ATI Pharmacology Proctored Exam: Expertly
Crafted, Graded Questions with In-Depth Solutions
from Top Universities
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?
A. Furosemide
B. Captopril
,C. Ranolazine
D. Metoprolol - CORRECT ANSWER- -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 ANSWER- -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 ANSWER- -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 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
Crafted, Graded Questions with In-Depth Solutions
from Top Universities
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?
A. Furosemide
B. Captopril
,C. Ranolazine
D. Metoprolol - CORRECT ANSWER- -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 ANSWER- -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 ANSWER- -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 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
