ATI RN
ATI Pharmacology Assessment 1 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has an infection and is starting to take gentamicin. Which of the following client laboratory tests should the nurse monitor to detect an adverse effect of the medication?
Correct Answer: B
Rationale: The correct answer is B: Creatinine. Gentamicin can cause nephrotoxicity, leading to kidney damage. Monitoring creatinine levels helps detect renal impairment early. BNP (
A) is used to assess heart failure, not related to gentamicin. Amylase (
C) checks for pancreatitis. ESR (
D) measures inflammation, not specific to gentamicin side effects.
Question 2 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: The correct answers are A (Muscle weakness) and E (Fatigue) indicating hypokalemia in a client taking glucocorticoids. Glucocorticoids can lead to potassium loss, causing low levels in the body. Muscle weakness is a common symptom of hypokalemia due to impaired muscle function. Fatigue is also a sign as potassium is essential for energy production.
Choices B and C are more indicative of hyperkalemia rather than hypokalemia. Hyperactive bowel sounds and tingling of fingers are not typically associated with hypokalemia.
Choice D, peaked T waves on ECG, is a sign of hyperkalemia, not hypokalemia.
Question 3 of 5
A nurse is caring for a client who has osteoporosis and a new prescription for alendronate. Which of the following should the nurse assess prior to initiating therapy?
Correct Answer: D
Rationale: The correct answer is D: Pregnancy status. Alendronate is contraindicated during pregnancy as it can harm the fetus. Assessing pregnancy status before initiating therapy is crucial to ensure the safety of the client and the unborn child. Checking CBC results (choice
A) is not directly related to alendronate therapy for osteoporosis. Family history of colon cancer (choice
B) and thyroid function (choice
C) are not immediate concerns when starting alendronate.
Therefore, they do not take priority over pregnancy status.
Question 4 of 5
A nurse is teaching a group of newly licensed nurses about the prevention of medication errors. Which of the following factors should the nurse identify as the most frequent cause of fatal medication errors?
Correct Answer: C
Rationale: The correct answer is C: Name confusion between two medications with similar sounding names. This is the most frequent cause of fatal medication errors because it can lead to administering the wrong medication due to similarities in drug names, resulting in serious harm to the patient. This type of error is known as a "sound-alike, look-alike" medication error and is a significant risk factor in healthcare settings. Incorrect packaging (
Choice
A) can also lead to errors but is less common in causing fatal medication errors compared to name confusion. Delivery device problems (
Choice
B) and incorrect labeling (
Choice
D) are important factors contributing to medication errors but are not as frequently associated with fatal errors as name confusion.
Question 5 of 5
A nurse is completing an admission assessment for a client who has been taking St. John's wort. The nurse should identify that which of the following medications can interact with St. John's wort?
Correct Answer: C
Rationale: The correct answer is C: Citalopram. St. John's wort can decrease the effectiveness of Citalopram by increasing its metabolism, leading to reduced therapeutic effects. This interaction can result in decreased efficacy of Citalopram in managing depression or other conditions it is prescribed for. Rifampin (
A), Furosemide (
B), and Allopurinol (
D) do not have documented interactions with St. John's wort.