Pharmacology Final Exam REVIEW!!!! question
and answer 100 % correct
A patient about to receive his morning dose A. Administer the dose.
of digoxin has an apical pulse of 70 beats
per minute. What will the nurse do?
A. Administer the dose.
B. Administer the dose and
notify the physician.
C. Check the radial pulse for 1 full minute.
D.Withhold the dose and notify the
In assessing a patient before administration A. Hypokalemia; control ventricular response to atrial
of a cardiac glycoside, the nurse knows thatfibrillation and a derived from foxglove. Digoxin is the only
what condition can predispose a patient to available cardiac glycoside---positive inotropic---inhibits
digitalis toxicity? sodium potassium pump (adenosine tripphophatase) Sodium
A. Hypokalemia and calcium rise. Cholinergic stimulation via the vagus nerve
B.Hyperkalemia of Parasympathetic nervous system. ---Negative
C. Hypocalcemia chronotropic---Negative Dromotropic effect
D.Hypernatremia
,While assessing a patient who is receiving B. Decreased heart
rate intravenous digitalis, the nurse recognizes
that the drug has a negative chronotropic
effect. How would this drug effect be
evident in the patient?
A. Increased heart rate
B.Decreased heart rate
C. Decreased conduction
D.Increased ectopic beats
A patient has been taking digoxin at home D. "This drug is an antidote to digoxin and will help to lower
but has taken an accidental overdose and the blood levels." (severe bradycardia, advanced heart block,
has developed toxicity. He has been ventricularr tachycardia, fibrillation, and hyperkalemia);
admitted to the telemetry unit where the available in parental form. Clinical signs and symptoms
are physician has ordered digoxin immune Fab------------------------------------monitored NOT serum
levels used for systolic heart failure
(Digibind). The patient asks the nurse why and atrial fibrillation.
the medication is ordered. What is the
nurse's best response?
A. "It works faster than digoxin."
B."It is safer than digoxin and can be
taken orally."
C. "It helps to convert the irregular
heart rhythm to a more normal
rhythm."
D."This drug is an antidote to digoxin
and will help to lower the blood
levels."
5.A patient has been placed on a milrinone D. Cardiac dysrhythmias (contraindictated with ventricular
infusion as part of the therapy for end-stage tachycardia, and fibrillation) used for
treatment of atrial
heart failure. What risks involved with this fibrillation. Available in Oral and injection
form. drug will the nurse keep in mind while
assessing this patient during the infusion?
A. Hypertension
B.Hyperkalemia
C. Nausea and vomiting
D.Cardiac dysrhythmias
6.A patient with atrial fibrillation was started B. 0.7 ng/mL (normal 0.5 to 2.0 ng/mL
on digoxin, and 1 week later a digoxin level
was drawn. Which result is within normal
therapeutic levels for digoxin?
A. 0.4 ng/mL
B.0.7 ng/mL
C. 2.1 ng/mL
D.2.6 ng/mL or higher
,7. When reviewing the list of medications C.
furosemide (Lasix); (loop Diuretics); numerous ones on taken by a patient who will be receiving a
page 341
new prescription for digoxin, the nurse
would be concerned about which
medication that may interact with the
digoxin?
A. aspirin
B.acetaminophen (Tylenol)
C. furosemide (Lasix)
D.vitamin K
8. The nurse is
reviewing discharge teaching D. Bran muffins
for a patient who will be taking digoxin
(Lanoxin) therapy. The patient should be
taught to avoid which foods when taking
the digoxin?
A. Leafy green vegetables
B.Dairy products
C. Grapefruit juice
D.Bran muffins
9.In assessing a patient before A. Potassium level 2.8 mEq/L (low potassium normal is 3.5 to
administration of a cardiac glycoside, the 5.0)
nurse knows that which lab result can
increase the toxicity of the drug?
A. Potassium level 2.8 mEq/L
B.Potassium level 4.9 mEq/L
C. Sodium level 140 mEq/L
D.Calcium level 10 mg/dL
10. The nurse administering the C. force of cardiac
contraction. (increase cAMP) positive phosphodiesterase inhibitor inamrinone inotropic (by
more calcium available in SR)effect and recognizes that this drug should have avasodilation,
(inodilators)---positive chornotropic effect); positive inotropic effect. This effect will USED IN ICU;
ADVERSE EFFECT...thrombocytopenia,
result in increased dysrhythmia, ventricular, hypotension and angina,
A. heart rate. hypokalemia, tremor.
B. blood vessel dilation.
C. force of cardiac contraction.
D.conduction of electrical impulses across
the heart.
11. The nurse notes in a patient's medical B. Acutely
decompensated heart failure with dyspnea at rest record that nesiritide has been ordered.
Based on this order, the nurse interprets
that the patient has which disorder?
A. Atrial fibrillation
B. Acutely decompensated heart
failure with dyspnea at rest
C. Systolic heart failure
D.Long-term treatment of heart failure.
, SELECT ALL THAT APPLY: B. The patient's serum potassium level is above 5 mEq/L.
1. When a patient is experiencing D. The patient is experiencing severe sinus bradycardia
digoxin toxicity, which clinical that does not respond to cardiac pacing. (E) might be right as
situation would well a person taking 10mg of digoxin is a indication of
necessitate the use of digoxin immune Fab toxicity...page 340 states life threatening digoxin overdose in
(Digibind)? Select all that apply. adults and 4 mg in children)
A. The patient reports seeing colorful halos
around lights.
B. The patient's serum potassium
level is above 5 mEq/L.
C. The patient is experiencing nausea
and anorexia.
D.The patient is experiencing severe sinus
bradycardia that does not respond to
cardiac pacing.
E.The patient has taken an overdose
of greater than 10 mg of digoxin.
2.Which drug classes are considered first- ACE
line treatment for heart failure? Select ARBS
all Beta-blockers
that apply. loop diuretics
A. Angiotensin converting enzyme (ACE)
inhibitors
B. Angiotensin II receptor blockers
(ARBs)
C. Digoxin (cardiac glycoside)
D.Beta-blockers
E. Nesiritide (Natrecor), the B-type
natriuretic peptide
1. When administering topical C. The old ointment should be removed before new ointment
nitroglycerin ointment, the nurse is applied.
should use which technique?
A. The ointment should be applied on the
chest over the heart.
B. The ointment should be used only
in the case of a mild angina episode.
C. The old ointment should be removed
before new ointment is applied.
D.The ointment should be massaged gently
into the skin, then covered with plastic wrap.
and answer 100 % correct
A patient about to receive his morning dose A. Administer the dose.
of digoxin has an apical pulse of 70 beats
per minute. What will the nurse do?
A. Administer the dose.
B. Administer the dose and
notify the physician.
C. Check the radial pulse for 1 full minute.
D.Withhold the dose and notify the
In assessing a patient before administration A. Hypokalemia; control ventricular response to atrial
of a cardiac glycoside, the nurse knows thatfibrillation and a derived from foxglove. Digoxin is the only
what condition can predispose a patient to available cardiac glycoside---positive inotropic---inhibits
digitalis toxicity? sodium potassium pump (adenosine tripphophatase) Sodium
A. Hypokalemia and calcium rise. Cholinergic stimulation via the vagus nerve
B.Hyperkalemia of Parasympathetic nervous system. ---Negative
C. Hypocalcemia chronotropic---Negative Dromotropic effect
D.Hypernatremia
,While assessing a patient who is receiving B. Decreased heart
rate intravenous digitalis, the nurse recognizes
that the drug has a negative chronotropic
effect. How would this drug effect be
evident in the patient?
A. Increased heart rate
B.Decreased heart rate
C. Decreased conduction
D.Increased ectopic beats
A patient has been taking digoxin at home D. "This drug is an antidote to digoxin and will help to lower
but has taken an accidental overdose and the blood levels." (severe bradycardia, advanced heart block,
has developed toxicity. He has been ventricularr tachycardia, fibrillation, and hyperkalemia);
admitted to the telemetry unit where the available in parental form. Clinical signs and symptoms
are physician has ordered digoxin immune Fab------------------------------------monitored NOT serum
levels used for systolic heart failure
(Digibind). The patient asks the nurse why and atrial fibrillation.
the medication is ordered. What is the
nurse's best response?
A. "It works faster than digoxin."
B."It is safer than digoxin and can be
taken orally."
C. "It helps to convert the irregular
heart rhythm to a more normal
rhythm."
D."This drug is an antidote to digoxin
and will help to lower the blood
levels."
5.A patient has been placed on a milrinone D. Cardiac dysrhythmias (contraindictated with ventricular
infusion as part of the therapy for end-stage tachycardia, and fibrillation) used for
treatment of atrial
heart failure. What risks involved with this fibrillation. Available in Oral and injection
form. drug will the nurse keep in mind while
assessing this patient during the infusion?
A. Hypertension
B.Hyperkalemia
C. Nausea and vomiting
D.Cardiac dysrhythmias
6.A patient with atrial fibrillation was started B. 0.7 ng/mL (normal 0.5 to 2.0 ng/mL
on digoxin, and 1 week later a digoxin level
was drawn. Which result is within normal
therapeutic levels for digoxin?
A. 0.4 ng/mL
B.0.7 ng/mL
C. 2.1 ng/mL
D.2.6 ng/mL or higher
,7. When reviewing the list of medications C.
furosemide (Lasix); (loop Diuretics); numerous ones on taken by a patient who will be receiving a
page 341
new prescription for digoxin, the nurse
would be concerned about which
medication that may interact with the
digoxin?
A. aspirin
B.acetaminophen (Tylenol)
C. furosemide (Lasix)
D.vitamin K
8. The nurse is
reviewing discharge teaching D. Bran muffins
for a patient who will be taking digoxin
(Lanoxin) therapy. The patient should be
taught to avoid which foods when taking
the digoxin?
A. Leafy green vegetables
B.Dairy products
C. Grapefruit juice
D.Bran muffins
9.In assessing a patient before A. Potassium level 2.8 mEq/L (low potassium normal is 3.5 to
administration of a cardiac glycoside, the 5.0)
nurse knows that which lab result can
increase the toxicity of the drug?
A. Potassium level 2.8 mEq/L
B.Potassium level 4.9 mEq/L
C. Sodium level 140 mEq/L
D.Calcium level 10 mg/dL
10. The nurse administering the C. force of cardiac
contraction. (increase cAMP) positive phosphodiesterase inhibitor inamrinone inotropic (by
more calcium available in SR)effect and recognizes that this drug should have avasodilation,
(inodilators)---positive chornotropic effect); positive inotropic effect. This effect will USED IN ICU;
ADVERSE EFFECT...thrombocytopenia,
result in increased dysrhythmia, ventricular, hypotension and angina,
A. heart rate. hypokalemia, tremor.
B. blood vessel dilation.
C. force of cardiac contraction.
D.conduction of electrical impulses across
the heart.
11. The nurse notes in a patient's medical B. Acutely
decompensated heart failure with dyspnea at rest record that nesiritide has been ordered.
Based on this order, the nurse interprets
that the patient has which disorder?
A. Atrial fibrillation
B. Acutely decompensated heart
failure with dyspnea at rest
C. Systolic heart failure
D.Long-term treatment of heart failure.
, SELECT ALL THAT APPLY: B. The patient's serum potassium level is above 5 mEq/L.
1. When a patient is experiencing D. The patient is experiencing severe sinus bradycardia
digoxin toxicity, which clinical that does not respond to cardiac pacing. (E) might be right as
situation would well a person taking 10mg of digoxin is a indication of
necessitate the use of digoxin immune Fab toxicity...page 340 states life threatening digoxin overdose in
(Digibind)? Select all that apply. adults and 4 mg in children)
A. The patient reports seeing colorful halos
around lights.
B. The patient's serum potassium
level is above 5 mEq/L.
C. The patient is experiencing nausea
and anorexia.
D.The patient is experiencing severe sinus
bradycardia that does not respond to
cardiac pacing.
E.The patient has taken an overdose
of greater than 10 mg of digoxin.
2.Which drug classes are considered first- ACE
line treatment for heart failure? Select ARBS
all Beta-blockers
that apply. loop diuretics
A. Angiotensin converting enzyme (ACE)
inhibitors
B. Angiotensin II receptor blockers
(ARBs)
C. Digoxin (cardiac glycoside)
D.Beta-blockers
E. Nesiritide (Natrecor), the B-type
natriuretic peptide
1. When administering topical C. The old ointment should be removed before new ointment
nitroglycerin ointment, the nurse is applied.
should use which technique?
A. The ointment should be applied on the
chest over the heart.
B. The ointment should be used only
in the case of a mild angina episode.
C. The old ointment should be removed
before new ointment is applied.
D.The ointment should be massaged gently
into the skin, then covered with plastic wrap.
