CMS ATI PHARMACOLOGY EXAM 75 QUESTIONS AND
CORRECT ANSWERS (2025) ALREADY GRADED A+
QUESTION 1
A client has a new prescription for spironolactone (Aldactone). Which of the following laboratory values
should the nurse recognize as a reason to withhold the morning dose of the medication and notify the
provider?
a. Serum sodium 138 mEq/L
b. Serum potassium 5.2 mEq/L
c. Serum creatinine 1.2 mEq/L
d. Serum chloride 106 mEq/L
QUESTION 2
A nurse is caring for a client who is prescribed daily doses of both digoxin (Lanoxin) and furosemide
(Lasix). The client's potassium level is 3.2 mEq/L. For which of the following medication interaction is the
client at risk?
a. Toxic levels of furosemide
b. Toxic levels of digoxin
c. Sub-therapeutic levels of furosemide
d. Sub-therapeutic levels of digoxin
QUESTION 3
Propranolol (Inderal) is contraindicated for a client who has which of the following conditions?
a. Asthma
b. Diabetes
,c. Angina
d. Dementia
QUESTION 4
A nurse is reinforcing teaching for a client who has a prescription for verapamil (Calan). Which of the
following statements by the clients indicates a need for further teaching?
a. "I should increase the amount of fiber in my diet since the medication causes constipation."
b. "I should eliminate grapefruit juice from my diet while taking verapamil."
c. "I should decrease the amount of calcium in my diet while taking the medication."
d. I should take the medication with food if it causes an upset stomach."
QUESTION 5
A nurse is caring for a client with prescription for nifedipine (Procardia) to treat angina pectoris. The
nurse should plan to monitor the client for which of the following findings?
a. Weight loss
b. Reflex tachycardia
c. Grand mal seizures
d. Urinary Retention
QUESTION 6
A nurse is caring for a client on a medical unit who takes regular doses of propranolol (Inderal) for
hypertension. Before administering the client's morning dose of propranolol, which of the following
should the nurse plan to monitor? (SATA)
a. Urinary output
b. Pulse rate
c. Temperature
d. Blood pressure
e. Deep tendon reflexes
QUESTION 7
, A nurse is reinforcing teaching for a client who is prescribed digoxin (Lanoxin). Which of the following
should the nurse instruct the client to report to the provider? (SATA)
a. Fatigue
b. Constipation
c. Anorexia
d. Rash
e. Diplopia
QUESTION 8
A nurse is caring for a client who is prescribed isosorbide mononitrate (Imdur) for chronic stable angina.
The nurse should plan to monitor the client for which of the following findings?
a. Bradycardia
b. Fever
c. Hypertension
d. Headache
QUESTION 9
A nurse is obtaining a medication history from a client who is to start a new prescription for warfarin
(Coumadin). Which of the following over-the-counter medications should the nurse instruct the client to
avoid?
a. Ranitidine (Zantac)
b. Docusate sodium (Colace)
c. Acetaminophen
d. Aspirin
QUESTION 10
A nurse is caring for a client who has angina pectoris and is prescribed a nitroglycerin patch (Nitro-Dur)
once daily. Which of the following are true regarding the administration of transdermal nitroglycerin?
(SATA)
a. Apply the patch at the same time each morning
b. Leave the patch in place for 24 hr before replacing.
CORRECT ANSWERS (2025) ALREADY GRADED A+
QUESTION 1
A client has a new prescription for spironolactone (Aldactone). Which of the following laboratory values
should the nurse recognize as a reason to withhold the morning dose of the medication and notify the
provider?
a. Serum sodium 138 mEq/L
b. Serum potassium 5.2 mEq/L
c. Serum creatinine 1.2 mEq/L
d. Serum chloride 106 mEq/L
QUESTION 2
A nurse is caring for a client who is prescribed daily doses of both digoxin (Lanoxin) and furosemide
(Lasix). The client's potassium level is 3.2 mEq/L. For which of the following medication interaction is the
client at risk?
a. Toxic levels of furosemide
b. Toxic levels of digoxin
c. Sub-therapeutic levels of furosemide
d. Sub-therapeutic levels of digoxin
QUESTION 3
Propranolol (Inderal) is contraindicated for a client who has which of the following conditions?
a. Asthma
b. Diabetes
,c. Angina
d. Dementia
QUESTION 4
A nurse is reinforcing teaching for a client who has a prescription for verapamil (Calan). Which of the
following statements by the clients indicates a need for further teaching?
a. "I should increase the amount of fiber in my diet since the medication causes constipation."
b. "I should eliminate grapefruit juice from my diet while taking verapamil."
c. "I should decrease the amount of calcium in my diet while taking the medication."
d. I should take the medication with food if it causes an upset stomach."
QUESTION 5
A nurse is caring for a client with prescription for nifedipine (Procardia) to treat angina pectoris. The
nurse should plan to monitor the client for which of the following findings?
a. Weight loss
b. Reflex tachycardia
c. Grand mal seizures
d. Urinary Retention
QUESTION 6
A nurse is caring for a client on a medical unit who takes regular doses of propranolol (Inderal) for
hypertension. Before administering the client's morning dose of propranolol, which of the following
should the nurse plan to monitor? (SATA)
a. Urinary output
b. Pulse rate
c. Temperature
d. Blood pressure
e. Deep tendon reflexes
QUESTION 7
, A nurse is reinforcing teaching for a client who is prescribed digoxin (Lanoxin). Which of the following
should the nurse instruct the client to report to the provider? (SATA)
a. Fatigue
b. Constipation
c. Anorexia
d. Rash
e. Diplopia
QUESTION 8
A nurse is caring for a client who is prescribed isosorbide mononitrate (Imdur) for chronic stable angina.
The nurse should plan to monitor the client for which of the following findings?
a. Bradycardia
b. Fever
c. Hypertension
d. Headache
QUESTION 9
A nurse is obtaining a medication history from a client who is to start a new prescription for warfarin
(Coumadin). Which of the following over-the-counter medications should the nurse instruct the client to
avoid?
a. Ranitidine (Zantac)
b. Docusate sodium (Colace)
c. Acetaminophen
d. Aspirin
QUESTION 10
A nurse is caring for a client who has angina pectoris and is prescribed a nitroglycerin patch (Nitro-Dur)
once daily. Which of the following are true regarding the administration of transdermal nitroglycerin?
(SATA)
a. Apply the patch at the same time each morning
b. Leave the patch in place for 24 hr before replacing.
