CARDIO ATI Final EXAM 100+ QUESTIONS
& ANSWERS / ADVANCED PHARMACOLOGY
FOR CARE OF FAMILY|AGRADE
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?
Tachycardia
Dehydration
Diarrhea
Hypotension - ANSWER//Hypotension
*Large amounts of grapefruit juice can increase blood levels of verapamil by
inhibiting its metabolism. An excess amount of the drug in the body can intensify
otherwise therapeutic effects like hypotension, causing serious risk for syncope
and dizziness.
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?
Facial edema
Sleepiness
Peripheral edema
Constipation - ANSWER//Facial Edema
*Losartan, an angiotensin II receptor blocker, can cause angioedema, which often
manifests as swelling around the eyes and lips. Clients who develop this adverse
effect should stop taking the drug and seek medical attention.
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?
raisins
cabbage
cheese
eggs - ANSWER//Raisins
, *Diuretics can deplete the body of potassium, so the nurse should instruct the
client to include potassium-rich foods in their diet, such as raisins and other
dried fruits.
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 the drug?
headache
constipation
hypertension
hyperclycemia - ANSWER//Headache
*Adverse effects of nitrates, such as nitroglycerin, include headaches, which can
be severe at the beginning of nitrate therapy but decrease in severity with
continued exposure to nitrates.
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
ACE inhibitor
MAOI
General Anesthetic
Tricyclic antidepressant
Beta Blocker - ANSWER//MAOI, General Anesthetic, Tricyclic antidepressant,
Beta Blocker
*ACE inhibitor is incorrect. ACE inhibitors can cause lithium toxicity in clients
who also take lithium; however, they do not interact with dobutamine, which is a
sympathomimetic drug.MAOI is correct. MAOIs can cause toxicity when clients
take them while also taking dobutamine. This significantly increases the client's
risk for tachydysrhythmias.General anesthetic is correct. General anesthetics can
cause dysrhythmias when clients take them while also taking
dobutamine.Tricyclic antidepressant is correct. Tricyclic antidepressants can
cause toxicity when clients take them while also taking dobutamine. This
significantly increases the client's risk for tachydysrhythmias.Beta blocker is
correct. Beta blockers, such as propranolol, can decrease the effects
The 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 which of
the following types of over the counter drugs while taking propranolol?
antihistamines
potassium supplements
NSAIDs
& ANSWERS / ADVANCED PHARMACOLOGY
FOR CARE OF FAMILY|AGRADE
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?
Tachycardia
Dehydration
Diarrhea
Hypotension - ANSWER//Hypotension
*Large amounts of grapefruit juice can increase blood levels of verapamil by
inhibiting its metabolism. An excess amount of the drug in the body can intensify
otherwise therapeutic effects like hypotension, causing serious risk for syncope
and dizziness.
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?
Facial edema
Sleepiness
Peripheral edema
Constipation - ANSWER//Facial Edema
*Losartan, an angiotensin II receptor blocker, can cause angioedema, which often
manifests as swelling around the eyes and lips. Clients who develop this adverse
effect should stop taking the drug and seek medical attention.
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?
raisins
cabbage
cheese
eggs - ANSWER//Raisins
, *Diuretics can deplete the body of potassium, so the nurse should instruct the
client to include potassium-rich foods in their diet, such as raisins and other
dried fruits.
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 the drug?
headache
constipation
hypertension
hyperclycemia - ANSWER//Headache
*Adverse effects of nitrates, such as nitroglycerin, include headaches, which can
be severe at the beginning of nitrate therapy but decrease in severity with
continued exposure to nitrates.
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
ACE inhibitor
MAOI
General Anesthetic
Tricyclic antidepressant
Beta Blocker - ANSWER//MAOI, General Anesthetic, Tricyclic antidepressant,
Beta Blocker
*ACE inhibitor is incorrect. ACE inhibitors can cause lithium toxicity in clients
who also take lithium; however, they do not interact with dobutamine, which is a
sympathomimetic drug.MAOI is correct. MAOIs can cause toxicity when clients
take them while also taking dobutamine. This significantly increases the client's
risk for tachydysrhythmias.General anesthetic is correct. General anesthetics can
cause dysrhythmias when clients take them while also taking
dobutamine.Tricyclic antidepressant is correct. Tricyclic antidepressants can
cause toxicity when clients take them while also taking dobutamine. This
significantly increases the client's risk for tachydysrhythmias.Beta blocker is
correct. Beta blockers, such as propranolol, can decrease the effects
The 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 which of
the following types of over the counter drugs while taking propranolol?
antihistamines
potassium supplements
NSAIDs
