Pharmacology Cardiovascular Drugs NClex Questions
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1. b. 0.5 to 2.0 A newly admitted client takes digoxin 0.25 mg/day. The nurse knows that which
ng/mL is the serum therapeutic range for digoxin?
a. 0.1 to 1.5 ng/mL
b. 0.5 to 2.0 ng/mL
c. 1.0 to 2.5 ng/mL
d. 2.0 to 4.0 ng/mL
2. a. It is in the high The client's serum digoxin level is 3.0 ng/mL. What does the nurse know about
(elevated) range. this serum digoxin level?
a. It is in the high (elevated) range.
b. It is in the low (decreased) range.
c. It is within the normal range.
d. It is in the low average range.
3. d. Pulse below 60 The nurse is assessing the client for possible evidence of digitalis toxicity. The
beats/min and ir- nurse acknowledges that which is included in the signs and symptoms for digitalis
regular rate toxicity?
a. Pulse (heart) rate of 100 beats/min
b. Pulse of 72 with an irregular rate
c. Pulse greater than 60 beats/min and irregular rate
d. Pulse below 60 beats/min and irregular rate
4. a. Increase the The client is also taking a diuretic that decreases her potassium level. The nurse
serum digoxin expects that a low potassium level (hypokalemia) could have what effect on the
sensitivity level digoxin?
a. Increase the serum digoxin sensitivity level
b. Decrease the serum digoxin sensitivity level
c. Not have any effect on the serum digoxin sensitivity level
d. Cause a low average serum digoxin sensitivity level
, Pharmacology Cardiovascular Drugs NClex Questions
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5. b. Headaches When a client first takes a nitrate, the nurse expects which symptom that often
occurs?
a. Nausea and vomiting
b. Headaches
c. Stomach cramps
d. Irregular pulse rate
6. c. Decrease heart The nurse acknowledges that beta blockers are as effective as antianginals be-
rate and de- cause they do what?
crease myocar-
dial contractility. a. Increase oxygen to the systemic circulation.
b. Maintain heart rate and blood pressure.
c. Decrease heart rate and decrease myocardial contractility.
d. Decrease heart rate and increase myocardial contractility.
7. b. The beta The health care provider is planning to discontinue a client's beta blocker. What
blocker should instruction should the nurse give the client regarding the beta blocker?
NOT be abrupt-
ly stopped; the a. The beta blocker should be abruptly stopped when another cardiac drug is
dose should be prescribed.
tapered down. b. The beta blocker should NOT be abruptly stopped; the dose should be tapered
down.
c. The beta blocker dose should be maintained while taking another antianginal
drug.
d. Half the beta blocker dose should be taken for the next several weeks.
8. c. To block The beta blocker acebutolol (Sectral) is prescribed for dysrhythmias. The nurse
the beta1-adren- knows that what is the primary purpose of the drug?
ergic receptors in
the cardiac tis- a. To increase the beta1 and beta2 receptors in the cardiac tissues
sues b. To increase the flow of oxygen to the cardiac tissues
, Pharmacology Cardiovascular Drugs NClex Questions
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c. To block the beta1-adrenergic receptors in the cardiac tissues
d. To block the beta2-adrenergic receptors in the cardiac tissues
9. a. "Apply the A client is to be discharged home with a transdermal nitroglycerin patch. Which
patch to a non- instruction will the nurse include in the client's teaching plan?
hairy area of the
upper torso or a. "Apply the patch to a nonhairy area of the upper torso or arm."
arm." b. "Apply the patch to the same site each day."
c. "If you have a headache, remove the patch for 4 hours and then reapply."
d. "If you have chest pain, apply a second patch next to the first patch."
10. d. Client stating A nurse is monitoring a client with angina for therapeutic effects of nitroglycerin.
that pain is 0 out Which assessment finding indicates that the nitroglycerin has been effective?
of 10
a. Blood pressure 120/80 mm Hg
b. Heart rate 70 beats per minute
c. ECG without evidence of ST changes
d. Client stating that pain is 0 out of 10
11. d. Chest pain The nurse is monitoring a client during IV nitroglycerin infusion. Which assess-
ment finding will cause the nurse to take action?
a. Blood pressure 110/90 mm Hg
b. Flushing
c. Headache
d. Chest pain
12. d. "I can take Which statement made by the client demonstrates a need for further instruction
up to five tablets regarding the use of nitroglycerin?
at 3-minute in-
tervals for chest a. "If I get a headache, I should keep taking nitroglycerin and use Tylenol for pain
pain if neces- relief."
sary." b. "I should keep my nitroglycerin in a cool, dry place."
, Pharmacology Cardiovascular Drugs NClex Questions
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c. "I should change positions slowly to avoid getting dizzy."
d. "I can take up to five tablets at 3-minute intervals for chest pain if necessary."
13. a. Client states Which client assessment would assist the nurse in evaluating therapeutic effects
that she has no of a calcium channel blocker?
chest pain.
a. Client states that she has no chest pain.
b. Client states that the swelling in her feet is reduced.
c. Client states the she does not feel dizzy.
d. Client states that she feels stronger.
14. d. "This medica- What statement is the most important for the nurse to include in the teaching plan
tion will work for a client who has started on a transdermal nitroglycerin patch?
for 24 hours and
you will need to a. "This medication works faster than sublingual nitroglycerin works."
change the patch b. "This medication is the strongest of any nitroglycerin preparation available."
daily." c. "This medication should be used only when you are experiencing chest pain."
d. "This medication will work for 24 hours and you will need to change the patch
daily."
15. c. Apply the ni- What will the nurse instruct the client to do to prevent the development of
troglycerin patch tolerance to nitroglycerin?
for 14 hours and
remove it for 10 a. Apply the nitroglycerin patch every other day.
hours at night. b. Switch to sublingual nitroglycerin when the client's systolic blood pressure
elevates to more than 140 mm Hg.
c. Apply the nitroglycerin patch for 14 hours and remove it for 10 hours at night.
d. Use the nitroglycerin patch for acute episodes of angina only.
16. c. Assess blood Before the nurse administers isosorbide mononitrate (Imdur), what is a priority
pressure. nursing assessment?
a. Assess serum electrolytes.
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1. b. 0.5 to 2.0 A newly admitted client takes digoxin 0.25 mg/day. The nurse knows that which
ng/mL is the serum therapeutic range for digoxin?
a. 0.1 to 1.5 ng/mL
b. 0.5 to 2.0 ng/mL
c. 1.0 to 2.5 ng/mL
d. 2.0 to 4.0 ng/mL
2. a. It is in the high The client's serum digoxin level is 3.0 ng/mL. What does the nurse know about
(elevated) range. this serum digoxin level?
a. It is in the high (elevated) range.
b. It is in the low (decreased) range.
c. It is within the normal range.
d. It is in the low average range.
3. d. Pulse below 60 The nurse is assessing the client for possible evidence of digitalis toxicity. The
beats/min and ir- nurse acknowledges that which is included in the signs and symptoms for digitalis
regular rate toxicity?
a. Pulse (heart) rate of 100 beats/min
b. Pulse of 72 with an irregular rate
c. Pulse greater than 60 beats/min and irregular rate
d. Pulse below 60 beats/min and irregular rate
4. a. Increase the The client is also taking a diuretic that decreases her potassium level. The nurse
serum digoxin expects that a low potassium level (hypokalemia) could have what effect on the
sensitivity level digoxin?
a. Increase the serum digoxin sensitivity level
b. Decrease the serum digoxin sensitivity level
c. Not have any effect on the serum digoxin sensitivity level
d. Cause a low average serum digoxin sensitivity level
, Pharmacology Cardiovascular Drugs NClex Questions
Study online at https://quizlet.com/_xcd0l
5. b. Headaches When a client first takes a nitrate, the nurse expects which symptom that often
occurs?
a. Nausea and vomiting
b. Headaches
c. Stomach cramps
d. Irregular pulse rate
6. c. Decrease heart The nurse acknowledges that beta blockers are as effective as antianginals be-
rate and de- cause they do what?
crease myocar-
dial contractility. a. Increase oxygen to the systemic circulation.
b. Maintain heart rate and blood pressure.
c. Decrease heart rate and decrease myocardial contractility.
d. Decrease heart rate and increase myocardial contractility.
7. b. The beta The health care provider is planning to discontinue a client's beta blocker. What
blocker should instruction should the nurse give the client regarding the beta blocker?
NOT be abrupt-
ly stopped; the a. The beta blocker should be abruptly stopped when another cardiac drug is
dose should be prescribed.
tapered down. b. The beta blocker should NOT be abruptly stopped; the dose should be tapered
down.
c. The beta blocker dose should be maintained while taking another antianginal
drug.
d. Half the beta blocker dose should be taken for the next several weeks.
8. c. To block The beta blocker acebutolol (Sectral) is prescribed for dysrhythmias. The nurse
the beta1-adren- knows that what is the primary purpose of the drug?
ergic receptors in
the cardiac tis- a. To increase the beta1 and beta2 receptors in the cardiac tissues
sues b. To increase the flow of oxygen to the cardiac tissues
, Pharmacology Cardiovascular Drugs NClex Questions
Study online at https://quizlet.com/_xcd0l
c. To block the beta1-adrenergic receptors in the cardiac tissues
d. To block the beta2-adrenergic receptors in the cardiac tissues
9. a. "Apply the A client is to be discharged home with a transdermal nitroglycerin patch. Which
patch to a non- instruction will the nurse include in the client's teaching plan?
hairy area of the
upper torso or a. "Apply the patch to a nonhairy area of the upper torso or arm."
arm." b. "Apply the patch to the same site each day."
c. "If you have a headache, remove the patch for 4 hours and then reapply."
d. "If you have chest pain, apply a second patch next to the first patch."
10. d. Client stating A nurse is monitoring a client with angina for therapeutic effects of nitroglycerin.
that pain is 0 out Which assessment finding indicates that the nitroglycerin has been effective?
of 10
a. Blood pressure 120/80 mm Hg
b. Heart rate 70 beats per minute
c. ECG without evidence of ST changes
d. Client stating that pain is 0 out of 10
11. d. Chest pain The nurse is monitoring a client during IV nitroglycerin infusion. Which assess-
ment finding will cause the nurse to take action?
a. Blood pressure 110/90 mm Hg
b. Flushing
c. Headache
d. Chest pain
12. d. "I can take Which statement made by the client demonstrates a need for further instruction
up to five tablets regarding the use of nitroglycerin?
at 3-minute in-
tervals for chest a. "If I get a headache, I should keep taking nitroglycerin and use Tylenol for pain
pain if neces- relief."
sary." b. "I should keep my nitroglycerin in a cool, dry place."
, Pharmacology Cardiovascular Drugs NClex Questions
Study online at https://quizlet.com/_xcd0l
c. "I should change positions slowly to avoid getting dizzy."
d. "I can take up to five tablets at 3-minute intervals for chest pain if necessary."
13. a. Client states Which client assessment would assist the nurse in evaluating therapeutic effects
that she has no of a calcium channel blocker?
chest pain.
a. Client states that she has no chest pain.
b. Client states that the swelling in her feet is reduced.
c. Client states the she does not feel dizzy.
d. Client states that she feels stronger.
14. d. "This medica- What statement is the most important for the nurse to include in the teaching plan
tion will work for a client who has started on a transdermal nitroglycerin patch?
for 24 hours and
you will need to a. "This medication works faster than sublingual nitroglycerin works."
change the patch b. "This medication is the strongest of any nitroglycerin preparation available."
daily." c. "This medication should be used only when you are experiencing chest pain."
d. "This medication will work for 24 hours and you will need to change the patch
daily."
15. c. Apply the ni- What will the nurse instruct the client to do to prevent the development of
troglycerin patch tolerance to nitroglycerin?
for 14 hours and
remove it for 10 a. Apply the nitroglycerin patch every other day.
hours at night. b. Switch to sublingual nitroglycerin when the client's systolic blood pressure
elevates to more than 140 mm Hg.
c. Apply the nitroglycerin patch for 14 hours and remove it for 10 hours at night.
d. Use the nitroglycerin patch for acute episodes of angina only.
16. c. Assess blood Before the nurse administers isosorbide mononitrate (Imdur), what is a priority
pressure. nursing assessment?
a. Assess serum electrolytes.
