1. Kristine asked the “floater” why nitroglycerine is given to the client with angina. The correct response of the
nurse is that: Nitroglycerine.
a. increase preload
b. increase afterload
c. dilates the veins
d. constrict the arteries
2. Being new in the cardiac unit, Kristine emphasized to the “floater” that the long-standing hallmark in nursing
intervention for clients taking Digoxin (Lanoxin) is:
a. take the apical pulse for one full minute
b. monitor intake and output hourly
c. check the blood pressure reading with the same BP apparatus
d. palpate the radial pulse for one full minute
3. Kristine tests the “floaters” readiness for the assignment by asking this question. “When you find a client
lifeless, which of the following drugs would you be ready to administer?” The correct answer of the nurse
floater is:
a. atropine sulfate
b. lidocaine 2%
c. morphine sulfate
d. epinephrine
4. One of the hypertensive clients assigned to the nurse floater is on Captopril (Capoten), an Angiotensin
Converting Enzyme (ACE) inhibitor. Which of the following nursing interventions must be included in the plan
of care
a. monitor sugar level
b. observe complete bed rest
c. measure intake and output accurately
d. monitor for bruising, petechiae or bleeding
5. The nurse floater instructing one of her clients on Clopidogrel bisulfate (Plavix). Which of the following
indicates that her client understands the effect of the drug?
a. “I should slow down on my carbohydrate intake.”
b. “I should take liberal amount of fluid while on this drug.”
c. I should use caution when taking over the counter drugs that might cause bleeding.”
d. I may gain weight on this drug
6. The physician prescribed Furosemide (Lasix) 40 mg. IV STAT. As the nurse who will administer the drug, which
of the following actions will you do after 20 minutes to determine if the desired outcome of the prescription has
been achieved?
a. Check cardiac monitor for signs of atrial fibrillation
b. Measure central venous pressure
c. Auscultate heart and breath sounds
d. Monitor urine output
7. Virgilio has been taking Atenolol (Tenormin) 50 mg. orally once daily. The nurse understands that the specific
action
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, a. beta receptor stimulation of the heart
b. effects of angiotensin II on receptors
c. calcium entry into the myocardium cells
d. alpha receptors in vascular smooth muscle
8. Hydrochlorothiazide (Hytaz) 12.5 mg 1 tablet orally once daily has been prescribed for the client. The specific
action of this thiazide diuretic is to:
a. promote excretion of sodium and chloride by decreasing absorption in the distal tubule
b. increase osmotic draw of the urine inhibiting water re-absorption
c. inhibit sodium and chloride re-absorption in the ascending loop of Henle
d. inhibit sodium-potassium exchange in the distal tubule
9. Based on Lucio’s health history, you specifically noted that he regularly took Lanoxin (Digoxin). Which of the
following is then SPECIFIC action of this drug on the patient?
a. Improves myocardial contractility, decreases the heart rate, and reduces oxygen consumption
b. Causes vasoconstriction, increase preload, and dilates the ventricles
c. Reduces peripheral vascular resistance and afterload, reducing myocardial work
d. Interfere with the production of angiotensin II resulting in improved cardiac output and reducing
pulmonary congestion
10. Furosemide (Lasix) 20 mg was administered by IV push at 10:00 am, with urinary output from indwell ng foley
catheter at the level of 120cc. At10:15 am, the nurse observed that the urinary output did not change. Which of
the following will you check FIRST
a. Foley catheter connecting tube for kinks
b. Patient’s hypogastrium for urinary retention
c. Intravenous site for swelling
d. Foley catheter for leakage
11. While preparing the medication, you checked the medication which was dispensed by the pharmacist with the
written order of the physician. Which of the following actions will you do FIRST if you found out that instead of
Regular insulin, the pharmacist dispensed NPH insulin?
a. Validate order with the physician
b. Document error
c. Ask the pharmacist to change the drug
d. Report the error to the unit manager
12. You administered morphine sulfate 1mg. intravenously as ordered. The following are the intended actions of
this drug EXCEPT:
a. Improve efficacy of breathing
b. Reduced preload
c. Decrease anxiety
d. Relieve pain
13. Morphine Sulfate was administered in intravenous boluses on client with CHF to reduce pain and anxiety. Which
of the following vital signs should nurse Linda monitor carefully to specifically determine cardiac responses?
a. temperature
b. pulse rate
c. blood pressure
d. respiratory rate
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