ATI RN
ATI Pharmacology Assessment 1 Questions
Extract:
Question 1 of 5
A nurse is reviewing laboratory data for a client who is taking simvastatin to correct plasma lipid levels. Which of the following findings should the nurse identify as an adverse effect of this therapy?
Correct Answer: A
Rationale: The correct answer is A: Elevated alanine aminotransferase (ALT). Simvastatin is a statin medication used to lower cholesterol levels. One of the adverse effects of statin therapy is hepatotoxicity, which can manifest as elevated liver enzymes such as ALT. Monitoring liver function tests is essential due to the risk of liver damage. Elevated troponin T is associated with cardiac muscle damage, not related to simvastatin therapy. Elevated WBC count is indicative of infection or inflammation, not a direct side effect of simvastatin. Elevated TSH is related to thyroid function, not typically affected by simvastatin.
Question 2 of 5
A nurse is caring for a client who has benign prostate hyperplasia (BPH) and a new prescription for doxazosin IR. Which of the following actions should the nurse plan to take first?
Correct Answer: D
Rationale: The correct answer is D: Administer the medication at bedtime. Doxazosin IR is an alpha-adrenergic blocker used to treat BPH. Administering it at bedtime helps minimize the risk of orthostatic hypotension, a common side effect. By giving the medication at night, the client is less likely to experience dizziness or falls when they stand up. Instructing the client to limit caffeine (
A) may be beneficial in reducing urinary symptoms associated with BPH, but it is not the first priority. Instructing the client to report headache (
B) is important but not as immediate as ensuring safe medication administration. Measuring intake and output (
C) is important for overall assessment but not the first action to take in this scenario.
Question 3 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? (Select all that apply.)
Correct Answer: A,B,C
Rationale: The correct answer is A, B, and C. A nurse should review the client's potassium level as captopril can cause hyperkalemia. Reviewing WBC with differential is important to monitor for any signs of infection or adverse effects on the immune system. Reviewing BUN level is essential to assess renal function, as captopril can affect kidney function. Hemoglobin level and glucose level are not typically affected by captopril, so they are not the priority for monitoring in this case.
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? (Select all that apply.)
Correct Answer: C,E
Rationale: The correct laboratory values to monitor while a client is receiving gentamicin are serum creatinine (
C) and WBC count (E). Serum creatinine is crucial as gentamicin can cause nephrotoxicity, leading to impaired kidney function. Monitoring WBC count is important to detect any signs of infection, as gentamicin can lower the immune system's ability to fight infections. Glucose (
A) is not directly affected by gentamicin. Prothrombin time (
B) and cardiac enzymes (
D) are not typically affected by gentamicin use.
Question 5 of 5
A nurse is caring for a group of clients. The nurse should monitor which of the following clients for manifestations of hypokalemia? (Select all that apply.)
Correct Answer: A,B,C,E
Rationale: The correct choices, A, B, C, and E, should be monitored for hypokalemia manifestations due to their respective medications. Prednisone (
A) can lead to potassium loss.
Torsemide (
B) is a loop diuretic that can cause potassium wasting. Polystyrene sulfonate (
C) is a cation-exchange resin used to treat hyperkalemia, which can lead to hypokalemia. Hydrochlorothiazide (E) is a thiazide diuretic known to deplete potassium levels.
Therefore, monitoring these clients for signs of hypokalemia is crucial.
Choices D and F are incorrect because spironolactone (
D) is a potassium-sparing diuretic that helps retain potassium and is unlikely to cause hypokalemia.
Choice G is not applicable.