ATI Pharmacology Proctored Questions | A+ Exam
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A nurse is planning caring for a client who is has a new prescription for Torsemide. The
nurse should plan to monitor for which of the following adverse reactions of this
medications? (Select all that apply.)
A. Respiratory acidosis
B. Hypokalemia
C. Hypotension
D. Ototoxicity
E. Ventricular dysrhythmias - CORRECT ANSWER- -b, c, d, e
(B. The nurse should plan to monitor for
hypokalemia, which is an adverse effect of a loop diuretic.
C. The nurse should plan to monitor for hypotension.
D. The nurse should plan to monitor the client for ototoxicity.
E. The nurse should plan to monitor for
ventricular dysrhythmias, which is a manifestation of
hypokalemia, an adverse effect of torsemide)
A nurse is reviewing the health record of a client who asks about using Propranolol to treat
hypertension. The nurse should recognize which of the following conditions is a
contraindication for taking propranolol?
,A. Asthma
B. Glaucoma
C. Hypertension
D. Tachycardia - CORRECT ANSWER- -A (Propranolol is a nonselective beta-adrenergic
blocker that blocks both beta1 and beta2
receptors. Blockade of beta2 receptors in the lungs causes bronchoconstriction, so it is
contraindicated in clients who have asthma)
A nurse is teaching a client who has a new prescription for Verapamil to control
Hypertension. Which of the following instructions should the nurse include?
A. Increase the amount of dietary fiber in the diet.
B. Drink grapefruit juice daily to increase vitamin C intake.
C. Decrease the amount of calcium in the diet.
D. Withhold food for 1 hr after the medication is taken - CORRECT ANSWER- -A (Increasing
dietary fiber intake can help prevent constipation, an adverse effect of verapamil)
A nurse is providing information to a client who has a new prescription for
Hydrochlorothiazide. Which of the following information should the nurse include?
A. Take the medication with food.
B. Plan to take the medication at bedtime.
C. Expect increased swelling of the ankles.
D. Fluid intake should be limited in the morning. - CORRECT ANSWER- -A (The client should
take hydrochlorothiazide with or after meals to prevent gastrointestinal upset)
A nurse is monitoring a client who is receiving spironolactone. Which of the following
findings should the nurse report to the provider?
, A. Serum Sodium 144 mEq/L
B. Urine output 120 mL in 4 hr
C. Serum Potassium 5.2 mEq/L
D. Blood Pressure 140/90 mm Hg - CORRECT ANSWER- -C (Serum potassium of 5.2 mEq/L
indicates hyperkalemia. Because spironolactone causes potassium retention, the nurse
should withhold the medication and notify the provider)
A nurse is caring for a client who has increased intracranial pressure and is receiving
Mannitol. Which of the following findings should the nurse report to the provider?
A. Blood glucose 150 mg/dL
B. Urine output 40 mL/hr
C. Dyspnea
D. Bilateral equal pupil size - CORRECT ANSWER- -C (Dyspnea is a manifestation of heart
failure, an adverse effect of mannitol. The nurse should
stop the medication and notify the provider.)
A nurse is caring for a client who has a new prescription for Captopril for hypertension. The
nurse should monitor the client for which of the following adverse effects of this
medication?
A. Hypokalemia
B. Hypernatremia
C. Neutropenia
D. Bradycardia - CORRECT ANSWER- -C (Neutropenia is a serious adverse effect that can
occur in clients taking an ACE inhibitor. The nurse should monitor the client's CBC and
teach the client to report indications of infection to the provider.)
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A nurse is planning caring for a client who is has a new prescription for Torsemide. The
nurse should plan to monitor for which of the following adverse reactions of this
medications? (Select all that apply.)
A. Respiratory acidosis
B. Hypokalemia
C. Hypotension
D. Ototoxicity
E. Ventricular dysrhythmias - CORRECT ANSWER- -b, c, d, e
(B. The nurse should plan to monitor for
hypokalemia, which is an adverse effect of a loop diuretic.
C. The nurse should plan to monitor for hypotension.
D. The nurse should plan to monitor the client for ototoxicity.
E. The nurse should plan to monitor for
ventricular dysrhythmias, which is a manifestation of
hypokalemia, an adverse effect of torsemide)
A nurse is reviewing the health record of a client who asks about using Propranolol to treat
hypertension. The nurse should recognize which of the following conditions is a
contraindication for taking propranolol?
,A. Asthma
B. Glaucoma
C. Hypertension
D. Tachycardia - CORRECT ANSWER- -A (Propranolol is a nonselective beta-adrenergic
blocker that blocks both beta1 and beta2
receptors. Blockade of beta2 receptors in the lungs causes bronchoconstriction, so it is
contraindicated in clients who have asthma)
A nurse is teaching a client who has a new prescription for Verapamil to control
Hypertension. Which of the following instructions should the nurse include?
A. Increase the amount of dietary fiber in the diet.
B. Drink grapefruit juice daily to increase vitamin C intake.
C. Decrease the amount of calcium in the diet.
D. Withhold food for 1 hr after the medication is taken - CORRECT ANSWER- -A (Increasing
dietary fiber intake can help prevent constipation, an adverse effect of verapamil)
A nurse is providing information to a client who has a new prescription for
Hydrochlorothiazide. Which of the following information should the nurse include?
A. Take the medication with food.
B. Plan to take the medication at bedtime.
C. Expect increased swelling of the ankles.
D. Fluid intake should be limited in the morning. - CORRECT ANSWER- -A (The client should
take hydrochlorothiazide with or after meals to prevent gastrointestinal upset)
A nurse is monitoring a client who is receiving spironolactone. Which of the following
findings should the nurse report to the provider?
, A. Serum Sodium 144 mEq/L
B. Urine output 120 mL in 4 hr
C. Serum Potassium 5.2 mEq/L
D. Blood Pressure 140/90 mm Hg - CORRECT ANSWER- -C (Serum potassium of 5.2 mEq/L
indicates hyperkalemia. Because spironolactone causes potassium retention, the nurse
should withhold the medication and notify the provider)
A nurse is caring for a client who has increased intracranial pressure and is receiving
Mannitol. Which of the following findings should the nurse report to the provider?
A. Blood glucose 150 mg/dL
B. Urine output 40 mL/hr
C. Dyspnea
D. Bilateral equal pupil size - CORRECT ANSWER- -C (Dyspnea is a manifestation of heart
failure, an adverse effect of mannitol. The nurse should
stop the medication and notify the provider.)
A nurse is caring for a client who has a new prescription for Captopril for hypertension. The
nurse should monitor the client for which of the following adverse effects of this
medication?
A. Hypokalemia
B. Hypernatremia
C. Neutropenia
D. Bradycardia - CORRECT ANSWER- -C (Neutropenia is a serious adverse effect that can
occur in clients taking an ACE inhibitor. The nurse should monitor the client's CBC and
teach the client to report indications of infection to the provider.)
