ATI Pharm CMS 2025 Update |
QUESTIONS AND VERIFIED ANSWERS|
frequently MOST TESTED questions
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 - ANSWER b. Serum potassium 5.2
mEq/L
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 - ANSWER b. Toxic levels of
digoxin
Propranolol (Inderal) is contraindicated for a client who has which of the following
conditions?
a. Asthma
b. Diabetes
c. Angina
d. Dementia - ANSWER a. Asthma
,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." -
ANSWER c. "I should decrease the amount of calcium in my diet while
taking the medication."
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 - ANSWER b. Reflex tachycardia
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 - ANSWER b. Pulse rate
d. Blood pressure
, 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 - ANSWER a. Fatigue
c. Anorexia
e. Diplopia
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 - ANSWER d. Headache
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 - ANSWER d. Aspirin
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.
QUESTIONS AND VERIFIED ANSWERS|
frequently MOST TESTED questions
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 - ANSWER b. Serum potassium 5.2
mEq/L
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 - ANSWER b. Toxic levels of
digoxin
Propranolol (Inderal) is contraindicated for a client who has which of the following
conditions?
a. Asthma
b. Diabetes
c. Angina
d. Dementia - ANSWER a. Asthma
,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." -
ANSWER c. "I should decrease the amount of calcium in my diet while
taking the medication."
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 - ANSWER b. Reflex tachycardia
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 - ANSWER b. Pulse rate
d. Blood pressure
, 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 - ANSWER a. Fatigue
c. Anorexia
e. Diplopia
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 - ANSWER d. Headache
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 - ANSWER d. Aspirin
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.
