Download ATI Pharm CMS Exam Questions with Complete Solution and more Exams Pharmacology in PDF only on Docsity!
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ATI Pharm CMS Exam Questions with
Complete Solution
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
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c. Angina
d. Dementia: a. Asthma
4. A nurse is reinforcing teaching for a client who has a prescription for vera-pamil (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 med-ication."
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
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
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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.
e.Cut patches in half to allow for smaller doses of prescribed medication.: a. Apply the patch at the same time each morning
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c. Put patch on a hairless area of skin.
e. Cut patches in half to allow for smaller doses of prescribed medication.
11. After instilling an eye drop that has a systematic effect, the nurse should press on which of the
following to prevent absorption into the circulation?
a. The bony orbit
b. The nasolacrimal duct
c. The conjunctival sac
d. The outer cantus of the eye: b. The nasolacrimal duct
12. A nurse is caring for a client who has just been diagnosed with primary open-angle glaucoma
(POAG) during a screening examination. Which of the following data collection finding should the nurse expect?
a. Sudden loss of central vision
b. Intraocular pressure 19 mm Hg
c. No reports of pain
d. Intact peripheral vision: c. No reports of pain
13. A nurse is preparing to administer timolol (Timoptic) ophthalmic drops into the eye of a client who
has glaucoma. For which of the following adverse effects should this client be monitored?
a. Hypertension
7 / 29 be used for the long-term management of asthma. Which of the following dietary supplements should the client be sure to consume in sufficient amounts to prevent a deficiency while taking the QVAR inhaler? a. Iron and Protein
b. Calcium and Vitamin D
c. Vitamin B¹² and folic acid
d. Vitamin E and K: b. Calcium and Vitamin D
17. A nurse is caring for a client who is prescribed oral prednisone (Deltasone) for the treatment of
chronic asthma. The nurse should plan to monitor the client for which of the following findings?
a. Weight loss
b. Infection
c. Hypoglycemia
d. Angina Pain: b. Infection
18. A nurse is caring for a client who states she has been taking phenylephrine (Neo-Synephrine) nasal
drops for the past 10 days for her upper respiratory symptoms. The nurse should plan to monitor the client for which of the follow-ing findings?
a. Sedation
b. Nasal congestion
c. Productive cough
d. Constipation: b. Nasal congestion
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19. A nurse is caring for a preschool-age child who may have taken an overdose of diphenhydramine
(Benadryl). To identify antihistamine toxicity, the nurse should plan to monitor the child for which of the following?
a. Hallucinations
b. Bradycardia
c. Pinpoint pupils
d. Pallor: a. Hallucinations
20. A nurse is reinforcing teaching for a client who has hypertension and is pre-scribed hydrochlorothiazide
(HydroDIURIL) twice daily. Which of the following instructions should the nurse include in the client's teaching?
a. "You should avoid foods high in potassium."
b. "Take the second dose of the day by early afternoon."
c."Watch for ankle swelling that may appear late in the evening." d. "Limit your daily fluid intake to 1½ L.": b. "Take the
second dose of the day by early afternoon."
21. A nurse is reinforcing teaching to a client who is prescribed lovastatin (Meva-cor). Which of the
following should be included in the teaching?
a. Take the medication with the evening meal.
b. Change position slowly when rising from a chair.
c. Maintain a steady intake of green leafy vegetables.
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c. The warfarin dosage will be increased.
d. The warfarin dosage will be decreased.: c. The warfarin dosage will be increased.
25. When caring for a client taking aspirin to reduce the risk for a myocardial infarction, the nurse
should monitor for which of the following adverse effects? (Select all that apply)
a. Petechiae
b. Hypertension
c. Tinnitus
d. Bruising
e. Black stools: a. Petechiae
d. Bruising
e. Black stools
26. Which of the following interventions should the nurse implement when preparing to administer
filgrastim (Neupogen) for the first time to a client who has undergone a bone marrow transplant? a. Administer intramuscularly in a large muscle mass to prevent injury.
b. Give orally with a meal or snack to prevent severe gastrointestinal upset.
c. Shake vial gently to mix well before withdrawing dose.
d. Discard vial after removing one dose of the medication.: d. Discard vial after removing one dose of the medication.
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27. A nurse is caring for a client who has been receiving epoetin alfa (Epogen) three times a week for
several weeks. At a visit to the clinic, the client's Hgb has increased from 7 g/dL to 8.5 g/dL in the past week. Which of the following actions should the nurse expect to take regarding today's dose of epoetin alfa?
a. To increase today's dose.
b. To administer the ordered dose.
c. To withhold today's dose.
d. To discontinue the medication.: c. To withhold today's dose.
28. A nurse is monitoring a client who is receiving sargramostim (Leukine) fol-lowing a bone marrow
transplant. For which of the following adverse reactions should the nurse monitor the client?
a. Constipation
b. Bone pain
c. Insomnia
d. Hair loss: b. Bone pain
29. A nurse is reinforcing teaching for a client who has peptic ulcer disease on how to properly
selfadminister ranitidine (Zantac). Which of the following client statements indicates effective teaching by the nurse?
a. "I should call my doctor if my stools look black and sticky."
b. "I will take ranitidine regularly until my burning symptoms disappear."
c. "I need to take ranitidine on my empty stomach."
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c. Increasing development of the corpus luteum
d. Altering the endometrial lining to prevent implantation
e. Inhibiting ovulation: a. Thickening the cervical mucus to slow sperm passage
d. Altering the endometrial lining to prevent implantation e. Inhibiting ovulation
33. A nurse is caring for a male client who has a new prescription for testos-terone cypionate
(DepoTestosterone) IM every 2 to 4 weeks for hypogonadism. The nurse should plan to monitor which of the following laboratory values?
a. Serum creatinine
b. Cholesterol levels
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c. BUN
d. Serum potassium: b. Cholesterol levels
34. A nurse is reinforcing teaching for a client who takes sildenafil (Viagra) several times weekly and has a
new prescription for oral erythromycin (E-Mycin) to treat a respiratory tract infection. The nurse should instruct the client about an increased risk for which of the following findings due to an interaction between the two medications?
a. Priapism
b. Urinary frequency
c. Weight gain
d. Insomnia: a. Priapism
35. A nurse is reinforcing teaching for a female client who has a new prescription for hydroxychloroquine
(Plaquenil) for rheumatoid arthritis. The nurse evalu-ates that the client understand the teaching when she states, "While taking hydroxychloroquine I should
a. go to the dentist more frequently
b. call my doctor if I develop blurred vision."
c. have a Pap test twice a year."
d. let my doctor know if my urine becomes darker.": b. call my doctor if I develop blurred vision."
36. A client who has osteoporosis is started on alendronate (Fosamax). The nurse should instruct the
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b. Renal impairment
c. Reye's syndrome
d. Ischemic stoke: b. Renal impairment
39. A nurse is caring for a toddler who was just admitted for an acetaminophen overdose. Which of the
following medications should the nurse anticipate being administered to this client?
a. Acetylcysteine (Mucomyst)
b. Pegfilgrastim (Neulasta)
c. Misoprostol (Cytotec)
d. Naltrexone (Re Via): a. Acetylcysteine (Mucomyst)
40. A nurse is caring for postoperative client who is prescribed ketorolac (Toradol) for pain
management. The nurse should recognize that which of the following is true regarding the administration of ketorolac?
a. Ketorolac is prescribed postoperatively to lower the dosage of opioids need-ed.
b. Client's who take ketorolac avoid the adverse reactions of NSAIDS.
c. Ketorolac is available as a timed-release transdermal patch.
d. Client's maybe prescribed ketorolac for long-term relief of chronic pain, such as arthritis: a. Ketorolac is prescribed
postoperatively to lower the dosage of opioids needed.
41. A nurse is monitoring a client who received regular doses of meperidine (Demerol) for
postoperative pain for 36 hr. For which of the following should the nurse monitor the client?
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a. Hypothermia
b. Bradycardia
c. Delirium
d. Watery diarrhea: c. Delirium
42. A nurse is caring for a client who has been receiving morphine for postop-erative pain for the past few
days. For which of the following should the nurse monitor the client? (Select all that apply)
a. Dilated pupils
b. Urinary retention
c. Orthostatic hypotension
d. Constipation
e. Nausea: b. Urinary retention
c. Orthostatic hypotension
d. Constipation
e. Nausea
43. A nurse is caring for a client with severe pain whose prescription for mor-phine IV bolus has been
changed to transdermal fentanyl (Duragesic). The nurse should understand which of the following information when administer-ing a fentanyl transdermal patch?
a. Apply a hot pack to the area containing the patch to enhance therapeutic effect.
b. Administer a short-term opioid for pain for the first 24hr after patch appli-cation.
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a. Hypoglycemia
b. GI Bleeding
c. Weight loss
d. Asthma: b. GI Bleeding
47. A nurse is caring for a client who has severe pain in his right foot. Which of the following laboratory
values tell the nurse that the client is having a flare-up of gout?
a. Increased serum creatinine
b. Decreased creatinine kinase
c. Decreased total protein
d. Increased uric acid: d. Increased uric acid
48. A nurse is caring for a client who has migraine headaches and is planning to ask her provider for a
prescription for ergotamine is contraindicated for clients who have which of the following conditions?
a. Seizure disorders
b. Angle closure glaucoma
c. Coronary artery disease
d. Peptic ulcer disease: c. Coronary artery disease
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49. A nurse is reinforcing teaching to a client with migraine headaches who has a new prescription for
sumatriptan (Imitrex). The nurse should plan to monitor the client for which of the following?
a. Nausea and vomiting
b. Pressure in the chest
c. Fever and sore throat
d. Bleeding and bruising: b. Pressure in the chest
50. Match the time of NPH insulin (Humulin N) onset:
a. Less than 15 min
b. 30 min to 1 hr
c. 1 to 2 hr
d. 1 hr: c. 1 to 2 hr
51. A nurse is caring for a group of clients who need insulin injections. The nurse should recognize that he
can mix. Which of the following insulin in the same syringe with another insulin? (SATA)
a. Insulin detemir (Levemir)
b. Insulin lispro (Humalog)
c. Insulin glargine (Lantus)
d. Insulin aspart (Novolog): b. Insulin lispro (Humalog)
d. Insulin aspart (Novolog)
52. A nurse is caring for a client who has type 2 diabetes mellitus and a prescrip-tion for rosiglitazone (Avandia).
