Exam (elaborations)

ATI Pharm CMS Exam with Verified Answers Graded A+

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ATI Pharm CMS

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ATI Pharm CMS

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ati pharm cms exam with verified answers graded a

Institution ATI Pharm CMS
Course ATI Pharm CMS

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ATI Pharm CMS Exam with Verified Answers Graded A+
1. b. Serum potassium 5.2 mEq/L: A client has a new prescription for spirono-
lactone (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
2. b. Toxic levels of digoxin: 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
3. a. Asthma: Propranolol (Inderal) is contraindicated for a client who has which of
the following conditions?
a. Asthma
b. Diabetes
c. Angina
d. Dementia
4. c. "I should decrease the amount of calcium in my diet while taking the
medication.": 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."
5. b. Reflex tachycardia: 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
6. b. Pulse rate
d. Blood pressure: A nurse is caring for a client on a medical unit who takes regular

, ATI Pharm CMS Exam with Verified Answers Graded A+
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
7. a. Fatigue
c. Anorexia
e. Diplopia: 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
8. d. Headache: A nurse is caring for a client who is prescribed isosorbide monon-
itrate (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
9. d. Aspirin: 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
10. a. Apply the patch at the same time each morning
c. Put patch on a hairless area of skin.
e. Cut patches in half to allow for smaller doses of prescribed medication.: 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 adminis-
tration of transdermal nitroglycerin? (SATA)
a. Apply the patch at the same time each morning

, ATI Pharm CMS Exam with Verified Answers Graded A+
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.
11. b. The nasolacrimal duct: 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
12. c. No reports of pain: 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
13. b. Bradycardia: 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
b. Bradycardia
c. Seizures
d. Jaundice
14. b. Liver enzymes: A nurse is caring for a client who has a prescription for
tizanidine (Zanaflex) for relief of muscle spasm following a back injury. Which of the
following lab values should the nurse expect to monitor while the client is taking this
medication?
a. Serum creatinine
b. Liver enzymes
c. WBC count
d. RBC count
15. a. Take the medication 15 min before exercising.
b. Follow a fixed-dosage schedule for long-term control of asthma.: A nurse is
reinforcing teaching to a client with asthma about how to use cromolyn (Intal). Which
of the following should the nurse include in the teaching? (Select all that apply)
a. Take the medication 15 min before exercising.
b. Follow a fixed-dosage schedule for long-term control of asthma.

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