ATI Pharm CMS EXAM QUESTIONS WITH
CORRECT ANSWERS
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: b. Serum potassium 5.2 mEq/L
| | | | | | | |
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: b.Toxic levels of digoxin | | | | | | | |
3. Propranolol (Inderal) is contraindicated for a client who has which of the | | | | | | | | | | |
following conditions?
| |
a. Asthma
b. Diabetes
c. Angina
d. Dementia: a. Asthma | |
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.": c."I
| | | | | | | | | | | | | |
should decrease the amount of calcium in my diet while taking the medication."
| | | | | | | | | | | | |
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 |
1 |/ |17
,b. Reflex tachycardia
|
c. Grand mal seizures
| |
d. Urinary Retention: b. Reflex tachycardia
| | | |
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
| | | | | | | |
2 |/ |17
, 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: b.Pulse rate | | | | |
d. Blood pressure
| |
7. 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: a. Fatigue | |
c. Anorexia|
e. Diplopia|
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: d. Headache | |
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: d. Aspirin | |
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.
| | | | | | | | |
c. Put patch on a hairless area of skin.
| | | | | | |
d. Rotate the sites of administration with each application.
| | | | | | |
3 |/ |17
CORRECT ANSWERS
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: b. Serum potassium 5.2 mEq/L
| | | | | | | |
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: b.Toxic levels of digoxin | | | | | | | |
3. Propranolol (Inderal) is contraindicated for a client who has which of the | | | | | | | | | | |
following conditions?
| |
a. Asthma
b. Diabetes
c. Angina
d. Dementia: a. Asthma | |
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.": c."I
| | | | | | | | | | | | | |
should decrease the amount of calcium in my diet while taking the medication."
| | | | | | | | | | | | |
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 |
1 |/ |17
,b. Reflex tachycardia
|
c. Grand mal seizures
| |
d. Urinary Retention: b. Reflex tachycardia
| | | |
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
| | | | | | | |
2 |/ |17
, 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: b.Pulse rate | | | | |
d. Blood pressure
| |
7. 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: a. Fatigue | |
c. Anorexia|
e. Diplopia|
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: d. Headache | |
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: d. Aspirin | |
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.
| | | | | | | | |
c. Put patch on a hairless area of skin.
| | | | | | |
d. Rotate the sites of administration with each application.
| | | | | | |
3 |/ |17
