ATI RN
ATI Pharmacology Assessment 1 II Questions
Extract:
Question 1 of 5
A nurse is providing teaching to a client who has osteoporosis and is starting to take oral bandronate. Which of the following instructions should the nurse include in the teaching?
Correct Answer: D
Rationale: The correct answer is D: Take one tablet of the medication on the same date each month. This is because oral bandronate is a bisphosphonate medication used to treat osteoporosis, and it is typically taken once a month on the same date to ensure consistency and effectiveness. Taking it on the same date each month helps the client remember to take the medication regularly and reduces the risk of missing doses.
Choice A is incorrect because taking the medication immediately after a meal can decrease its absorption.
Choice B is incorrect as drinking milk with the medication can interfere with its absorption.
Choice C is incorrect because taking the medication before bedtime can increase the risk of esophageal irritation.
Question 2 of 5
A nurse is caring for a client who has been taking captopril for one year. Which of the following laboratory values should the nurse review?
Correct Answer: A,B,C
Rationale: The correct answers are A, B, and C. The nurse should review the potassium level because captopril can cause hyperkalemia. Reviewing the WBC with differential is important as captopril can rarely cause agranulocytosis. Checking the BUN level is necessary due to the potential for captopril to affect renal function. The other choices are incorrect because captopril does not directly impact hemoglobin or glucose levels, making reviewing these values unnecessary in this situation.
Question 3 of 5
A nurse is caring for a client who has a new diagnosis of adrenal insufficiency. Which of the following prescriptions should the nurse anticipate from the provider?
Correct Answer: D
Rationale: The correct answer is D: Fludrocortisone. Adrenal insufficiency results in decreased production of cortisol and aldosterone by the adrenal glands. Fludrocortisone is a synthetic mineralocorticoid that helps replace aldosterone, which is essential for maintaining electrolyte balance and blood pressure. Phenytoin (
A) is an anticonvulsant, Calcitonin (
B) is used for treating osteoporosis, and Buspirone (
C) is an anxiolytic - none of which are indicated for adrenal insufficiency. In summary, Fludrocortisone is the appropriate prescription for adrenal insufficiency due to its ability to mimic aldosterone function.
Question 4 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?
Correct Answer: C
Rationale: The correct answer is C: Serum creatinine. Gentamicin is known to be nephrotoxic, so monitoring serum creatinine levels is crucial to assess renal function and detect any potential kidney damage. Elevated serum creatinine levels may indicate renal impairment and prompt the need to adjust the dosage or discontinue the medication. Monitoring glucose levels (choice
A) is important for diabetic clients but not specifically related to gentamicin therapy. Prothrombin time (choice
B) assesses clotting factors, not directly affected by gentamicin. Cardiac enzymes (choice
D) are not relevant to gentamicin therapy. WBC count (choice E) is not typically affected by gentamicin.
Question 5 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 is known to cause kidney damage as an adverse effect. Creatinine is a waste product that the kidneys remove from the blood; elevated levels may indicate kidney dysfunction. Monitoring creatinine levels can help detect kidney damage early. BNP (
A) is used to diagnose heart failure, not related to gentamicin. Amylase (
C) is an enzyme related to pancreas function, not specific to gentamicin. ESR (
D) is a nonspecific marker of inflammation, not related to gentamicin.