2026 LEHNE’S
PHARMACOTHERAPEUTICS FOR
ADVANCED PRACTICE NURSES
AND PHYSICIAN ASSISTANTS
(2ND EDITION ROSENTHAL TEST
BANK) | ALREADY GRADED A+ |
TESTBANK 2026/2027
Ch 41 Drugs for Hypertension 352. A 5-year-old patient seen in an outpatient
clinic is noted to have hypertension on three separate visits. Ambulatory blood
pressure monitoring confirms that the child has hypertension. As an initial
intervention with the child's parents, the nurse will expect to:
a. perform a detailed health history on the child.
Ch 42 Drugs for Heart Failure 353. A patient asks a nurse why he cannot use
digoxin [Lanoxin] for his heart failure, because both of his parents used it for HF.
The nurse will explain that digoxin is not the first-line therapy for which reason?
b. It does not correct the underlying pathology of heart failure.
,Ch 42 Drugs for Heart Failure 354. A patient has been taking digoxin [Lanoxin]
0.25 mg, and furosemide [Lasix] 40 mg, daily. Upon routine assessment by the
nurse, the patient states, "I see yellow halos around the lights." The nurse should
perform which action based on this assessment?
a. Check the patient for other symptoms of digitalis toxicity.
Ch 42 Drugs for Heart Failure 355. A patient has heart failure and is taking an
ACE inhibitor. The patient has developed fibrotic changes in the heart and vessels.
The nurse expects the provider to order which medication to counter this
development?
a. Aldosterone antagonist
Ch 42 Drugs for Heart Failure 356. A patient with heart failure who has been
taking an ACE inhibitor, a thiazide diuretic, and a beta blocker for several months
comes to the clinic for evaluation. As part of the ongoing assessment of this
patient, the nurse will expect the provider to evaluate:
d. serum electrolyte levels.
Ch 42 Drugs for Heart Failure 357. A patient is taking enalapril [Vasotec]. The
nurse understands that patients taking this type of drug for heart failure need to be
monitored carefully for:
c. hyperkalemia.
,Ch 42 Drugs for Heart Failure 358. A patient is recovering from a myocardial
infarction but does not have symptoms of heart failure. The nurse will expect to
teach this patient about:
a. ACE inhibitors and beta blockers.
Ch 42 Drugs for Heart Failure 359. The potassium-sparing diuretic spironolactone
[Aldactone] prolongs survival and improves heart failure symptoms by which
mechanism?
a. Blocking aldosterone receptors
Ch 42 Drugs for Heart Failure 360. An 88-year-old patient with heart failure has
progressed to Stage D and is hospitalized for the third time in a month. The nurse
will expect to discuss which topic with the patient's family?
b. End-of-life care
Ch 42 Drugs for Heart Failure 361. A patient with heart failure who has been given
digoxin [Lanoxin] daily for a week complains of nausea. Before giving the next
dose, the nurse will:
a. assess the heart rate (HR) and give the dose if the HR is greater than 60
beats/minute.
Ch 42 Drugs for Heart Failure 362. Which medications are included in first-line
therapy for heart failure? Select all that apply.
a. Agents that inhibit the renin-angiotensin-aldosterone system (RAAS)
c. Beta blockers
, e. Diuretics
Ch 42 Drugs for Heart Failure 363. A nurse prepares to administer a scheduled
dose of digoxin. The nurse finds a new laboratory report showing a plasma digoxin
level of 0.7 ng/mL. What action should the nurse take?
d. Check the patient's apical pulse, and if it is within a safe range, administer the
digoxin.
Ch 42 Drugs for Heart Failure 364. A patient with Stage C heart failure (HF) who
has been taking an ACE inhibitor, a beta blocker, and a diuretic begins to have
increased dyspnea, weight gain, and decreased urine output. The provider orders
spironolactone [Aldactone]. The nurse will instruct the patient to:
a. avoid potassium supplements
Ch 42 Drugs for Heart Failure 365. Which are expected effects of cardiac
glycosides? Select all that apply.
c. Decreased heart rate
d. Modulation of neurohormonal systems
e. Positive inotropic effects
Ch 42 Drugs for Heart Failure 366. A nurse is preparing to administer digoxin
[Lanoxin] to a patient. The patient's heart rate is 62 beats/minute, and the blood
pressure is 120/60 mm Hg. The last serum electrolyte value showed a potassium
level of 5.2 mEq/L. What will the nurse do?
b. Give the dose of digoxin and notify the provider of the potassium level.
PHARMACOTHERAPEUTICS FOR
ADVANCED PRACTICE NURSES
AND PHYSICIAN ASSISTANTS
(2ND EDITION ROSENTHAL TEST
BANK) | ALREADY GRADED A+ |
TESTBANK 2026/2027
Ch 41 Drugs for Hypertension 352. A 5-year-old patient seen in an outpatient
clinic is noted to have hypertension on three separate visits. Ambulatory blood
pressure monitoring confirms that the child has hypertension. As an initial
intervention with the child's parents, the nurse will expect to:
a. perform a detailed health history on the child.
Ch 42 Drugs for Heart Failure 353. A patient asks a nurse why he cannot use
digoxin [Lanoxin] for his heart failure, because both of his parents used it for HF.
The nurse will explain that digoxin is not the first-line therapy for which reason?
b. It does not correct the underlying pathology of heart failure.
,Ch 42 Drugs for Heart Failure 354. A patient has been taking digoxin [Lanoxin]
0.25 mg, and furosemide [Lasix] 40 mg, daily. Upon routine assessment by the
nurse, the patient states, "I see yellow halos around the lights." The nurse should
perform which action based on this assessment?
a. Check the patient for other symptoms of digitalis toxicity.
Ch 42 Drugs for Heart Failure 355. A patient has heart failure and is taking an
ACE inhibitor. The patient has developed fibrotic changes in the heart and vessels.
The nurse expects the provider to order which medication to counter this
development?
a. Aldosterone antagonist
Ch 42 Drugs for Heart Failure 356. A patient with heart failure who has been
taking an ACE inhibitor, a thiazide diuretic, and a beta blocker for several months
comes to the clinic for evaluation. As part of the ongoing assessment of this
patient, the nurse will expect the provider to evaluate:
d. serum electrolyte levels.
Ch 42 Drugs for Heart Failure 357. A patient is taking enalapril [Vasotec]. The
nurse understands that patients taking this type of drug for heart failure need to be
monitored carefully for:
c. hyperkalemia.
,Ch 42 Drugs for Heart Failure 358. A patient is recovering from a myocardial
infarction but does not have symptoms of heart failure. The nurse will expect to
teach this patient about:
a. ACE inhibitors and beta blockers.
Ch 42 Drugs for Heart Failure 359. The potassium-sparing diuretic spironolactone
[Aldactone] prolongs survival and improves heart failure symptoms by which
mechanism?
a. Blocking aldosterone receptors
Ch 42 Drugs for Heart Failure 360. An 88-year-old patient with heart failure has
progressed to Stage D and is hospitalized for the third time in a month. The nurse
will expect to discuss which topic with the patient's family?
b. End-of-life care
Ch 42 Drugs for Heart Failure 361. A patient with heart failure who has been given
digoxin [Lanoxin] daily for a week complains of nausea. Before giving the next
dose, the nurse will:
a. assess the heart rate (HR) and give the dose if the HR is greater than 60
beats/minute.
Ch 42 Drugs for Heart Failure 362. Which medications are included in first-line
therapy for heart failure? Select all that apply.
a. Agents that inhibit the renin-angiotensin-aldosterone system (RAAS)
c. Beta blockers
, e. Diuretics
Ch 42 Drugs for Heart Failure 363. A nurse prepares to administer a scheduled
dose of digoxin. The nurse finds a new laboratory report showing a plasma digoxin
level of 0.7 ng/mL. What action should the nurse take?
d. Check the patient's apical pulse, and if it is within a safe range, administer the
digoxin.
Ch 42 Drugs for Heart Failure 364. A patient with Stage C heart failure (HF) who
has been taking an ACE inhibitor, a beta blocker, and a diuretic begins to have
increased dyspnea, weight gain, and decreased urine output. The provider orders
spironolactone [Aldactone]. The nurse will instruct the patient to:
a. avoid potassium supplements
Ch 42 Drugs for Heart Failure 365. Which are expected effects of cardiac
glycosides? Select all that apply.
c. Decreased heart rate
d. Modulation of neurohormonal systems
e. Positive inotropic effects
Ch 42 Drugs for Heart Failure 366. A nurse is preparing to administer digoxin
[Lanoxin] to a patient. The patient's heart rate is 62 beats/minute, and the blood
pressure is 120/60 mm Hg. The last serum electrolyte value showed a potassium
level of 5.2 mEq/L. What will the nurse do?
b. Give the dose of digoxin and notify the provider of the potassium level.
