ATI questions and answers exam 2
Cardiovascular system
1. A nurse is caring for a client who has a new prescription for verapamil to treat atrial
fibrillation. The nurse should instruct the client to avoid drinking grapefruit juice while
taking verapamil because it can cause the client to experience which of the following
conditions?
a) Tachycardia
b) Dehydration
c) Diarrhea
d) Hypotension
2. A nurse is providing teaching to a client who has a new prescription for losartan to
treat hypertension. The nurse should instruct the client that which of the following
findings could indicate an adverse reaction to the drug and needs to be reported?
a) Facial edema
b) Sleepiness
c) Peripheral edema
d) Constipation
3. A nurse is caring for a client who is taking a diuretic. The nurse should instruct the
client to include which of the following foods in their diet to increase potassium
intake?
a) Raisins
b) Cabbage
c) Cheese
d) Eggs
4. A nurse is teaching a client who has a new prescription for nitroglycerin. The nurse
should instruct the client that which of the following manifestations is a potential
adverse effect of this drug?
a) Headache
b) Constipation
c) Hypertension
d) Hyperglycemia
5. A nurse is caring for a client who has a new prescription for dobutamine. The nurse
should clarify the prescription with the provider if the client is receiving which of the
following types of drugs? (Select all that apply.)
a) ACE Inhibitor
b) MAOI
c) General anesthetic
d) Tricyclic antidepressant
e) Beta blocker
6. A nurse is caring for a client who has a new prescription for propranolol to treat a
tachydysrhythmia. The nurse should instruct the client to avoid taking which of the
following types of over-the-counter drugs while taking propranolol?
a) Antihistamines
b) Potassium supplements
, c) NSAIDS
d) Vitamin C
7. A nurse is teaching a client who has a new prescription for quinidine. Which of the
following statements should the nurse include?
a) "Monitor your pulse rate and report changes."
b) "Remain upright for 30 minutes after taking this medication."
c) "This medication can decrease digoxin levels."
d) "This medication can cause urinary incontinence."
8. A nurse is assessing a client who is taking a loop diuretic and is experiencing a
thready, irregular pulse, orthostatic hypotension, and confusion. The nurse should
identify that these manifestations indicate which of the following adverse effects?
a) Hypokalemia
b) Hypoglycemia
c) Hypouricemia
d) Hyponatremia
9. A nurse is caring for a client who will begin using transdermal nitroglycerin to treat
angina pectoris. When speaking to the client about the drug, which of the following
instructions should the nurse include? (Select all that apply.)
a) "Apply a new patch at the onset of anginal pain."
b) "Apply the patch to dry skin and cover the area with plastic wrap."
c) "Apply the patch to a hairless area and rotate sites."
d) "Apply a new patch when you start your day."
e) "Remove patches for 10 to 12 hours each day."
10. A nurse should recognize that milrinone is contraindicated for a client who has which
of the following conditions?
a) Acute myocardial infarction
b) Peripheral vascular disease
c) Ulcerative colitis
d) Ventricular tachycardia
11. A nurse is teaching a client who has a new prescription for gemfibrozil. Which of the
following instructions should the nurse include? (Select all that apply.)
a) Take the drug with food.
b) Report any new intolerance to fried foods.
c) Report muscle tenderness.
d) Expect periodic liver function testing.
e) Take the drug once each day
12. A nurse is caring for a client who has a glomerular filtration rate of 10 mL/min and a
reduced urine output. The nurse should clarify a prescription for hydrochlorothiazide
for this client because of which of the following characteristics of the drug?
a) The drug can cause hypoglycemia in clients who have a low urine output.
b) The drug does not reduce blood pressure for clients who have a low urine
output.
c) The drug can increase the risk of pulmonary edema for clients who have renal
insufficiency
d) The drug does not promote diuresis for clients who have renal
insufficiency.
, 13. A nurse is caring for a client who is taking atorvastatin and has a new prescription for
gemfibrozil. The nurse should recognize that this drug combination places the client
at an increased risk for which of the following adverse effects?
a) Myopathy
b) Hypoglycemia
c) Irregular pulse
d) Kidney failure
14. A nurse is reviewing new prescriptions with a client who has heart disease. The nurse
should instruct the client that which of the following drugs is prescribed to treat
hypercholesterolemia?
a) Simvastatin
b) Furosemide
c) Losartan
d) Nitroglycerin
15. A nurse is caring for a client who is taking amiodarone to treat atrial fibrillation.
Which of the following should the nurse instruct the client to avoid while taking this
drug?
a) Grapefruit juice
b) Milk
c) Food’s high in vitamin K
d) NSAIDs
16. A nurse is caring for a client who is about to begin captopril therapy. Which of the
following adverse effects should the nurse instruct the client to report because it can
indicate a need to discontinue drug therapy? (Select all that apply.)
a) Rash
b) Distorted taste
c) Swelling of the tongue
d) Photosensitivity
e) Dry cough
17. A nurse is caring for a client who is taking spironolactone to treat hypertension. The
nurse should recognize that which of the following client laboratory values requires
immediate intervention?
a) Sodium 140 mEq/L
b) Potassium 5.2 mEq/L
c) Chloride 100 mEq/L
d) Magnesium 1.9 mEq/L
18. A nurse is administering hydrochlorothiazide to a client who has gouty arthritis. The
nurse should monitor the client for which of the following findings that indicates an
adverse effect of this drug?
a) Hyperuricemia
b) Hypernatremia
c) Hyperkalemia
d) Hypoglycemia
Cardiovascular system
1. A nurse is caring for a client who has a new prescription for verapamil to treat atrial
fibrillation. The nurse should instruct the client to avoid drinking grapefruit juice while
taking verapamil because it can cause the client to experience which of the following
conditions?
a) Tachycardia
b) Dehydration
c) Diarrhea
d) Hypotension
2. A nurse is providing teaching to a client who has a new prescription for losartan to
treat hypertension. The nurse should instruct the client that which of the following
findings could indicate an adverse reaction to the drug and needs to be reported?
a) Facial edema
b) Sleepiness
c) Peripheral edema
d) Constipation
3. A nurse is caring for a client who is taking a diuretic. The nurse should instruct the
client to include which of the following foods in their diet to increase potassium
intake?
a) Raisins
b) Cabbage
c) Cheese
d) Eggs
4. A nurse is teaching a client who has a new prescription for nitroglycerin. The nurse
should instruct the client that which of the following manifestations is a potential
adverse effect of this drug?
a) Headache
b) Constipation
c) Hypertension
d) Hyperglycemia
5. A nurse is caring for a client who has a new prescription for dobutamine. The nurse
should clarify the prescription with the provider if the client is receiving which of the
following types of drugs? (Select all that apply.)
a) ACE Inhibitor
b) MAOI
c) General anesthetic
d) Tricyclic antidepressant
e) Beta blocker
6. A nurse is caring for a client who has a new prescription for propranolol to treat a
tachydysrhythmia. The nurse should instruct the client to avoid taking which of the
following types of over-the-counter drugs while taking propranolol?
a) Antihistamines
b) Potassium supplements
, c) NSAIDS
d) Vitamin C
7. A nurse is teaching a client who has a new prescription for quinidine. Which of the
following statements should the nurse include?
a) "Monitor your pulse rate and report changes."
b) "Remain upright for 30 minutes after taking this medication."
c) "This medication can decrease digoxin levels."
d) "This medication can cause urinary incontinence."
8. A nurse is assessing a client who is taking a loop diuretic and is experiencing a
thready, irregular pulse, orthostatic hypotension, and confusion. The nurse should
identify that these manifestations indicate which of the following adverse effects?
a) Hypokalemia
b) Hypoglycemia
c) Hypouricemia
d) Hyponatremia
9. A nurse is caring for a client who will begin using transdermal nitroglycerin to treat
angina pectoris. When speaking to the client about the drug, which of the following
instructions should the nurse include? (Select all that apply.)
a) "Apply a new patch at the onset of anginal pain."
b) "Apply the patch to dry skin and cover the area with plastic wrap."
c) "Apply the patch to a hairless area and rotate sites."
d) "Apply a new patch when you start your day."
e) "Remove patches for 10 to 12 hours each day."
10. A nurse should recognize that milrinone is contraindicated for a client who has which
of the following conditions?
a) Acute myocardial infarction
b) Peripheral vascular disease
c) Ulcerative colitis
d) Ventricular tachycardia
11. A nurse is teaching a client who has a new prescription for gemfibrozil. Which of the
following instructions should the nurse include? (Select all that apply.)
a) Take the drug with food.
b) Report any new intolerance to fried foods.
c) Report muscle tenderness.
d) Expect periodic liver function testing.
e) Take the drug once each day
12. A nurse is caring for a client who has a glomerular filtration rate of 10 mL/min and a
reduced urine output. The nurse should clarify a prescription for hydrochlorothiazide
for this client because of which of the following characteristics of the drug?
a) The drug can cause hypoglycemia in clients who have a low urine output.
b) The drug does not reduce blood pressure for clients who have a low urine
output.
c) The drug can increase the risk of pulmonary edema for clients who have renal
insufficiency
d) The drug does not promote diuresis for clients who have renal
insufficiency.
, 13. A nurse is caring for a client who is taking atorvastatin and has a new prescription for
gemfibrozil. The nurse should recognize that this drug combination places the client
at an increased risk for which of the following adverse effects?
a) Myopathy
b) Hypoglycemia
c) Irregular pulse
d) Kidney failure
14. A nurse is reviewing new prescriptions with a client who has heart disease. The nurse
should instruct the client that which of the following drugs is prescribed to treat
hypercholesterolemia?
a) Simvastatin
b) Furosemide
c) Losartan
d) Nitroglycerin
15. A nurse is caring for a client who is taking amiodarone to treat atrial fibrillation.
Which of the following should the nurse instruct the client to avoid while taking this
drug?
a) Grapefruit juice
b) Milk
c) Food’s high in vitamin K
d) NSAIDs
16. A nurse is caring for a client who is about to begin captopril therapy. Which of the
following adverse effects should the nurse instruct the client to report because it can
indicate a need to discontinue drug therapy? (Select all that apply.)
a) Rash
b) Distorted taste
c) Swelling of the tongue
d) Photosensitivity
e) Dry cough
17. A nurse is caring for a client who is taking spironolactone to treat hypertension. The
nurse should recognize that which of the following client laboratory values requires
immediate intervention?
a) Sodium 140 mEq/L
b) Potassium 5.2 mEq/L
c) Chloride 100 mEq/L
d) Magnesium 1.9 mEq/L
18. A nurse is administering hydrochlorothiazide to a client who has gouty arthritis. The
nurse should monitor the client for which of the following findings that indicates an
adverse effect of this drug?
a) Hyperuricemia
b) Hypernatremia
c) Hyperkalemia
d) Hypoglycemia
