ATI PHARM EXAM 2 QUESTIONS WITH ACCURATE
ANSWERS
A 46-year-old man started antihypertensive drug therapy 3 months earlier and is
in the office for a follow-up visit. While the nurse is taking his blood pressure, he
informs the nurse that he has had some problems with sexual intercourse. Which
is the most appropriate response by the nurse?
a. "Not to worry. Eventually, tolerance will develop."
b. "The physician can work with you on changing the dose and/or drugs."
c. "Sexual dysfunction happens with this therapy, and you will learn to accept it."
d. "This is an unusual occurrence, but it is important to stay on your medications."
correct answer b. "The physician can work with you on changing the dose and/or
drugs."
A 68-year-old male patient has been taking the nitrate isosor-bide dinitrate
(Isordil) for 2 years for angina. He recently has been experiencing erectile
dysfunction and wants a prescription for sildenafil (Viagra). Which response
would the nurse most likely hear from the prescriber?
a. "He will have to be switched to isosorbide mononitrate if he wants to take
sildenafil."
b. "Taking sildenafil with the nitrate may result in severe hypotension, so a
contraindication exists."
c. "I'll write a prescription, but if he uses it, he needs to stop taking the isosorbide
for one dose."
d. "These drugs are compatible with each other, and so I'll write a prescription."
correct answer b. "Taking sildenafil with the nitrate may result in severe
hypotension, so a contraindication exists."
,A charge nurse is planning a staff education session to discuss medications used
during the care of a client experiencing alcohol withdrawal. Which of the
following medications should the charge nurse include in the discussion? (select
all that apply)
Lorazepam
Diazepam
Disulfiram
Naltrexone
Acamprosate correct answer Lorazepam
Diazepam
A hospitalized patient is complaining of having difficulty sleeping. Which action
will the nurse take first to address this problem?
a. Administer a sedative-hypnotic drug if ordered.
b. Offer tea made with the herbal preparation valerian.
c. Encourage the patient to exercise by walking up and down the halls a few times
if tolerated.
d. Provide an environment that is restful, and reduce loud noises. correct answer
d. Provide an environment that is restful, and reduce loud noises.
A nurse administering niacin would implement which action to help to reduce
adverse effects?
a. Give the medication with grapefruit juice.
b. Administer a small dose of aspirin or an NSAID 30 minutes before the niacin
dose.
c. Administer the medication on an empty stomach.
,d. Have the patient increase dietary fiber intake. correct answer b. Administer a
small dose of aspirin or an NSAID 30 minutes before the niacin dose.
A nurse in an acute care facility is caring for a client who is receiving IV
nitroprusside for hypertensive crisis. The nurse should monitor the client for
which of the following adverse reactions to this medication?
Intestinal ileus
Neutropenia
Delerium
Hyperthermia correct answer Delerium
A nurse is a providers office is monitoring serum electrolytes for four older adults
clients who take digoxin. Which of the following electrolyte values increases a
client's risk for digoxin toxicity?
Calcium 9.2 mg/dL
Calcium 10.3 mg/dL
Potassium 3.4 mEq/L
Potassium 4.8 mEq/L correct answer Potassium 3.4 mEq/L
A nurse is administering a dopamine infusion at a low dose to a client who has
sever heart failure. Which of the following findings is an expected effect of this
medication?
Lowered heart rate
, Increased myocardial contractility
Decreased conduction through the AV node
Vasoconstriction of renal blood vessels correct answer Increased myocardial
contractility
A nurse is caring for a client who has a new prescription for catopril for
hypertension. The nurse should monitor for which of the following adverse effects
of this medication?
Hypokalemia
Hypernatremia
Neutropenia
Bradycardia correct answer Neutropenia
A nurse is caring for a client who has been taking sertraline for the past 2 days.
Which of the following assessment findings should alert the nurse to the
possibility that the client is developing serotonin syndrome?
Bruising
Fever
Abdominal pain
Rash correct answer Fever
A nurse is caring for a client who has depression and a new prescription for
venlafaxine. For which of the following adverse effects should the nurse monitor
this client? (select all that apply)
ANSWERS
A 46-year-old man started antihypertensive drug therapy 3 months earlier and is
in the office for a follow-up visit. While the nurse is taking his blood pressure, he
informs the nurse that he has had some problems with sexual intercourse. Which
is the most appropriate response by the nurse?
a. "Not to worry. Eventually, tolerance will develop."
b. "The physician can work with you on changing the dose and/or drugs."
c. "Sexual dysfunction happens with this therapy, and you will learn to accept it."
d. "This is an unusual occurrence, but it is important to stay on your medications."
correct answer b. "The physician can work with you on changing the dose and/or
drugs."
A 68-year-old male patient has been taking the nitrate isosor-bide dinitrate
(Isordil) for 2 years for angina. He recently has been experiencing erectile
dysfunction and wants a prescription for sildenafil (Viagra). Which response
would the nurse most likely hear from the prescriber?
a. "He will have to be switched to isosorbide mononitrate if he wants to take
sildenafil."
b. "Taking sildenafil with the nitrate may result in severe hypotension, so a
contraindication exists."
c. "I'll write a prescription, but if he uses it, he needs to stop taking the isosorbide
for one dose."
d. "These drugs are compatible with each other, and so I'll write a prescription."
correct answer b. "Taking sildenafil with the nitrate may result in severe
hypotension, so a contraindication exists."
,A charge nurse is planning a staff education session to discuss medications used
during the care of a client experiencing alcohol withdrawal. Which of the
following medications should the charge nurse include in the discussion? (select
all that apply)
Lorazepam
Diazepam
Disulfiram
Naltrexone
Acamprosate correct answer Lorazepam
Diazepam
A hospitalized patient is complaining of having difficulty sleeping. Which action
will the nurse take first to address this problem?
a. Administer a sedative-hypnotic drug if ordered.
b. Offer tea made with the herbal preparation valerian.
c. Encourage the patient to exercise by walking up and down the halls a few times
if tolerated.
d. Provide an environment that is restful, and reduce loud noises. correct answer
d. Provide an environment that is restful, and reduce loud noises.
A nurse administering niacin would implement which action to help to reduce
adverse effects?
a. Give the medication with grapefruit juice.
b. Administer a small dose of aspirin or an NSAID 30 minutes before the niacin
dose.
c. Administer the medication on an empty stomach.
,d. Have the patient increase dietary fiber intake. correct answer b. Administer a
small dose of aspirin or an NSAID 30 minutes before the niacin dose.
A nurse in an acute care facility is caring for a client who is receiving IV
nitroprusside for hypertensive crisis. The nurse should monitor the client for
which of the following adverse reactions to this medication?
Intestinal ileus
Neutropenia
Delerium
Hyperthermia correct answer Delerium
A nurse is a providers office is monitoring serum electrolytes for four older adults
clients who take digoxin. Which of the following electrolyte values increases a
client's risk for digoxin toxicity?
Calcium 9.2 mg/dL
Calcium 10.3 mg/dL
Potassium 3.4 mEq/L
Potassium 4.8 mEq/L correct answer Potassium 3.4 mEq/L
A nurse is administering a dopamine infusion at a low dose to a client who has
sever heart failure. Which of the following findings is an expected effect of this
medication?
Lowered heart rate
, Increased myocardial contractility
Decreased conduction through the AV node
Vasoconstriction of renal blood vessels correct answer Increased myocardial
contractility
A nurse is caring for a client who has a new prescription for catopril for
hypertension. The nurse should monitor for which of the following adverse effects
of this medication?
Hypokalemia
Hypernatremia
Neutropenia
Bradycardia correct answer Neutropenia
A nurse is caring for a client who has been taking sertraline for the past 2 days.
Which of the following assessment findings should alert the nurse to the
possibility that the client is developing serotonin syndrome?
Bruising
Fever
Abdominal pain
Rash correct answer Fever
A nurse is caring for a client who has depression and a new prescription for
venlafaxine. For which of the following adverse effects should the nurse monitor
this client? (select all that apply)
