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ATI PHARM CMS EXAM QUESTIONS AND ANSWERS
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ATI PHARM CMS EXAM QUESTIONS AND ANSWERS
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ATI PHARM CMS EXAM QUESTIONS AND ANSWERSA 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
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
6 Ways to Show Appreciation for Your Child's Teacher
Propranolol (Inderal) is contraindicated for a client who has which of the following
conditions?
a. Asthma
b. Diabetes
c. Angina
d. Dementia
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."
c. "I should decrease the amount of calcium in my diet while taking the medication."
,A nurse is caring for a client who takes a daily dose of warfarin (Coumadin). The client
begins vomiting blood. Which of the following medications should the nurse prepare to
give to reverse the effects of warfarin?
a. Vitamin K
b. Atropine sulfate
c. Protamine sulfate
d. Calcium gluconate
a. Vitamin K
A nurse is caring for a client who has been taking a daily dose of warfarin for the past
two weeks following an acute myocardial infarction. The client's most recent INR is 1 to
2. If the client has been taking the warfarin as prescribed, the nurse should expect
which of the following changes to the client's prescription?
a. The warfarin will be continued at the same dose.
b. The warfarin will be discontinued.
c. The warfarin dosage will be increased.
d. The warfarin dosage will be decreased.
c. The warfarin dosage will be increased.
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
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.
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.
A nurse is monitoring a client who is receiving sargramostim (Leukine) following 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
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."
d. "I can take ibuprofen if I have minor aches and pains."
a. "I should call my doctor if my stools look black and sticky."
A nurse is reinforcing teaching for a client who is newly diagnosed with peptic ulcer
disease and has prescription for several different medications. The nurse should
recognize that which of the following medications is used as a mucosal protectant to
promote healing of the ulcer?
a. Bismuth (Pepto-Bismol)
b. Sucralfate (Carafate)
c. Ranitidine hydrochloride (Zantac)
d. Metronidazole (Flagyl)
b. Sucralfate (Carafate)
A nurse is reinforcing teaching for a client who is beginning a prescription of conjugated
estrogens (Premarin) for symptoms of menopause. For which of the following should
the nurse plan to monitor the client?
a. Lower leg pain and swelling
b. Shortened stature
c. Vulvar and vaginal atrophy
, d. Weight loss
a. Lower leg pain and swelling
A nurse is reinforcing teaching for a client who is about to begin a prescription for an
oral contraceptive. The nurse should tell the client that the oral contraceptives work by
doing which of the following? (SATA)
a. Thickening the cervical mucus to slow sperm passage
b. Inducing maturation of ovarian follicle
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
A nurse is caring for a male client who has a new prescription for testosterone 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
c. BUN
d. Serum potassium
b. Cholesterol levels
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
A nurse is reinforcing teaching for a female client who has a new prescription for
hydroxychloroquine (Plaquenil) for rheumatoid arthritis. The nurse evaluates 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."
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