Pharmacy NURS-6521 UPDATED ACTUAL
Exam Questions and CORRECT Answers
Administer a tablet under his tongue and repeat the action in 5 and 10 minutes if the pain has not
subsided - CORRECT ANSWER - A 62-year-old man is admitted to the hospital with a
diagnosis of chest pain. He has an
order for 0.3 mg of sublingual nitroglycerin prn for chest pain. Which of the following
actions should the nurse do first when he complains of chest pain?
increased HR and decrease BP - CORRECT ANSWER - An expected outcome for a patient
who has just taken sublingual nitroglycerin should
be
10 mg - CORRECT ANSWER - A patient is to take nifedipine (Procardia) 10 mg PO tid. How
many milligrams will he take per dose?
Nitrate tolerance - CORRECT ANSWER - A nurse explains to a patient that nitroglycerin
patches should be applied in the morning and removed in the evening. This medication schedule
reduces the potential for ...
Blood pressure - CORRECT ANSWER - A patient is admitted to the emergency department
with severe chest pain. The
emergency department physician orders intravenous nitroglycerin 5 mcg/min, titrate
dose by 5 mcg/min every 3 to 5 minutes per infusion pump as needed. Before
administering the nitroglycerin, the nurse should prioritize which of the following assessments?
Dizziness - CORRECT ANSWER - A nurse is caring for a patient with chronic angina. The
patient is receiving ranolazine
(Ranexa) 500 mg PO bid. Which of the following signs or symptoms would the nurse
attribute to being a common adverse effect of this medication?
,crush the capsule and ask the patient to inhale the vapors - CORRECT ANSWER - A 45-year-
old man enters the emergency department complaining of chest pain. The
nurse has an order to administer amyl nitrite. The nurse will...
keep the tablets in the original dark bottle. - CORRECT ANSWER - A patient is being
discharged home with a prescription for sublingual nitroglycerin.
The nurse will instruct the patient and family to...
don a pair of gloves - CORRECT ANSWER - A nurse has an order to apply nitroglycerin
topically, twice a day. The nurse's initial
action will be to...
have the patient go into his house and sit or lie down - CORRECT ANSWER - A patient calls
the clinic and reports that he is having chest pain. The patient states that
ì'm scared that I am going to die and I've been pacing up and down my driveway.î
After calming the patient, the initial instruction by the nurse would be to...
The patient's angina may necessitate the use of a calcium channel blocker - CORRECT
ANSWER - A recent episode of chest pain while doing yard work prompted a 70-year-old
man to
seek care and he has been subsequently diagnosed with chronic stable angina. The
nurse should recognize what guiding principle in the treatment of this patient's angina?
The woman will be more susceptible to hypotension than a young patient. - CORRECT
ANSWER - Frequent episodes of exercise-related chest pain have caused a 79-year-old
woman to
use her prescribed nitroglycerin spray several times in recent weeks. This patient's age will have
what effect on her use of nitroglycerin?
, Acute Pain, headache, related to adverse effects of drug therapy - CORRECT ANSWER -A
nurse is creating a plan of care for a 68-year-old woman with a recent diagnosis of
unstable angina and new prescription for nitroglycerin. Which of the following nursing
diagnoses should the nurse prioritize in the planning of this patient's care?
Put your patch on a part of your skin that doesn't have too much hair on it. - CORRECT
ANSWER - A man has left his most recent visit to his primary care provider with a new
prescription for a transdermal nitroglycerin patch. What patient education should the
nurse provide to this patient?
Mr. Penny requires concurrent treatment with a beta blocker, nitrate, or a calcium channel
blocker. - CORRECT ANSWER - Mr. Penny, age 67, was diagnosed with chronic angina
several months ago and has
been unable to experience adequate relief of his symptoms. As a result, his physician
has prescribed ranolazine (Ranexa). Which of the following statements is true
regarding the use of ranolazine for the treatment of this patient's angina?
Determine if the drug is going to make you drowsy before you
drive. - CORRECT ANSWER - A patient is in the clinic for seasonal allergic rhinitis.
Loratadine (Claritin) is
prescribed. Which of the following statements will the nurse include when
providing patient education concerning this drug?
Taking too many laxatives can make your bowels dependent on
them, making you more susceptible to constipation. - CORRECT ANSWER - A 73-year-old
woman has scheduled an appointment with her nurse practitioner
to discuss her recurrent constipation. The woman states that she experiences
constipation despite the fact that she takes docusate on a daily basis and
performs cleansing enemas several times weekly. How should the nurse best
respond to this patient's statements?
Exam Questions and CORRECT Answers
Administer a tablet under his tongue and repeat the action in 5 and 10 minutes if the pain has not
subsided - CORRECT ANSWER - A 62-year-old man is admitted to the hospital with a
diagnosis of chest pain. He has an
order for 0.3 mg of sublingual nitroglycerin prn for chest pain. Which of the following
actions should the nurse do first when he complains of chest pain?
increased HR and decrease BP - CORRECT ANSWER - An expected outcome for a patient
who has just taken sublingual nitroglycerin should
be
10 mg - CORRECT ANSWER - A patient is to take nifedipine (Procardia) 10 mg PO tid. How
many milligrams will he take per dose?
Nitrate tolerance - CORRECT ANSWER - A nurse explains to a patient that nitroglycerin
patches should be applied in the morning and removed in the evening. This medication schedule
reduces the potential for ...
Blood pressure - CORRECT ANSWER - A patient is admitted to the emergency department
with severe chest pain. The
emergency department physician orders intravenous nitroglycerin 5 mcg/min, titrate
dose by 5 mcg/min every 3 to 5 minutes per infusion pump as needed. Before
administering the nitroglycerin, the nurse should prioritize which of the following assessments?
Dizziness - CORRECT ANSWER - A nurse is caring for a patient with chronic angina. The
patient is receiving ranolazine
(Ranexa) 500 mg PO bid. Which of the following signs or symptoms would the nurse
attribute to being a common adverse effect of this medication?
,crush the capsule and ask the patient to inhale the vapors - CORRECT ANSWER - A 45-year-
old man enters the emergency department complaining of chest pain. The
nurse has an order to administer amyl nitrite. The nurse will...
keep the tablets in the original dark bottle. - CORRECT ANSWER - A patient is being
discharged home with a prescription for sublingual nitroglycerin.
The nurse will instruct the patient and family to...
don a pair of gloves - CORRECT ANSWER - A nurse has an order to apply nitroglycerin
topically, twice a day. The nurse's initial
action will be to...
have the patient go into his house and sit or lie down - CORRECT ANSWER - A patient calls
the clinic and reports that he is having chest pain. The patient states that
ì'm scared that I am going to die and I've been pacing up and down my driveway.î
After calming the patient, the initial instruction by the nurse would be to...
The patient's angina may necessitate the use of a calcium channel blocker - CORRECT
ANSWER - A recent episode of chest pain while doing yard work prompted a 70-year-old
man to
seek care and he has been subsequently diagnosed with chronic stable angina. The
nurse should recognize what guiding principle in the treatment of this patient's angina?
The woman will be more susceptible to hypotension than a young patient. - CORRECT
ANSWER - Frequent episodes of exercise-related chest pain have caused a 79-year-old
woman to
use her prescribed nitroglycerin spray several times in recent weeks. This patient's age will have
what effect on her use of nitroglycerin?
, Acute Pain, headache, related to adverse effects of drug therapy - CORRECT ANSWER -A
nurse is creating a plan of care for a 68-year-old woman with a recent diagnosis of
unstable angina and new prescription for nitroglycerin. Which of the following nursing
diagnoses should the nurse prioritize in the planning of this patient's care?
Put your patch on a part of your skin that doesn't have too much hair on it. - CORRECT
ANSWER - A man has left his most recent visit to his primary care provider with a new
prescription for a transdermal nitroglycerin patch. What patient education should the
nurse provide to this patient?
Mr. Penny requires concurrent treatment with a beta blocker, nitrate, or a calcium channel
blocker. - CORRECT ANSWER - Mr. Penny, age 67, was diagnosed with chronic angina
several months ago and has
been unable to experience adequate relief of his symptoms. As a result, his physician
has prescribed ranolazine (Ranexa). Which of the following statements is true
regarding the use of ranolazine for the treatment of this patient's angina?
Determine if the drug is going to make you drowsy before you
drive. - CORRECT ANSWER - A patient is in the clinic for seasonal allergic rhinitis.
Loratadine (Claritin) is
prescribed. Which of the following statements will the nurse include when
providing patient education concerning this drug?
Taking too many laxatives can make your bowels dependent on
them, making you more susceptible to constipation. - CORRECT ANSWER - A 73-year-old
woman has scheduled an appointment with her nurse practitioner
to discuss her recurrent constipation. The woman states that she experiences
constipation despite the fact that she takes docusate on a daily basis and
performs cleansing enemas several times weekly. How should the nurse best
respond to this patient's statements?
