ATI Pharmacology Proctored Exam: Expertly
Crafted, Graded Questions with In-Depth Solutions from
Top Universities
A nurse is caring for a client who received IV Verapamil to treat supraventricular tachycardia
(SVT). The client's pulse rate is now 98/min and his blood pressure is 74/44 mg hg. The nurse
should anticipate a prescription for which of the following IV medications?
A. Calcium gluconate
B. Sodium bicarbonate
C. Potassium chloride
D. Magnesium sulfate - CORRECT ANSWER- -A (Reverse severe hypotension caused by
Verapamil with Calcium gluconate, given slowly IV. The calcium counteracts vasodilation
caused by verapamil. Other measures to increase blood pressure can include IV fluid therapy
and placing the client in a modified Trendelenburg position.)
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 nurse is taking a medication history from a client who has Angina and is to begin taking
Ranolazine. The nurse should report which of the following medications in the client's history
that can interact with Ranolazine? (Select all that apply.)
A. Digoxin
B. Simvastatin
C. Verapamil
D. Amlodipine
E. Nitroglycerin transdermal patch - CORRECT ANSWER- -a, b, c
(A. Concurrent use with ranolazine increases serum levels of digoxin, so digoxin toxicity can
result.
B. Concurrent use with ranolazine increases serum levels of simvastatin, so liver toxicity
can result.
C. Verapamil is an inhibitor of CYP3A4, which can increase levels of ranolazine and lead to
the dysrhythmia torsades de pointes.)
A nurse is caring for a client who is prescribed Isosorbide Mononitrate for chronic stable Angina
and develops reflex tachycardia. Which of the following medications should the nurse expect to
administer?
Crafted, Graded Questions with In-Depth Solutions from
Top Universities
A nurse is caring for a client who received IV Verapamil to treat supraventricular tachycardia
(SVT). The client's pulse rate is now 98/min and his blood pressure is 74/44 mg hg. The nurse
should anticipate a prescription for which of the following IV medications?
A. Calcium gluconate
B. Sodium bicarbonate
C. Potassium chloride
D. Magnesium sulfate - CORRECT ANSWER- -A (Reverse severe hypotension caused by
Verapamil with Calcium gluconate, given slowly IV. The calcium counteracts vasodilation
caused by verapamil. Other measures to increase blood pressure can include IV fluid therapy
and placing the client in a modified Trendelenburg position.)
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 nurse is taking a medication history from a client who has Angina and is to begin taking
Ranolazine. The nurse should report which of the following medications in the client's history
that can interact with Ranolazine? (Select all that apply.)
A. Digoxin
B. Simvastatin
C. Verapamil
D. Amlodipine
E. Nitroglycerin transdermal patch - CORRECT ANSWER- -a, b, c
(A. Concurrent use with ranolazine increases serum levels of digoxin, so digoxin toxicity can
result.
B. Concurrent use with ranolazine increases serum levels of simvastatin, so liver toxicity
can result.
C. Verapamil is an inhibitor of CYP3A4, which can increase levels of ranolazine and lead to
the dysrhythmia torsades de pointes.)
A nurse is caring for a client who is prescribed Isosorbide Mononitrate for chronic stable Angina
and develops reflex tachycardia. Which of the following medications should the nurse expect to
administer?
