ATI Pharmacology Proctored Questions & Solutions
| Expert-Curated Study Guide for Academic
Success
A nurse is assessing a client who is taking Digoxin to treat heart failure. Which of the
following findings is a manifestation of digoxin toxicity?
A. Bruising
B. Report of metallic taste
C. Muscle pain
D. Report of anorexia - CORRECT ANSWER- -D (Anorexia, blurred vision, stomach pain, and
diarrhea are manifestations of digoxin toxicity)
A nurse is assessing a client who has taken Procainamide to treat dysrhythmias for the last
12 months. The nurse should assess the client for which of the following adverse effects of
this medication? (Select all that apply.)
A. Hypertension
B. Widened QRS complex
C. Narrowed QT interval
D. Easy bruising
E. Swollen joints - CORRECT ANSWER- -b, d, e
(B. On the ECG, procainamide can cause a widened QRS complex, which is a
manifestation of cardiotoxicity if the QRS complex becomes widened by more than 50% of
the expected reference range
D. Procainamide can cause bone marrow depression, with neutropenia (infection) and
thrombocytopenia (easy bruising, bleeding)
,E. Systemic lupus erythematosus-like syndrome
can occur as an adverse effect of procainamide.
manifestations include swollen, painful joints. Clients who take procainamide in large
doses or for more than 1 year are at risk)
A nurse is preparing to administer Propranolol to a client who has a dysrhythmia. Which of
the following actions should the nurse plan to take?
A. Hold propranolol for an apical pulse greater than 100/min.
B. Administer propranolol to increase the client's blood pressure.
C. Assist the client when she sits up or stands after taking this medication.
D. Check for hypokalemia frequently due to the risk for propranolol toxicity. - CORRECT
ANSWER- -C (Propranolol can cause orthostatic hypotension, so it is important assess for
dizziness during ambulation or when moving to a sitting position.)
A nurse is providing teaching to a client who is starting Simvastatin. Which of the following
information should the nurse include in the teaching?
A. Take this medication in the evening.
B. Change position slowly when rising from a chair.
C. Maintain a steady intake of green leafy vegetables.
D. Consume no more than 1 L/day of fluid - CORRECT ANSWER- -A (The client should take
simvastatin in the evening because nighttime is when the most cholesterol is synthesized
in the body. Taking statin medications in the evening increases medication effectiveness)
A nurse is collecting data from a client who is taking Gemfibrozil. Which of the following
assessment findings should the nurse identify as an adverse reaction to the medication?
, A. Mental status changes
B. Tremor
C. Jaundice
D. Pneumonia - CORRECT ANSWER- -C (Jaundice, anorexia, and upper abdominal
discomfort can be findings in liver impairment, which can occur in clients taking
gemfibrozil.)
A nurse is teaching a client who is taking Digoxin and has a new prescription for
Colesevelam. Which of the following instructions should the nurse include in the teaching?
A. "Take digoxin with your morning dose of colesevelam."
B. "Your sodium and potassium levels will be monitored periodically while taking
colesevelam."
C. "Watch for bleeding or bruising while taking colesevelam."
D. "Take colesevelam with food and at least one glass of water. - CORRECT ANSWER- -D
(Colesevelam should be taken with food and at least 8 oz of water)
A nurse is completing a nursing history for a client who takes Simvastatin. The nurse should
identify which of the following disorders as a contraindication to adding Ezetimibe to the
client's medications?
A. History of severe constipation
B. History of hypertension
C.vActive hepatitis C
D. Type 2 diabetes mellitus - CORRECT ANSWER- -C (Ezetimibe is contraindicated in
clients who have an active moderate-to-severe liver disorder, especially if the client is
already taking a statin, such as simvastatin)
| Expert-Curated Study Guide for Academic
Success
A nurse is assessing a client who is taking Digoxin to treat heart failure. Which of the
following findings is a manifestation of digoxin toxicity?
A. Bruising
B. Report of metallic taste
C. Muscle pain
D. Report of anorexia - CORRECT ANSWER- -D (Anorexia, blurred vision, stomach pain, and
diarrhea are manifestations of digoxin toxicity)
A nurse is assessing a client who has taken Procainamide to treat dysrhythmias for the last
12 months. The nurse should assess the client for which of the following adverse effects of
this medication? (Select all that apply.)
A. Hypertension
B. Widened QRS complex
C. Narrowed QT interval
D. Easy bruising
E. Swollen joints - CORRECT ANSWER- -b, d, e
(B. On the ECG, procainamide can cause a widened QRS complex, which is a
manifestation of cardiotoxicity if the QRS complex becomes widened by more than 50% of
the expected reference range
D. Procainamide can cause bone marrow depression, with neutropenia (infection) and
thrombocytopenia (easy bruising, bleeding)
,E. Systemic lupus erythematosus-like syndrome
can occur as an adverse effect of procainamide.
manifestations include swollen, painful joints. Clients who take procainamide in large
doses or for more than 1 year are at risk)
A nurse is preparing to administer Propranolol to a client who has a dysrhythmia. Which of
the following actions should the nurse plan to take?
A. Hold propranolol for an apical pulse greater than 100/min.
B. Administer propranolol to increase the client's blood pressure.
C. Assist the client when she sits up or stands after taking this medication.
D. Check for hypokalemia frequently due to the risk for propranolol toxicity. - CORRECT
ANSWER- -C (Propranolol can cause orthostatic hypotension, so it is important assess for
dizziness during ambulation or when moving to a sitting position.)
A nurse is providing teaching to a client who is starting Simvastatin. Which of the following
information should the nurse include in the teaching?
A. Take this medication in the evening.
B. Change position slowly when rising from a chair.
C. Maintain a steady intake of green leafy vegetables.
D. Consume no more than 1 L/day of fluid - CORRECT ANSWER- -A (The client should take
simvastatin in the evening because nighttime is when the most cholesterol is synthesized
in the body. Taking statin medications in the evening increases medication effectiveness)
A nurse is collecting data from a client who is taking Gemfibrozil. Which of the following
assessment findings should the nurse identify as an adverse reaction to the medication?
, A. Mental status changes
B. Tremor
C. Jaundice
D. Pneumonia - CORRECT ANSWER- -C (Jaundice, anorexia, and upper abdominal
discomfort can be findings in liver impairment, which can occur in clients taking
gemfibrozil.)
A nurse is teaching a client who is taking Digoxin and has a new prescription for
Colesevelam. Which of the following instructions should the nurse include in the teaching?
A. "Take digoxin with your morning dose of colesevelam."
B. "Your sodium and potassium levels will be monitored periodically while taking
colesevelam."
C. "Watch for bleeding or bruising while taking colesevelam."
D. "Take colesevelam with food and at least one glass of water. - CORRECT ANSWER- -D
(Colesevelam should be taken with food and at least 8 oz of water)
A nurse is completing a nursing history for a client who takes Simvastatin. The nurse should
identify which of the following disorders as a contraindication to adding Ezetimibe to the
client's medications?
A. History of severe constipation
B. History of hypertension
C.vActive hepatitis C
D. Type 2 diabetes mellitus - CORRECT ANSWER- -C (Ezetimibe is contraindicated in
clients who have an active moderate-to-severe liver disorder, especially if the client is
already taking a statin, such as simvastatin)
