ATI Pharmacology Proctored practice a and b
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A nurse is teaching a client who has a new prescription for Nitroglycerin transdermal patch
for Angina Pectoris. Which of the following instructions should the nurse include?
A. Remove the patch each evening.
B. Cut each patch in half if angina attacks are under control.
C. Take off the nitroglycerin patch for 30 min if a headache occurs.
D. Apply a new patch every 48 hr - -correct ans- -A (In order to prevent tolerance to
nitroglycerin, the client should remove the patch for 10 to 12 hr during each 24-hr period)
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 ans- -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?
A. Furosemide
B. Captopril
C. Ranolazine
D. Metoprolol - -correct ans- -D (metoprolol, a beta adrenergic blocker, is used to treat
hypertension and stable angina pectoris, and is often prescribed to decrease heart rate in
clients who have tachycardia)
A nurse is teaching a client who has angina how to use nitroglycerin transdermal ointment.
The nurse should include which of the following instructions?
A."Remove the prior dose before applying a new dose."
B."Rub the ointment directly into your skin until it is no longer visible."
C."Cover the applied ointment with a clean gauze pad."
D."Apply the ointment to the same skin area each time. - -correct ans- -A (The client should
remove the prior dose before applying a new dose to prevent toxicity)
A nurse is assessing a client who is taking Amiodarone to treat Atrial Fibrillation. Which of
the following findings is a manifestation of Amiodarone toxicity?
, A. Light yellow urine
B. Report of tinnitus
C. Productive cough
D. Blue-gray skin discoloration - -correct ans- -C (Productive cough can indicate pulmonary
toxicity or heart failure. The nurse should assess for cough, chest pain, and shortness of
breath)
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 ans- -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 ans- -D (Anorexia, blurred vision, stomach pain, and
diarrhea are manifestations of digoxin toxicity)
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Quality Questions with Expert Answers Guaranteed
to Improve Your Academic Performance
A nurse is teaching a client who has a new prescription for Nitroglycerin transdermal patch
for Angina Pectoris. Which of the following instructions should the nurse include?
A. Remove the patch each evening.
B. Cut each patch in half if angina attacks are under control.
C. Take off the nitroglycerin patch for 30 min if a headache occurs.
D. Apply a new patch every 48 hr - -correct ans- -A (In order to prevent tolerance to
nitroglycerin, the client should remove the patch for 10 to 12 hr during each 24-hr period)
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 ans- -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?
A. Furosemide
B. Captopril
C. Ranolazine
D. Metoprolol - -correct ans- -D (metoprolol, a beta adrenergic blocker, is used to treat
hypertension and stable angina pectoris, and is often prescribed to decrease heart rate in
clients who have tachycardia)
A nurse is teaching a client who has angina how to use nitroglycerin transdermal ointment.
The nurse should include which of the following instructions?
A."Remove the prior dose before applying a new dose."
B."Rub the ointment directly into your skin until it is no longer visible."
C."Cover the applied ointment with a clean gauze pad."
D."Apply the ointment to the same skin area each time. - -correct ans- -A (The client should
remove the prior dose before applying a new dose to prevent toxicity)
A nurse is assessing a client who is taking Amiodarone to treat Atrial Fibrillation. Which of
the following findings is a manifestation of Amiodarone toxicity?
, A. Light yellow urine
B. Report of tinnitus
C. Productive cough
D. Blue-gray skin discoloration - -correct ans- -C (Productive cough can indicate pulmonary
toxicity or heart failure. The nurse should assess for cough, chest pain, and shortness of
breath)
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 ans- -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 ans- -D (Anorexia, blurred vision, stomach pain, and
diarrhea are manifestations of digoxin toxicity)
