2
ATI Pharm CMS Exam with verified detailed answers
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A client has a new prescription for spironolactone (Aldactone). Which of the following
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laboratory values should the nurse recognize as a reason to withhold the morning dose of
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the medication and notify the provider?
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a. Serum sodium 138 mEq/L
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b. Serum potassium 5.2 mEq/L
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c. Serum creatinine 1.2 mEq/L
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d. Serum chloride 106 mEq/L
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b. Serum potassium 5.2 mEq/L
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A nurse is caring for a client who is prescribed daily doses of both digoxin (Lanoxin) and
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furosemide (Lasix). The client's potassium level is 3.2 mEq/L. For which of the following
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medication interaction is the client at risk?
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a. Toxic levels of furosemide
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b. Toxic levels of digoxin
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c. Sub-therapeutic levels of furosemide
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d. Sub-therapeutic levels of digoxin
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b. Toxic levels of digoxin
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Propranolol (Inderal) is contraindicated for a client who has which of the following
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conditions?
a. Asthma
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b. Diabetes
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c. Angina
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,2
d. Dementia
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a. Asthma
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A nurse is reinforcing teaching for a client who has a prescription for verapamil (Calan).
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Which of the following statements by the clients indicates a need for further teaching?
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a. "I should increase the amount of fiber in my diet since the medication causes
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constipation."
b. "I should eliminate grapefruit juice from my diet while taking verapamil."
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c. "I should decrease the amount of calcium in my diet while taking the medication."
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d. I should take the medication with food if it causes an upset stomach."
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c. "I should decrease the amount of calcium in my diet while taking the medication."
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A nurse is caring for a client with prescription for nifedipine (Procardia) to treat angina
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pectoris. The nurse should plan to monitor the client for which of the following findings?
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a. Weight loss
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b. Reflex tachycardia
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c. Grand mal seizures
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d. Urinary Retention
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b. Reflex tachycardia
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A nurse is caring for a client on a medical unit who takes regular doses of propranolol
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(Inderal) for hypertension. Before administering the client's morning dose of propranolol,
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which of the following should the nurse plan to monitor? (SATA)
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a. Urinary output
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, 2
b. Pulse rate
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c. Temperature
||
d. Blood pressure
|| ||
e. Deep tendon reflexes
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b. Pulse rate
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d. Blood pressure
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7. A nurse is reinforcing teaching for a client who is prescribed digoxin (Lanoxin). Which of
|| || || || || || || || || || || || || || || ||
the following should the nurse instruct the client to report to the provider? (SATA)
|| || || || || || || || || || || || ||
a. Fatigue
||
b. Constipation
||
c. Anorexia
||
d. Rash
||
e. Diplopia
||
a. Fatigue
||
c. Anorexia
||
e. Diplopia
||
A nurse is caring for a client who is prescribed isosorbide mononitrate (Imdur) for chronic
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stable angina. The nurse should plan to monitor the client for which of the following
|| || || || || || || || || || || || || || ||
findings?
a. Bradycardia
||
b. Fever
||
c. Hypertension
||
d. Headache
||
ATI Pharm CMS Exam with verified detailed 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 the morning dose of
|| || || || || || || || || || || || || || ||
the medication and notify the provider?
|| || || || ||
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
|| || || ||
b. Serum potassium 5.2 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 interaction is the client at risk?
|| || || || || ||
a. Toxic levels of furosemide
|| || || ||
b. Toxic levels of digoxin
|| || || ||
c. Sub-therapeutic levels of furosemide
|| || || ||
d. Sub-therapeutic levels of digoxin
|| || || ||
b. Toxic levels of digoxin
|| || || ||
Propranolol (Inderal) is contraindicated for a client who has which of the following
|| || || || || || || || || || || || ||
conditions?
a. Asthma
||
b. Diabetes
||
c. Angina
||
,2
d. Dementia
||
a. Asthma
||
A nurse is reinforcing teaching for a client who has a prescription for verapamil (Calan).
|| || || || || || || || || || || || || || ||
Which of the following statements by the clients indicates a need for further teaching?
|| || || || || || || || || || || || ||
a. "I should increase the amount of fiber in my diet since the medication causes
|| || || || || || || || || || || || || || ||
constipation."
b. "I should eliminate grapefruit juice from my diet while taking verapamil."
|| || || || || || || || || || ||
c. "I should decrease the amount of calcium in my diet while taking the medication."
|| || || || || || || || || || || || || ||
d. I should take the medication with food if it causes an upset stomach."
|| || || || || || || || || || || || ||
c. "I should decrease the amount of calcium in my diet while taking the medication."
|| || || || || || || || || || || || || ||
A nurse is caring for a client with prescription for nifedipine (Procardia) to treat angina
|| || || || || || || || || || || || || || ||
pectoris. The nurse should plan to monitor the client for which of the following findings?
|| || || || || || || || || || || || || ||
a. Weight loss
|| ||
b. Reflex tachycardia
|| ||
c. Grand mal seizures
|| || ||
d. Urinary Retention
|| ||
b. Reflex tachycardia
|| ||
A nurse is caring for a client on a medical unit who takes regular doses of propranolol
|| || || || || || || || || || || || || || || || ||
(Inderal) for hypertension. Before administering the client's morning dose of propranolol,
|| || || || || || || || || || ||
which of the following should the nurse plan to monitor? (SATA)
|| || || || || || || || || ||
a. Urinary output
|| ||
, 2
b. Pulse rate
|| ||
c. Temperature
||
d. Blood pressure
|| ||
e. Deep tendon reflexes
|| || ||
b. Pulse rate
|| ||
d. Blood pressure
|| ||
7. A nurse is reinforcing teaching for a client who is prescribed digoxin (Lanoxin). Which of
|| || || || || || || || || || || || || || || ||
the following should the nurse instruct the client to report to the provider? (SATA)
|| || || || || || || || || || || || ||
a. Fatigue
||
b. Constipation
||
c. Anorexia
||
d. Rash
||
e. Diplopia
||
a. Fatigue
||
c. Anorexia
||
e. Diplopia
||
A nurse is caring for a client who is prescribed isosorbide mononitrate (Imdur) for chronic
|| || || || || || || || || || || || || || ||
stable angina. The nurse should plan to monitor the client for which of the following
|| || || || || || || || || || || || || || ||
findings?
a. Bradycardia
||
b. Fever
||
c. Hypertension
||
d. Headache
||
