Exam (elaborations)
ATI Renal MC Questions Actual Exam 2023 Graded A+
- Course
- Institution
ATI Renal MC Questions Actual Exam 2023 Graded A+
[Show more]
Seller
Follow
LAWEXEPRT
Reviews received
Content preview
ATI Renal MC Questions Actual Exam 2023 Graded A+1)Anurse is caring for a client with hyperparathyroidismand notes that the client'sserum calcium
level is 13 mg/dL. Which medication should the nurse prepare to administer as prescribed to
the client?
1. Calciumchloride
2. Calciumgluconate
3. Calcitonin(Miacalcin)
4. Large doses of vitamin D 3.Calcitonin(Miacalcin)
Rationale:
The normal serum calcium level is 8.6 to 10.0 mg/dL. This client is experiencing hypercalcemia.
Calciumgluconateandcalciumchloridearemedicationsusedforthetreatmentoftetany,which occurs
as aresult ofacute hypocalcemia.In hypercalcemia, largedoses ofvitamin Dneed to be avoided.
Calcitonin, a thyroid hormone, decreases the plasma calcium level by inhibiting bone resorption
and lowering the serum calcium concentration.
10.) Theclinicnurseisperforminganadmissionassessmentonaclient.Thenursenotesthatthe client
is taking azelaic acid (Azelex). Because of the medication prescription, the nurse would suspect
that the client is being treated for:
1. Acne
2. Eczema
3. Hairloss
4. Herpes simplex 1.Acne
Rationale:
Azelaic acid is a topical medication used to treat mild to moderate acne. The acid appears to
workbysuppressingthegrowthofPropionibacteriumacnesanddecreasingtheproliferationof
keratinocytes. Options 2, 3, and 4 are incorrect.
100.) Saquinavir(Invirase)isprescribedfortheclientwhoishumanimmunodeficiencyvirus
seropositive. The nurse reinforces medication instructions and tells the client to:
1. Avoidsunexposure.
2. Eatlow-caloriefoods.
3. Eatfoodsthatarelowin fat.
4. Takethemedicationonanemptystomach. 1.Avoidsunexposure.
,ATI Renal MC Questions Actual Exam 2023 Graded A+
Rationale:
Saquinavir (Invirase) is an antiretroviral (protease inhibitor) used with other antiretroviral
medications to manage human immunodeficiency virus infection. Saquinavir is administered
withmealsandisbestabsorbediftheclientconsumeshigh-calorie,high-fatmeals.Saquinavir can
cause photosensitivity, and the nurse should instruct the client to avoid sun exposure.
101.) Ketoconazole is prescribed for a client with a diagnosis of candidiasis. Select the
interventionsthatthenurseincludeswhenadministeringthismedication.Selectallthatapply.
1. Restrictfluidintake.
2. Instructtheclienttoavoidalcohol.
3. Monitorhepaticandliverfunctionstudies.
4. Administerthemedicationwithanantacid.
5. Instructtheclienttoavoidexposuretothe sun.
6. Administerthemedicationonanemptystomach. 2.Instructtheclienttoavoidalcohol.
3.Monitorhepaticandliverfunctionstudies.
5.Instructtheclienttoavoidexposuretothesun.
Rationale:
Ketoconazole is an antifungal medication. It is administered with food (not on an empty
stomach)andantacidsareavoidedfor2hoursaftertakingthemedicationtoensureabsorption. The
medication is hepatotoxic and the nurse monitors liver function studies. The client is instructed
toavoid exposureto thesun because themedication increasesphotosensitivity.The client is
alsoinstructed toavoid alcohol. Thereisnoreason for theclient torestrict fluid intake. In fact, this
could be harmful to the client.
102.) Aclientwithhumanimmunodeficiencyvirusistakingnevirapine(Viramune).Thenurse
should monitor for which adverse effects of the medication? Select all that apply.
1. Rash
2. Hepatotoxicity
3. Hyperglycemia
4. Peripheralneuropathy
5. Reducedbonemineraldensity 1. Rash
,ATI Renal MC Questions Actual Exam 2023 Graded A+
2. Hepatotoxicity
Rationale:
Nevirapine(Viramune)isanon-nucleosidereversetranscriptaseinhibitors(NRTI)thatisusedto treat
HIV infection. It is used in combination with other antiretroviral medications to treat HIV.
Adverseeffectsincluderash,Stevens-Johnsonsyndrome,hepatitis,andincreasedtransaminase
levels.Hyperglycemia,peripheralneuropathy,andreducedbonedensityarenotadverseeffects of
this medication.
103.) Anurseis caringfor ahospitalizedclient whohasbeentakingclozapine(Clozaril)forthe
treatmentofaschizophrenicdisorder.Whichlaboratorystudyprescribedfortheclientwillthe nurse
specifically review to monitor for an adverse effect associated with the use of this
medication?
1. Plateletcount
2. Cholesterollevel
3. Whitebloodcellcount
4. Blood urea nitrogen level 3.Whitebloodcellcount
Rationale:
Hematologicalreactionscanoccurintheclienttakingclozapineandincludeagranulocytosisand mild
leukopenia. The white blood cell count should be checked before initiating treatment and
should be monitored closely during the use of this medication. The client should also be
monitored for signs indicating agranulocytosis, which may include sore throat, malaise, and
fever. Options 1, 2, and 4 are unrelated to this medication.
104.) Disulfiram (Antabuse) is prescribed for a client who is seen in the psychiatric health care
clinic.Thenurseiscollectingdataontheclientandisprovidinginstructionsregardingtheuseof this
medication. Which is most important for the nurse to determine before administration of this
medication?
1.Ahistoryofhyperthyroidism
2.Ahistoryofdiabetesinsipidus
3. Whenthelastfullmealwasconsumed
4. Whenthelastalcoholicdrinkwasconsumed4.Whenthelastalcoholicdrinkwasconsumed
Rationale:
Disulfiramisusedasanadjuncttreatmentforselectedclientswithchronicalcoholismwhowant
, ATI Renal MC Questions Actual Exam 2023 Graded A+
toremain in astate ofenforced sobriety.Clients must abstain from alcoholintakefor at least 12
hours before the initial dose of the medication is administered. The most important data are to
determine when the last alcoholic drink was consumed. The medication is used with caution in
clientswithdiabetesmellitus,hypothyroidism,epilepsy,cerebraldamage,nephritis,andhepatic
disease.Itisalsocontraindicatedinsevereheartdisease,psychosis,orhypersensitivityrelatedto the
medication.
105.) A nurse is collecting data from a client and the client's spouse reports that the client is
takingdonepezilhydrochloride(Aricept).Whichdisorderwouldthenursesuspectthatthisclient may
have based on the use of this medication?
1. Dementia
2. Schizophrenia
3. Seizuredisorder
4. Obsessive-compulsive disorder 1.Dementia
Rationale:
Donepezil hydrochloride is a cholinergic agent used in the treatment of mild to moderate
dementia of the Alzheimer type. It enhances cholinergic functions by increasing the
concentrationofacetylcholine.ItslowstheprogressionofAlzheimer'sdisease.Options2,3,and 4 are
incorrect.
106.) Fluoxetine (Prozac) is prescribed for the client. The nurse reinforces instructions to the
clientregardingtheadministrationofthemedication.Whichstatementbytheclientindicatesan
understanding about administration of the medication?
1. "Ishouldtakethemedicationwithmyeveningmeal."
2. "Ishouldtakethemedicationatnoonwithanantacid."
3. "IshouldtakethemedicationinthemorningwhenIfirstarise."
4. "I should take the medication right before bedtime with a snack." 3."Ishouldtakethe
medication in the morning when I first arise."
Rationale:
Fluoxetinehydrochlorideisadministeredintheearlymorningwithoutconsiderationtomeals.
**Eliminateoptions1,2,and4becausetheyarecomparableoralikeandindicatetakingthe medication
with an antacid or food.**
107.) Aclientreceivingatricyclicantidepressantarrivesatthementalhealthclinic.Which
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller LAWEXEPRT. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $7.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
81298 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now
Recently viewed by you
