ATI PHARM CMS STUDY QUESTIONS WITH CORRECT ANSWERS
A client has a new prescription for spironolactone (Aldactone). Which of the
following laboratory values should the nurse recognize as a reason to
withhold notify the provider? the morning dose of the medication and b.
Serum potassium 5.2 mEq/L
a. Serum sodium 138 mEq/L
b. Serum potassium 5.2 mEq/L
c. Serum creatinine 1.2 mEq/L
d. Serum chloride 106 mEq/L
A nurse is caring for a client who is
prescribed daily doses of both digoxin
(Lanoxin) and furosemide (Lasix). The
client's potassium level is 3.2 mEq/L. For
which of the following medication inter-
action is the client at risk? b. Toxic levels of digoxin a. Toxic levels of
furosemide
b. Toxic levels of digoxin
c. Sub-therapeutic levels of furosemide
d. Sub-therapeutic levels of digoxin
Propranolol (Inderal) is contraindicated
for a client who has which of the following
conditions?
a. Asthma a. Asthma
b. Diabetes
,c. Angina
d. Dementia
A nurse is reinforcing teaching for a
client who has a prescription for
verapamil (Calan). Which of the
following state- ments by the clients
indicates a need for
further teaching? c. "I should decrease the amount of cal- a. "I should increase the
amount of fiber cium in my diet while taking the medica- in my diet since the
medication causes tion." constipation."
b. "I should eliminate grapefruit juice from my diet while
taking verapamil."
c. "I should decrease the amount of cal-
cium in my diet while taking the
medica- tion." d. I should take the
medication with food if it causes an
upset stomach."
A nurse is caring for a client with pre-
scription for nifedipine (Procardia) to
treat angina pectoris. The nurse should
plan to monitor the client for which of
the
following findings? b. Reflex tachycardia
a. Weight loss
b. Reflex tachycardia
c. Grand mal seizures
d. Urinary Retention
,A nurse is caring for a client on a med-
ical unit who takes regular doses of pro-
pranolol (Inderal) for hypertension. Be-
fore administering the client's morning
dose of propranolol, which of the follow-
ing should the nurse plan to monitor? b. Pulse rate
(SATA) d. Blood pressure a. Urinary output
b. Pulse rate
c. Temperature
d. Blood pressure
e. Deep tendon reflexes
7. A nurse is reinforcing teaching for a client who is prescribed
digoxin (Lanox- in). Which of the following should the nurse
instruct the client to report to the a. Fatigue provider? (SATA)
a. Fatigue c. Anorexia
b. Constipation e. Diplopia c. Anorexia
d. Rash
e. Diplopia
A nurse is caring for a client who is
prescribed isosorbide mononitrate (Im-
dur) for chronic stable angina. The
nurse should plan to monitor the client
for which of the following findings? a.
Bradycardia
b. Fever d. Headache
c. Hypertension
d. Headache
, A nurse is obtaining a medication history from a client who is to
start a new pre- scription for warfarin (Coumadin). Which of the
following over-the-counter medica- to avoid? tions should the
nurse instruct the client d. Aspirin
a. Ranitidine (Zantac)
b. Docusate sodium (Colace)
c. Acetaminophen
d. Aspirin
A nurse is caring for a client who has
angina pectoris and is prescribed a ni-
troglycerin patch (Nitro-Dur) once
daily. Which of the following are true
regarding the administration of
transdermal nitro-
glycerin? (SATA) a. Apply the patch at the same time each
a. Apply the patch at the same time each morning morning c. Put patch on a
hairless area of skin.
b. Leave the patch in place for 24 hr e. Cut patches in half to allow for smaller
before replacing. doses of prescribed medication.
c. Put patch on a hairless area of skin.
d. Rotate the sites of administration with each application.
e. Cut patches in half to allow for smaller doses of prescribed medication.
After instilling an eye drop that has a systematic effect, the
nurse should press
A client has a new prescription for spironolactone (Aldactone). Which of the
following laboratory values should the nurse recognize as a reason to
withhold notify the provider? the morning dose of the medication and b.
Serum potassium 5.2 mEq/L
a. Serum sodium 138 mEq/L
b. Serum potassium 5.2 mEq/L
c. Serum creatinine 1.2 mEq/L
d. Serum chloride 106 mEq/L
A nurse is caring for a client who is
prescribed daily doses of both digoxin
(Lanoxin) and furosemide (Lasix). The
client's potassium level is 3.2 mEq/L. For
which of the following medication inter-
action is the client at risk? b. Toxic levels of digoxin a. Toxic levels of
furosemide
b. Toxic levels of digoxin
c. Sub-therapeutic levels of furosemide
d. Sub-therapeutic levels of digoxin
Propranolol (Inderal) is contraindicated
for a client who has which of the following
conditions?
a. Asthma a. Asthma
b. Diabetes
,c. Angina
d. Dementia
A nurse is reinforcing teaching for a
client who has a prescription for
verapamil (Calan). Which of the
following state- ments by the clients
indicates a need for
further teaching? c. "I should decrease the amount of cal- a. "I should increase the
amount of fiber cium in my diet while taking the medica- in my diet since the
medication causes tion." constipation."
b. "I should eliminate grapefruit juice from my diet while
taking verapamil."
c. "I should decrease the amount of cal-
cium in my diet while taking the
medica- tion." d. I should take the
medication with food if it causes an
upset stomach."
A nurse is caring for a client with pre-
scription for nifedipine (Procardia) to
treat angina pectoris. The nurse should
plan to monitor the client for which of
the
following findings? b. Reflex tachycardia
a. Weight loss
b. Reflex tachycardia
c. Grand mal seizures
d. Urinary Retention
,A nurse is caring for a client on a med-
ical unit who takes regular doses of pro-
pranolol (Inderal) for hypertension. Be-
fore administering the client's morning
dose of propranolol, which of the follow-
ing should the nurse plan to monitor? b. Pulse rate
(SATA) d. Blood pressure a. Urinary output
b. Pulse rate
c. Temperature
d. Blood pressure
e. Deep tendon reflexes
7. A nurse is reinforcing teaching for a client who is prescribed
digoxin (Lanox- in). Which of the following should the nurse
instruct the client to report to the a. Fatigue provider? (SATA)
a. Fatigue c. Anorexia
b. Constipation e. Diplopia c. Anorexia
d. Rash
e. Diplopia
A nurse is caring for a client who is
prescribed isosorbide mononitrate (Im-
dur) for chronic stable angina. The
nurse should plan to monitor the client
for which of the following findings? a.
Bradycardia
b. Fever d. Headache
c. Hypertension
d. Headache
, A nurse is obtaining a medication history from a client who is to
start a new pre- scription for warfarin (Coumadin). Which of the
following over-the-counter medica- to avoid? tions should the
nurse instruct the client d. Aspirin
a. Ranitidine (Zantac)
b. Docusate sodium (Colace)
c. Acetaminophen
d. Aspirin
A nurse is caring for a client who has
angina pectoris and is prescribed a ni-
troglycerin patch (Nitro-Dur) once
daily. Which of the following are true
regarding the administration of
transdermal nitro-
glycerin? (SATA) a. Apply the patch at the same time each
a. Apply the patch at the same time each morning morning c. Put patch on a
hairless area of skin.
b. Leave the patch in place for 24 hr e. Cut patches in half to allow for smaller
before replacing. doses of prescribed medication.
c. Put patch on a hairless area of skin.
d. Rotate the sites of administration with each application.
e. Cut patches in half to allow for smaller doses of prescribed medication.
After instilling an eye drop that has a systematic effect, the
nurse should press
