NR 293 FINAL 160 PRACTICE
EXAM QUESTIONS WITH CORRECT
ANSWERS
In administering oral digoxin, first, check the _____ for _____ . Administer if
pulse is greater than _____.
apical
1 full minute
60
Why are non-selective beta-blockers are contraindicated in these patients
with asthma or COPD?
blocking airway β2-receptors can cause severe and sometimes fatal
bronchoconstriction in people with asthma.
Beta blockers can increase airway reactivity and may interfere with the
activity of beta-agonists.
Consequently β-blockers are contraindicated in patients with COPD due to
concerns about the potential for acute bronchospasm
Beta-blockers are often prescribed after a patient has had an MI because
they are cardioprotective and prevent the heart from being stimulated by the
SNS and circulating catecholamins.
,A prescriber has ordered clonidine (Catapres) for a patient who has
hypertension. The nurse teaches the patient about side effects of this drug.
Which statement by the patient indicates understanding of the teaching?
"I should chew sugar-free gum or drink water to reduce dry mouth."
"I should not stopped taking this drug abruptly because of the risk of
rebound hypertension"
Lab monitor for patients receiving heparin infusions.
activated partial thromboplastin time (aPTT)
Common side effects of beta blockers.
hypotension
bradycardia
sexual dysfunction (impotence)
dizziness
constipation
Select the correct statement on why we check the apical pulse for a full
minute before administering digoxin
It can make the heart rate drop down if it is less than 60 seconds and if it's
still under 60 seconds, do not give the medication, call your healthcare
provider.
,When should sublingual nitroglycerine be given to a patient with angina?
As soon as the patient feels pain, pressure, or tightness in the chest.
Expected adverse effect of theophylline
palpatations
tremors
irregular heartbeat
A patient has a new order for the adrenergic drug doxazosin. When providing
education about this drug, the nurse will include which instructions?
Be sure to lie down after taking the first dose, because first-dose hypotension
may make you dizzy (first dose syncope) .
Education for a patient with stable angina that has been prescribed a
nitroglycerin patch.
Apply a new patch each morning to a hairless area, rotate sites, and remove
the patch in the evening for at least 8 hours to prevent tolerance.
What food interacts with warfarin?
vitamin K, such as green leafy vegetables and garlic
, This drug is prescribed for severe hypertensive emergencies and given IV
push
Hydralazine
Most common adverse effect of nitroglycerine
Headache
Hypotension
ED
Tachycardia
Abrupt discontinuation of this drug can cause rebound hypertension
Clonidine
Patients who are on anticoagulants who experience a fall where they hit their
head should
report to the emergency room immediately as head trauma could cause an
intracranial bleed.
A patient is experiencing Class II heart failure and hypertension. The nurse
expects which beta blocker to be ordered for this patient?
Carvedilol
EXAM QUESTIONS WITH CORRECT
ANSWERS
In administering oral digoxin, first, check the _____ for _____ . Administer if
pulse is greater than _____.
apical
1 full minute
60
Why are non-selective beta-blockers are contraindicated in these patients
with asthma or COPD?
blocking airway β2-receptors can cause severe and sometimes fatal
bronchoconstriction in people with asthma.
Beta blockers can increase airway reactivity and may interfere with the
activity of beta-agonists.
Consequently β-blockers are contraindicated in patients with COPD due to
concerns about the potential for acute bronchospasm
Beta-blockers are often prescribed after a patient has had an MI because
they are cardioprotective and prevent the heart from being stimulated by the
SNS and circulating catecholamins.
,A prescriber has ordered clonidine (Catapres) for a patient who has
hypertension. The nurse teaches the patient about side effects of this drug.
Which statement by the patient indicates understanding of the teaching?
"I should chew sugar-free gum or drink water to reduce dry mouth."
"I should not stopped taking this drug abruptly because of the risk of
rebound hypertension"
Lab monitor for patients receiving heparin infusions.
activated partial thromboplastin time (aPTT)
Common side effects of beta blockers.
hypotension
bradycardia
sexual dysfunction (impotence)
dizziness
constipation
Select the correct statement on why we check the apical pulse for a full
minute before administering digoxin
It can make the heart rate drop down if it is less than 60 seconds and if it's
still under 60 seconds, do not give the medication, call your healthcare
provider.
,When should sublingual nitroglycerine be given to a patient with angina?
As soon as the patient feels pain, pressure, or tightness in the chest.
Expected adverse effect of theophylline
palpatations
tremors
irregular heartbeat
A patient has a new order for the adrenergic drug doxazosin. When providing
education about this drug, the nurse will include which instructions?
Be sure to lie down after taking the first dose, because first-dose hypotension
may make you dizzy (first dose syncope) .
Education for a patient with stable angina that has been prescribed a
nitroglycerin patch.
Apply a new patch each morning to a hairless area, rotate sites, and remove
the patch in the evening for at least 8 hours to prevent tolerance.
What food interacts with warfarin?
vitamin K, such as green leafy vegetables and garlic
, This drug is prescribed for severe hypertensive emergencies and given IV
push
Hydralazine
Most common adverse effect of nitroglycerine
Headache
Hypotension
ED
Tachycardia
Abrupt discontinuation of this drug can cause rebound hypertension
Clonidine
Patients who are on anticoagulants who experience a fall where they hit their
head should
report to the emergency room immediately as head trauma could cause an
intracranial bleed.
A patient is experiencing Class II heart failure and hypertension. The nurse
expects which beta blocker to be ordered for this patient?
Carvedilol
