2026 RNSG 1301 Final Exam
2026/2027 Frequently Most Tested Questions
and 100% Accurate From Past papers |
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ANSWERS WITH RATIONALES
Question:
A healthcare provider is determining the initial antihypertensive therapy for a newly
diagnosed patient. Which of the following regimens is recommended for a non-black
patient with diabetes?
a. Thiazide diuretic or calcium channel blocker only
b. ACE inhibitor or ARB only
c. Thiazide diuretic, calcium channel blocker, ACE inhibitor, or ARB
d. Beta blocker and alpha blocker combination
✔️ Correct Answer: C
Rationale:
For non-black patients, including those with diabetes, the recommended initial
antihypertensive therapy includes thiazide diuretics, calcium channel blockers, ACE
inhibitors, or angiotensin receptor blockers (ARBs). Option C is correct. Option A is the
recommendation for black patients. Option B may be used but is not the complete initial
recommendation. Option D is not a standard first-line regimen.
,A nurse is reviewing the adverse effects of diltiazem with a patient. Which of the
following is a common adverse effect of this calcium channel blocker?
a. Tachycardia
b. Peripheral edema
c. Hyperglycemia
d. Respiratory depression
✔️ Correct Answer: B
Rationale:
Diltiazem, a calcium channel blocker, commonly causes peripheral edema due to its
vasodilatory effects. Option B is correct. Diltiazem more commonly causes bradycardia
rather than tachycardia, does not typically cause hyperglycemia, and respiratory
depression is not a common adverse effect.
A patient is taking diltiazem and cyclosporine concurrently. The nurse should monitor
the patient for which potential complication?
a. Decreased effectiveness of cyclosporine
b. Increased risk of diltiazem toxicity
c. Increased risk of bleeding
d. Decreased blood pressure
✔️ Correct Answer: B
Rationale:
Cyclosporine inhibits the CYP3A4 enzyme system, which is responsible for metabolizing
diltiazem, leading to increased serum levels of diltiazem and an increased risk of toxicity.
Option B is correct. The interaction increases, not decreases, the risk of toxicity. Bleeding
and decreased blood pressure are not the primary concerns with this specific drug
interaction.
A nurse is providing patient education for a patient prescribed a sustained-release
antihypertensive medication. Which instruction is most important to include?
, a. "Take the medication with a full glass of milk."
b. "You may crush the tablet if you have difficulty swallowing."
c. "Swallow the tablet whole; do not crush, chew, or cut it."
d. "Take the medication only when you experience symptoms."
✔️ Correct Answer: C
Rationale:
Sustained-release medications are formulated to release the drug gradually over time.
Crushing, chewing, or cutting the tablet destroys the controlled-release mechanism,
potentially leading to rapid absorption and toxicity. Option C is correct. Taking with milk
is not specifically required, and taking only when symptomatic is not appropriate for
antihypertensive therapy.
A patient is experiencing severe digoxin toxicity. Which medication should the nurse
anticipate administering?
a. Digoxin immune fab (Digifab)
b. Atropine sulfate
c. Lidocaine
d. Amiodarone
✔️ Correct Answer: A
Rationale:
Digoxin immune fab (Digifab) is the specific antidote for severe digoxin toxicity. It binds
to digoxin molecules and neutralizes their toxic effects, rapidly reversing life-threatening
arrhythmias. Option A is correct. Atropine may be used for bradycardia but is not the
specific antidote. Lidocaine and amiodarone are antiarrhythmics but do not reverse
digoxin toxicity.
A nurse is teaching a patient about digoxin therapy. Which herbal supplement should
the patient be instructed to avoid?
a. Garlic
b. St. John's wort
2026/2027 Frequently Most Tested Questions
and 100% Accurate From Past papers |
Graded A+ , Reviewed and Updated | 100%
Guarantee Pass | Latest Exam and Newest
Version!!!
ANSWERS WITH RATIONALES
Question:
A healthcare provider is determining the initial antihypertensive therapy for a newly
diagnosed patient. Which of the following regimens is recommended for a non-black
patient with diabetes?
a. Thiazide diuretic or calcium channel blocker only
b. ACE inhibitor or ARB only
c. Thiazide diuretic, calcium channel blocker, ACE inhibitor, or ARB
d. Beta blocker and alpha blocker combination
✔️ Correct Answer: C
Rationale:
For non-black patients, including those with diabetes, the recommended initial
antihypertensive therapy includes thiazide diuretics, calcium channel blockers, ACE
inhibitors, or angiotensin receptor blockers (ARBs). Option C is correct. Option A is the
recommendation for black patients. Option B may be used but is not the complete initial
recommendation. Option D is not a standard first-line regimen.
,A nurse is reviewing the adverse effects of diltiazem with a patient. Which of the
following is a common adverse effect of this calcium channel blocker?
a. Tachycardia
b. Peripheral edema
c. Hyperglycemia
d. Respiratory depression
✔️ Correct Answer: B
Rationale:
Diltiazem, a calcium channel blocker, commonly causes peripheral edema due to its
vasodilatory effects. Option B is correct. Diltiazem more commonly causes bradycardia
rather than tachycardia, does not typically cause hyperglycemia, and respiratory
depression is not a common adverse effect.
A patient is taking diltiazem and cyclosporine concurrently. The nurse should monitor
the patient for which potential complication?
a. Decreased effectiveness of cyclosporine
b. Increased risk of diltiazem toxicity
c. Increased risk of bleeding
d. Decreased blood pressure
✔️ Correct Answer: B
Rationale:
Cyclosporine inhibits the CYP3A4 enzyme system, which is responsible for metabolizing
diltiazem, leading to increased serum levels of diltiazem and an increased risk of toxicity.
Option B is correct. The interaction increases, not decreases, the risk of toxicity. Bleeding
and decreased blood pressure are not the primary concerns with this specific drug
interaction.
A nurse is providing patient education for a patient prescribed a sustained-release
antihypertensive medication. Which instruction is most important to include?
, a. "Take the medication with a full glass of milk."
b. "You may crush the tablet if you have difficulty swallowing."
c. "Swallow the tablet whole; do not crush, chew, or cut it."
d. "Take the medication only when you experience symptoms."
✔️ Correct Answer: C
Rationale:
Sustained-release medications are formulated to release the drug gradually over time.
Crushing, chewing, or cutting the tablet destroys the controlled-release mechanism,
potentially leading to rapid absorption and toxicity. Option C is correct. Taking with milk
is not specifically required, and taking only when symptomatic is not appropriate for
antihypertensive therapy.
A patient is experiencing severe digoxin toxicity. Which medication should the nurse
anticipate administering?
a. Digoxin immune fab (Digifab)
b. Atropine sulfate
c. Lidocaine
d. Amiodarone
✔️ Correct Answer: A
Rationale:
Digoxin immune fab (Digifab) is the specific antidote for severe digoxin toxicity. It binds
to digoxin molecules and neutralizes their toxic effects, rapidly reversing life-threatening
arrhythmias. Option A is correct. Atropine may be used for bradycardia but is not the
specific antidote. Lidocaine and amiodarone are antiarrhythmics but do not reverse
digoxin toxicity.
A nurse is teaching a patient about digoxin therapy. Which herbal supplement should
the patient be instructed to avoid?
a. Garlic
b. St. John's wort
