weakness is a common symptom of hypokalemia due to decreased potassium levels affecting muscle function. Fatigue is another symptom as low potassium levels can impair cellular function and energy production.
Extract:
A nurse is caring for a 65-year-old male client in a cardiac clinic. The client was recently discharged from an acute hospital stay for worsening heart failure. Below are the exhibits related to the client’s condition:
Exhibit 1: Nurses’ Notes 2 Weeks Ago
The client was admitted to the hospital two weeks ago with worsening heart failure. He was experiencing significant shortness of breath, fatigue, and 2+ edema on bilateral lower extremities. Upon auscultation, an S3 heart sound was noted, and occasional expiratory wheezing was present. The client was managed with furosemide, captopril, and metoprolol at home, but these medications were not sufficient to control his symptoms.
Exhibit 2: Nurses’ Notes Today
The client reports some improvement in shortness of breath with exertion but continues to feel fatigued. Upon auscultation, an S3 heart sound is still noted, and lung sounds are clear. The client has 1+ edema on the ankles and reports nausea, constipation, and blurred vision.
Exhibit 3: History and Physical
The client was discharged from the hospital two days ago after being treated for worsening heart failure. During the hospitalization, he was prescribed digoxin and a potassium supplement in addition to his existing medications. The client will return to the office in two weeks to review lab work and medication management.
Exhibit 4: Laboratory Results Today
Digoxin: 2.2 ng/mL (0.8 to 2 ng/mL)
Potassium: 4.8 mEq/L (3.5 to 5 mEq/L)
Exhibit 5: Vital Signs Today
Temperature: 36.8°C (98.2°F)
Heart rate: 55/min
Respiratory rate: 16/min
Blood pressure: 110/80 mm Hg
Oxygen saturation: 96% on room air
Question 4 of 5
Click to highlight the findings that indicate the client may be experiencing digoxin toxicity. To deselect a finding, click on the finding again.
| Digoxin: 2.2 ng/mL |
| Heart rate: 55/min |
| Nausea |
| Blurred vision |
Correct Answer: A,B,C,D
Rationale: Digoxin level above therapeutic range, bradycardia, nausea, and blurred vision are consistent with digoxin toxicity.
Extract:
Question 5 of 5
A nurse is teaching a client who has a new prescription for benzonatate. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: A
Rationale: Benzonatate is a non-narcotic cough suppressant that works by numbing the throat and lungs, making the cough reflex less active. It can cause drowsiness and dizziness, so patients are advised not to drive or operate heavy machinery while taking this medication.