ATI Capstone Adult Medical Surgical Assessment 2
A 45-year-old client is taking methylprednisolone. What pharmacologic action should
the nurse expect with this therapy?
1) Suppression of beta2 receptors
2)Suppression of airway mucus production
3) Fortification of bones
4) Suppression of candidiasis - ans2) Suppression of airway mucus production
Corticosteroids, such as methylprenisolone will suppress airway mucus production
A 52-year-old client with a history of angina has been prescribed transdermal
nitroglycerin. Which of the following adverse effects is not seen with this therapy?
1) Tolerance
2) Orthostatic hypotension
3) Headache
4) Productive cough - ans4) Productive cough
Nitroglycerin therapy does not directly have an effect lung function. Physiologically,
vasodilation should effect capillary perfusion and decrease lung secretions
A 55-year-old client has levothyroxine ordered. Which of the below past medical history
concerns may contraindicate with her medication management of hypothyroidism?
1) Scleroderma
2) Osteoporosis
3) Asthma
4) Peripheral Vascular Disease - ans2) Osteoprosis
There is an increased risk for fracture, especially in older adults
A client has been prescribed isosorbide monoitrate. Which of the following should the
nurse include in this client's education related to this medication?
1) This medication is prescribed for long-term therapy prophylaxis against anginal
attacks
2) You can crush this medication if needed
3) Take the medication in the evening after dinner
4) Take an additional tablet if you experience chest pain - ans1) This medication is
prescribed for long-term prophylaxis against anginal attacks
Isosorbide mononitrate is used for long-term prophylaxis against anginal attacks
A client has been prescribed lisinopril. Which of the following medication interactions
should the nurse instruct this client about?
1) Potassium supplements
2) Ciprofloxacin
3) Escitalopram
4) Magnesium supplements - ans1) Potassium supplements
, ATI Capstone Adult Medical Surgical Assessment 2
Potassium supplements and potassium-sparing diuretics increase the risk of
hyperkalemia in clients taking ACE inhibitors such as lisinopril. Clients should only take
potassium supplements if prescribed by the provider. Clients should also avoid salt
substitutes that contain potassium
A client has been prescribed metoclopramide. Which of the following should the nurse
include in client education regarding this medication?
1) Notify your provider if you experience restlessness or spasms of the face or neck
2) This medication can cause insomnia
3) Decrease your fluid intake while taking this medication
4) This medication can cause urinary frequency - ans1) Notify your provider if your
experience restlessness or spams of the face or neck
An adverse effect of metoclopramide is extrapyramidal symptoms. The client should
stop the medication and notify the provider if these occur
A client has been prescribed vasopressin for the treatment of diabetes insipidus. What
is the expected pharmacologic actions of this medication?
1) To stimulate the pancreas to secrete insulin
2) To slow the absorption of glucose in the intestine
3) To increase reabsorption of water in the renal tubules
4) To increase blood pressure - ans3) To increase reabsorption of water in the renal
tubules
The expected pharmacologic action is to promote reabsorption of water within the
kidney
A client is prescribed propanolol. Which of the following client history findings would
require the nurse to clarify this medication prescription?
1) Asthma
2) Hypertension
3) Tachydysrhythmias
4) Urolithiasis - ans1) Asthma
Clients with asthma should avoid Beta2 Blockade agents such as propanolol.
Brochoconstriction can occur. Clients with asthma should be administered a beta1
selective agent
A nurse has just administered a wrong medication to a client. Which of the following
actions should the nurse take next?
1) No action is needed
2) Report error to the provider
3) Complete an institutional incident report
A 45-year-old client is taking methylprednisolone. What pharmacologic action should
the nurse expect with this therapy?
1) Suppression of beta2 receptors
2)Suppression of airway mucus production
3) Fortification of bones
4) Suppression of candidiasis - ans2) Suppression of airway mucus production
Corticosteroids, such as methylprenisolone will suppress airway mucus production
A 52-year-old client with a history of angina has been prescribed transdermal
nitroglycerin. Which of the following adverse effects is not seen with this therapy?
1) Tolerance
2) Orthostatic hypotension
3) Headache
4) Productive cough - ans4) Productive cough
Nitroglycerin therapy does not directly have an effect lung function. Physiologically,
vasodilation should effect capillary perfusion and decrease lung secretions
A 55-year-old client has levothyroxine ordered. Which of the below past medical history
concerns may contraindicate with her medication management of hypothyroidism?
1) Scleroderma
2) Osteoporosis
3) Asthma
4) Peripheral Vascular Disease - ans2) Osteoprosis
There is an increased risk for fracture, especially in older adults
A client has been prescribed isosorbide monoitrate. Which of the following should the
nurse include in this client's education related to this medication?
1) This medication is prescribed for long-term therapy prophylaxis against anginal
attacks
2) You can crush this medication if needed
3) Take the medication in the evening after dinner
4) Take an additional tablet if you experience chest pain - ans1) This medication is
prescribed for long-term prophylaxis against anginal attacks
Isosorbide mononitrate is used for long-term prophylaxis against anginal attacks
A client has been prescribed lisinopril. Which of the following medication interactions
should the nurse instruct this client about?
1) Potassium supplements
2) Ciprofloxacin
3) Escitalopram
4) Magnesium supplements - ans1) Potassium supplements
, ATI Capstone Adult Medical Surgical Assessment 2
Potassium supplements and potassium-sparing diuretics increase the risk of
hyperkalemia in clients taking ACE inhibitors such as lisinopril. Clients should only take
potassium supplements if prescribed by the provider. Clients should also avoid salt
substitutes that contain potassium
A client has been prescribed metoclopramide. Which of the following should the nurse
include in client education regarding this medication?
1) Notify your provider if you experience restlessness or spasms of the face or neck
2) This medication can cause insomnia
3) Decrease your fluid intake while taking this medication
4) This medication can cause urinary frequency - ans1) Notify your provider if your
experience restlessness or spams of the face or neck
An adverse effect of metoclopramide is extrapyramidal symptoms. The client should
stop the medication and notify the provider if these occur
A client has been prescribed vasopressin for the treatment of diabetes insipidus. What
is the expected pharmacologic actions of this medication?
1) To stimulate the pancreas to secrete insulin
2) To slow the absorption of glucose in the intestine
3) To increase reabsorption of water in the renal tubules
4) To increase blood pressure - ans3) To increase reabsorption of water in the renal
tubules
The expected pharmacologic action is to promote reabsorption of water within the
kidney
A client is prescribed propanolol. Which of the following client history findings would
require the nurse to clarify this medication prescription?
1) Asthma
2) Hypertension
3) Tachydysrhythmias
4) Urolithiasis - ans1) Asthma
Clients with asthma should avoid Beta2 Blockade agents such as propanolol.
Brochoconstriction can occur. Clients with asthma should be administered a beta1
selective agent
A nurse has just administered a wrong medication to a client. Which of the following
actions should the nurse take next?
1) No action is needed
2) Report error to the provider
3) Complete an institutional incident report
