Pharm Midterm (Practice questions: ATI and Book)
1. A, C, D, E: A nurse is planning care for a client who is to receive furosemide IV for
peripheral edema. Which of the following interventions should the nurse include in the
plan of care? (SATA)
A. Assess for tinnitus
B. Report urine output 50 mL/hr
C. Monitor blood potassium levels
D. Elevate the head of the bed slowly before ambulation
E. Recommend eating a banana a day
2. A: A nurse is providing information to a client who has a new prescription for
hydrochlorothiazide. Which of the following information should the nurse include?
A. Take the medication with food
B. Plan to take the medication at bedtime
C. Expect increase swelling of the ankles
D. Fluid intake should be limited in the morning
3. C: A nurse is monitoring a client who is receiving spironolactone. Which of the
following findings should the nurse report to the provider?
A. Blood sodium 144 mEq/L
B. Urine Output 120 mL in 4 hr
C. Blood potassium 5.2 mEq/L
D. Blood pressure 140/90 mm Hg
4. C: A nurse is caring for a client who has increased intracranial pressure and is
receiving mannitol. Which of the following findings should the nurse report to the
provider?
A. Blood glucose 150 mg/dL
B. Urine output 40 mL/hr
C. Dyspnea
D. Bilateral equal pupil size
5. B, C, D, E: A nurse is planning care for a client who has a new prescription for
torsemide. The nurse should plan to monitor for which of the following conditions as
potential adverse reactions of the medication? (SATA)
A. Respiratory acidosis
B. Hypokalemia
C. Hypotension
D. Ototoxicity
E. Ventricular dyrhythmias
6. C: A nurse in a provider's office is monitoring blood electrolytes for four clients who
take digoxin. Which of the following electrolyte values increase a client's risk for digoxin
toxicity?
A. Calcium 9.2 mg/dL
, Pharm Midterm (Practice questions: ATI and Book)
B. Calcium 10.3 mg/dL
C. Potassium 3.4 mEq/L
D. Potassium 4.8 mEq/L
7. B: A nurse is caring for a client who has a new prescription for digoxin and take
multiple other medications. The nurse should recognize that concurrent use of which of the
following medications places the client at risk for digoxin toxicity?
A. Phenytoin
B. Verapamil
C. Warfarin
D. Aluminum hydroxide
8. B: A nurse is administering a dopamine infusion at a low does to a client who has
severe heart failure. Which of the following findings is an expected effect of this
medication?
A. Lowered heart rate
B. Increase urine output
C. Decreased conduction through the AV nodes
D. Vasoconstriction of renal blood vessels
9. A, C, E: A nurse is providing teaching to a client who has a new prescription for
digoxin. The nurse should instruct the client to monitor and report which of the following
adverse effects that is a manifestation of digoxin manifestations? (SATA)
A. Fatigue
B. Constipation
C. Anorexia
D. Rash
E. Blurred vision
10. A: A nurse is teaching a client to who has a new prescription for digoxin to treat
heart failure. Which of the following instructions should the nurse include in the
teaching?
A. Contact provider if heart rate is less that 60 BPM
B. Check pulse rate for 30 seconds and multiply result by 2
C. Increase intake of sodium
D. Take with food if cause occurs
11. B: A nurse is teaching a client who has angina pectoris and is learning how to treat
acute anginal attacks. The client asks, "what is my next step if I take one tablet, wait 5
minutes, but still have anginal pain?" Which of the following responses should the nurse
make?
A. "Take two more sublingual tables at the same time"
B. "Call the emergency response team"
1. A, C, D, E: A nurse is planning care for a client who is to receive furosemide IV for
peripheral edema. Which of the following interventions should the nurse include in the
plan of care? (SATA)
A. Assess for tinnitus
B. Report urine output 50 mL/hr
C. Monitor blood potassium levels
D. Elevate the head of the bed slowly before ambulation
E. Recommend eating a banana a day
2. A: A nurse is providing information to a client who has a new prescription for
hydrochlorothiazide. Which of the following information should the nurse include?
A. Take the medication with food
B. Plan to take the medication at bedtime
C. Expect increase swelling of the ankles
D. Fluid intake should be limited in the morning
3. C: A nurse is monitoring a client who is receiving spironolactone. Which of the
following findings should the nurse report to the provider?
A. Blood sodium 144 mEq/L
B. Urine Output 120 mL in 4 hr
C. Blood potassium 5.2 mEq/L
D. Blood pressure 140/90 mm Hg
4. C: A nurse is caring for a client who has increased intracranial pressure and is
receiving mannitol. Which of the following findings should the nurse report to the
provider?
A. Blood glucose 150 mg/dL
B. Urine output 40 mL/hr
C. Dyspnea
D. Bilateral equal pupil size
5. B, C, D, E: A nurse is planning care for a client who has a new prescription for
torsemide. The nurse should plan to monitor for which of the following conditions as
potential adverse reactions of the medication? (SATA)
A. Respiratory acidosis
B. Hypokalemia
C. Hypotension
D. Ototoxicity
E. Ventricular dyrhythmias
6. C: A nurse in a provider's office is monitoring blood electrolytes for four clients who
take digoxin. Which of the following electrolyte values increase a client's risk for digoxin
toxicity?
A. Calcium 9.2 mg/dL
, Pharm Midterm (Practice questions: ATI and Book)
B. Calcium 10.3 mg/dL
C. Potassium 3.4 mEq/L
D. Potassium 4.8 mEq/L
7. B: A nurse is caring for a client who has a new prescription for digoxin and take
multiple other medications. The nurse should recognize that concurrent use of which of the
following medications places the client at risk for digoxin toxicity?
A. Phenytoin
B. Verapamil
C. Warfarin
D. Aluminum hydroxide
8. B: A nurse is administering a dopamine infusion at a low does to a client who has
severe heart failure. Which of the following findings is an expected effect of this
medication?
A. Lowered heart rate
B. Increase urine output
C. Decreased conduction through the AV nodes
D. Vasoconstriction of renal blood vessels
9. A, C, E: A nurse is providing teaching to a client who has a new prescription for
digoxin. The nurse should instruct the client to monitor and report which of the following
adverse effects that is a manifestation of digoxin manifestations? (SATA)
A. Fatigue
B. Constipation
C. Anorexia
D. Rash
E. Blurred vision
10. A: A nurse is teaching a client to who has a new prescription for digoxin to treat
heart failure. Which of the following instructions should the nurse include in the
teaching?
A. Contact provider if heart rate is less that 60 BPM
B. Check pulse rate for 30 seconds and multiply result by 2
C. Increase intake of sodium
D. Take with food if cause occurs
11. B: A nurse is teaching a client who has angina pectoris and is learning how to treat
acute anginal attacks. The client asks, "what is my next step if I take one tablet, wait 5
minutes, but still have anginal pain?" Which of the following responses should the nurse
make?
A. "Take two more sublingual tables at the same time"
B. "Call the emergency response team"
