ATI CAPSTONE PHARMACOLOGY EXAM 2
QUESTION AND ANSWERS A GRADE.
CAPSTONE PHARMACOLOGY 2
A nurse is reviewing the medical history of a client who has myasthenia gravis and is asking about
starting neostigmine. The nurse should identify which of the following client conditions as a
potential contraindication for cholinesterase inhibitor therapy?
• Cataracts
• Hypertension
• Hypothyroidism
• Peptic ulcer disease—Neostigmine, a cholinesterase inhibitor, increases gastric secretions
which would further exacerbate the peptic ulcer disease, thereby increasing the risk for
erosion and perforation.
A nurse is providing teaching to a client who has angina and a new prescription for sublingual
nitroglycerin tablet. Which of the following instructions should the nurse include in the teaching?
• Repeat up to four doses until pain is relieved.
• Store unused tablets at room temperature – The client should not expose tablets to
moisture, heat, or air, and should replace the tablets 6 months after they are opened to
retain potency.
A nurse is providing teaching to a client who has a duodenal ulcer and is starting to take
sucralfate. Which of the following instructions should the nurse include in the teaching?
• Take this medication with meals
• Reduce dietary fiber while taking the medication
• Administer an antacid with the medication
• Increase fluid intake while taking the medication—The nurse should instruct the client to
increase their fluid and dietary fiber intake to prevent constipation, a potential adverse
effect of sucralfate.
A nurse is assessing a client who started taking furosemide 2 days ago and ahs a potassium level of
3.1 mEq/L. Which of the following findings should the nurse expect?
• Muscle rigidity of the extremities
, • Bounding radial pulses
• Depressed deep tendon reflexes—A potassium level of 3.1 mEq/L is lower thatn the
expected reference range of 3.5 to 5 mEq/L and is an indication of hypokalemia. The nurse
should expect depressed deep tendon reflexes in a client who has hypokalemia Increased
bowel motility
7. A nurse is administering bumetanide to a client who has ascites. The nurse should recognize
that which of the following findings is an expected therapeutic effect of this medication?
• Decreased excretion of urine sodium
• Increased urinary output-- The primary action of bumetanide , a loop diuretic, is to
increase the excretion of water and electrolytes through the urine. Bumetanide decreases
edema associated with heart failure, liver disease, or renal compromise by increasing
urinary output.
• Decreased serum glucose
28. A nurse is teaching a client who has a new prescription for benzonatate. Which
of the following statements by the client indicates an understanding of the teaching?
• I should not drive while taking this medication --- adverse effects of
benzonatate can include sedation and dizziness.
• This medication will help me cough up the mucus in my chest
• I should decrease my dietary fiber intake while taking this medication
29. A nurse is teaching a client who has a new prescription for isoniazid to treat
tuberculosis. Which of the following information should the nurse include in the
teaching?
• You will have frequent sputum tests to monitor the effectiveness of this
medication – sputum specimen every 2 to 4 weeks to monitor the effectiveness
of this medication.
The client is no longer infectious following three consecutives negative
sputum cultures. However, the client should continue the antibiotic treatment
for 6 to 112 months.
• You will be able to stop taking this medication after 1 month
• You can take an antacid containing aluminum at the same time as this
medication
30. A nurse is reviewing the health history of a client who experience migraine
headaches and has asked about a prescription for sumatriptan. Which of the following
condition should the nurse identify as a contraindication for taking sumatriptan?
• Asthma
• Kidney disease
• Rheumatoid arthritis
QUESTION AND ANSWERS A GRADE.
CAPSTONE PHARMACOLOGY 2
A nurse is reviewing the medical history of a client who has myasthenia gravis and is asking about
starting neostigmine. The nurse should identify which of the following client conditions as a
potential contraindication for cholinesterase inhibitor therapy?
• Cataracts
• Hypertension
• Hypothyroidism
• Peptic ulcer disease—Neostigmine, a cholinesterase inhibitor, increases gastric secretions
which would further exacerbate the peptic ulcer disease, thereby increasing the risk for
erosion and perforation.
A nurse is providing teaching to a client who has angina and a new prescription for sublingual
nitroglycerin tablet. Which of the following instructions should the nurse include in the teaching?
• Repeat up to four doses until pain is relieved.
• Store unused tablets at room temperature – The client should not expose tablets to
moisture, heat, or air, and should replace the tablets 6 months after they are opened to
retain potency.
A nurse is providing teaching to a client who has a duodenal ulcer and is starting to take
sucralfate. Which of the following instructions should the nurse include in the teaching?
• Take this medication with meals
• Reduce dietary fiber while taking the medication
• Administer an antacid with the medication
• Increase fluid intake while taking the medication—The nurse should instruct the client to
increase their fluid and dietary fiber intake to prevent constipation, a potential adverse
effect of sucralfate.
A nurse is assessing a client who started taking furosemide 2 days ago and ahs a potassium level of
3.1 mEq/L. Which of the following findings should the nurse expect?
• Muscle rigidity of the extremities
, • Bounding radial pulses
• Depressed deep tendon reflexes—A potassium level of 3.1 mEq/L is lower thatn the
expected reference range of 3.5 to 5 mEq/L and is an indication of hypokalemia. The nurse
should expect depressed deep tendon reflexes in a client who has hypokalemia Increased
bowel motility
7. A nurse is administering bumetanide to a client who has ascites. The nurse should recognize
that which of the following findings is an expected therapeutic effect of this medication?
• Decreased excretion of urine sodium
• Increased urinary output-- The primary action of bumetanide , a loop diuretic, is to
increase the excretion of water and electrolytes through the urine. Bumetanide decreases
edema associated with heart failure, liver disease, or renal compromise by increasing
urinary output.
• Decreased serum glucose
28. A nurse is teaching a client who has a new prescription for benzonatate. Which
of the following statements by the client indicates an understanding of the teaching?
• I should not drive while taking this medication --- adverse effects of
benzonatate can include sedation and dizziness.
• This medication will help me cough up the mucus in my chest
• I should decrease my dietary fiber intake while taking this medication
29. A nurse is teaching a client who has a new prescription for isoniazid to treat
tuberculosis. Which of the following information should the nurse include in the
teaching?
• You will have frequent sputum tests to monitor the effectiveness of this
medication – sputum specimen every 2 to 4 weeks to monitor the effectiveness
of this medication.
The client is no longer infectious following three consecutives negative
sputum cultures. However, the client should continue the antibiotic treatment
for 6 to 112 months.
• You will be able to stop taking this medication after 1 month
• You can take an antacid containing aluminum at the same time as this
medication
30. A nurse is reviewing the health history of a client who experience migraine
headaches and has asked about a prescription for sumatriptan. Which of the following
condition should the nurse identify as a contraindication for taking sumatriptan?
• Asthma
• Kidney disease
• Rheumatoid arthritis
