ATI Pharm CMS
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
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
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
d. Headache
, A nurse is obtaining a medication history from a client who is to start a new prescription for
warfarin (Coumadin). Which of the following over-the-counter medications should the nurse
instruct the client to avoid?
a. Ranitidine (Zantac)
b. Docusate sodium (Colace)
c. Acetaminophen
d. Aspirin
d. Aspirin
A nurse is caring for a client who has angina pectoris and is prescribed a nitroglycerin patch
(Nitro-Dur) once daily. Which of the following are true regarding the administration of
transdermal nitroglycerin? (SATA)
a. Apply the patch at the same time each morning
b. Leave the patch in place for 24 hr before replacing.
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.
a. Apply the patch at the same time each morning
c. Put patch on a hairless area of skin.
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 on which of the
following to prevent absorption into the circulation?
a. The bony orbit
b. The nasolacrimal duct
c. The conjunctival sac
d. The outer cantus of the eye
b. The nasolacrimal duct
A nurse is caring for a client who has just been diagnosed with primary open-angle glaucoma
(POAG) during a screening examination. Which of the following data collection finding should
the nurse expect?
a. Sudden loss of central vision
b. Intraocular pressure 19 mm Hg
c. No reports of pain
d. Intact peripheral vision
c. No reports of pain
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
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
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
d. Headache
, A nurse is obtaining a medication history from a client who is to start a new prescription for
warfarin (Coumadin). Which of the following over-the-counter medications should the nurse
instruct the client to avoid?
a. Ranitidine (Zantac)
b. Docusate sodium (Colace)
c. Acetaminophen
d. Aspirin
d. Aspirin
A nurse is caring for a client who has angina pectoris and is prescribed a nitroglycerin patch
(Nitro-Dur) once daily. Which of the following are true regarding the administration of
transdermal nitroglycerin? (SATA)
a. Apply the patch at the same time each morning
b. Leave the patch in place for 24 hr before replacing.
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.
a. Apply the patch at the same time each morning
c. Put patch on a hairless area of skin.
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 on which of the
following to prevent absorption into the circulation?
a. The bony orbit
b. The nasolacrimal duct
c. The conjunctival sac
d. The outer cantus of the eye
b. The nasolacrimal duct
A nurse is caring for a client who has just been diagnosed with primary open-angle glaucoma
(POAG) during a screening examination. Which of the following data collection finding should
the nurse expect?
a. Sudden loss of central vision
b. Intraocular pressure 19 mm Hg
c. No reports of pain
d. Intact peripheral vision
c. No reports of pain
