ATI Cardiovascular Exam with Correct Answers
1. A nurse is teaching a client who has a new prescription for gemfibrozil.
Which of the following instructions should she include? - ANS -- Because
gemfibrozil, a fibrate, can cause gallstones, clients should monitor and
report any new intolerance to fried foods, as well as any bloating or upper
abdominal discomfort.
- Because gemfibrozil, a fibrate, can cause myopathy, clients should monitor and
report any unexplained muscle or joint pain.
- Because gemfibrozil, a fibrate, increases the risk for liver toxicity, clients will
require liver function testing while taking this drug.
2. A nurse 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 that's to be reported? - ANS -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.)
3. A nurse 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? - ANS -myopathy -- (When taking a statin drug, it
is important to know that concurrent use of fibric acid derivatives, such as
gemfibrozil, or other drugs to lower cholesterol, can increase the risk for
myopathy.)
4. The nurses 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? - ANS -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.)
5. 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? - ANS -The drug does not
promote diuresis for clients who have renal insufficiency. -- (Adequate
kidney function is essential for clients who take hydrochlorothiazide, a
thiazide diuretic, to promote urine production and effective excretion.)
6. A nurse is teaching client who has a new prescription for quinidine. Which
of the following statements should the nurse include? - ANS -"Monitor
your pulse rate and report changes." -- (Sodium channel blockers, like
quinidine, can worsen dysrhythmias, or cause new ones. The nurse should
teach the client to monitor their pulse rate and report changes from
prescribed parameters. It can be helpful to instruct the client to keep a
written record of their pulse0 rate for the provider.)
7. A nurse is administering hydrochlorothiazide to a client who is gouty
arthritis. The nursing module client for which of the following findings
that indicate an adverse effect of the drug? - ANS -Hyperuricemia --
(Hyperuricemia, or increased uric acid levels, along with gouty arthritis, can
occur in clients who have a history of these conditions and are taking
hydrochlorothiazide.)
8. 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? - ANS -- MAOIs can cause
1. A nurse is teaching a client who has a new prescription for gemfibrozil.
Which of the following instructions should she include? - ANS -- Because
gemfibrozil, a fibrate, can cause gallstones, clients should monitor and
report any new intolerance to fried foods, as well as any bloating or upper
abdominal discomfort.
- Because gemfibrozil, a fibrate, can cause myopathy, clients should monitor and
report any unexplained muscle or joint pain.
- Because gemfibrozil, a fibrate, increases the risk for liver toxicity, clients will
require liver function testing while taking this drug.
2. A nurse 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 that's to be reported? - ANS -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.)
3. A nurse 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? - ANS -myopathy -- (When taking a statin drug, it
is important to know that concurrent use of fibric acid derivatives, such as
gemfibrozil, or other drugs to lower cholesterol, can increase the risk for
myopathy.)
4. The nurses 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? - ANS -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.)
5. 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? - ANS -The drug does not
promote diuresis for clients who have renal insufficiency. -- (Adequate
kidney function is essential for clients who take hydrochlorothiazide, a
thiazide diuretic, to promote urine production and effective excretion.)
6. A nurse is teaching client who has a new prescription for quinidine. Which
of the following statements should the nurse include? - ANS -"Monitor
your pulse rate and report changes." -- (Sodium channel blockers, like
quinidine, can worsen dysrhythmias, or cause new ones. The nurse should
teach the client to monitor their pulse rate and report changes from
prescribed parameters. It can be helpful to instruct the client to keep a
written record of their pulse0 rate for the provider.)
7. A nurse is administering hydrochlorothiazide to a client who is gouty
arthritis. The nursing module client for which of the following findings
that indicate an adverse effect of the drug? - ANS -Hyperuricemia --
(Hyperuricemia, or increased uric acid levels, along with gouty arthritis, can
occur in clients who have a history of these conditions and are taking
hydrochlorothiazide.)
8. 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? - ANS -- MAOIs can cause
