EXAM #3 TEST BANK QUESTIONS WITH
COMPLETE SOLUTIONS
After the patient anginal pain is relieved he says to the nurse, that nitroglycerin works
great. How does it do that? What is the nurse response?
a. Nitroglycerin decreases the amount of oxygen needed by the heart to function.
b. Nitroglycerin makes the coronary arteries open much wider.
c. Nitroglycerin promotes growth of new, smaller arteries to supply oxygen to the heart.
d. Nitroglycerin decreases preload and afterload. - Answer-A
An adult patient has had symptoms of unstable angina during admission tot he hospital.
What is the most appropriate nursing diagnosis?
a. Deficient knowledge about underlying disease and methods for avoiding
complications.
b.Anxiety related to fear of death.
c. Ineffective tissue perfusion (total body) related to reduce oxygen supply to the heart
d. Noncompliance related to failure to accept necessary lifestyle changes. - Answer-C
The nurse is preparing to administer sublingual nitroglycerin to a patient for the first time
and warns that the patient may experience what right after administration?
a. Nervousness or paresthesia
b. Throbbing headache or dizziness
c. Drowsiness or blurred vision
d. Tinnitus or diplopia - Answer-B
A patient is diagnosed with Prinzmetals angina. What drug would the nurse expect to
administer to this patient?
a. Nadolol
b. Diltiazem
c. Propranolol
d. Metoprolol - Answer-B
The nurse is caring for a patient diagnosed with human immunodeficiency virus (HIV)
and newly diagnosed angina. What drug would the nurse question if ordered?
a. Ranolazine (Ranexa)
b. Nitroglycerin (generic)
c. Propranolol
d. Diltiazem - Answer-A
Other than angina, what other medical condition might the nurse treat by administering
nitroglycerin.
a. Muscular dystrophy
,b. Pulmonary embolisms
c. Polycythemia
d. Anal fissures - Answer-D
What would a nurse teach the patient about potency of nitroglycerin? (select all that
apply)
a. The tablet should fizzle or burn when placed under the tongue
b. Protect the drug from heat and light
c. Always replace when past the expiration date
d. Older tablets may require you to use two tablets at one time.
e. Nitroglycerin does not lose its potency easily. - Answer-A,B,C
The nurse teaches the patient how to use topical nitroglycerin and includes what
teaching points in the teaching plan? (Select all that apply)
a. Rotate applications sites
b. Assess the skin for signs of breakdown
c. Make sure no one touches the side with the medication
d. Do not shower with the patch in place.
e. Increase fluid intake to avoid hypotension - Answer-A,B,C
The provider orders isosorbide dinitrate as oral maintenance drug to prevent angina.
What dosage would the nurse administer without need to question the dose.
a. 2.5mg
b. 80mg
c. 40mg
d. 5mg - Answer-B
When planning patient care the nurse recognizes what patient is at greatest risk of
developing coronary artery disease?
a. A 32-year-old Asian American with total cholesterol of 120mg/dL
B. A 62-year-old white American with total cholesterol of 260mg/dL
c. A 48-year-old African American with total cholesterol of 198mg/dL
d. A 26-year-old Native American with total cholesterol of 150mg/dL - Answer-B
The nurse is assessing a patient who reports taking cholestyramine(Questran) mixed
with diet cola twice per day. What is an appropriate nursing diagnosis for this patient.
a. Acute pain related to central nervous system and GI effects
b. Constipation related to GI effects
c. Noncompliance related to how the drug test is taken.
d. Deficient knowledge regarding drug therapy - Answer-D
,A patient tells the nurse he has had an exacerbation of hemorrhoidal irritation. What drug
would the nurse suspect is most likely to contribute to this adverse effect?
a. Bile acid sequestrants
b. Beta-hydroxy-beta-methylglutary coenzyme A (HMG-CoA) reductase inhibitors
c. Cholesterol absorption inhibitors
d. Fibrates - Answer-A
The nurse is engaged in patient teaching about a newly prescribed bile acid sequestrant
that may be mixed with a carbonated beverage. What bile acid sequestrant is the nurse
describing?
a. Cholestyramine (Questran)
b. Colesevelam (Welchol)
c. Colestipol (Colestid)
d. Ezetimibe (Zetia) - Answer-C
The patient asks the nurse what atorvastatin (Lipitor) newly prescribed will do what
expected outcome will the nurse describe.
a. Decrease in serum cholesterol only
b. Decrease in serum cholesterol and low density lipoprotein (LDL) levels.
c. Decrease in sitosterol and serum cholesterol
d. Decrease in campesterol and LDL levels - Answer-B
The nurse is taking a health history on a 38-year-old man who is taking atorvastatin
(Lipitor) for high cholesterol. What will the nurse question specifically related to the safe
use of this drug?
a. alcohol
b. nicotine
c. caffeine
d. herbal tea - Answer-A
A 9-year-old child has received an order for oral pravastatin (Pravachol) 40mg/d for
genetically linked hyperlipidemia. In preparation for patient teaching concerning this drug
what initial action will the nurse take?
, a. ask the parents to be present for the teaching session
b. determine the appropriate time to discuss the drug with the patient
c. question the doctor concerning the ordered dosage
d. review the childs normal daily dietary intake of fatty foods. - Answer-C
which statement by the patient would lead the nurse to believe that he has understood
the teaching provided regarding angina?
a. i will not exercise because it precipitates angina
b. as long as i take the medication, i need make no lifestyle change
c. there is no correlation between my hypertension and angina
d. heavy meals and cigarette smoking can precipitate an angina attack - Answer-d
the nurse is caring for a patient who is taking calcium-channel blocker. what adverse
effects would the nurse caution this patient about?
a. hypertension and tachycardia
b. headache and dizziness
c. itching and rash
d. nausea and diarrhea - Answer-b
the nurse assesses patients receiving nifedipine (Adalat) for what adverse effects?
a. ascites
b. asthma
c. peripheral edema
d. tetany - Answer-c
what adverse reaction does the nurse anticipate if the 56-year-old patient takes his beta-
blocker with clonidine?
a. hypertension
b. bradycardia
c. angina
d. syncope - Answer-a
an asthmatic patient taking beta-blockers should be assessed by the nurse for what
potential advers reaction?
a. bronchospasm
b. hypoglycemia
c. pleural effusion
d. pneumonia - Answer-a
the nurse should instruct the patient to take what action if three nitroglycerin tablets taken
sublingually are not effective in eliminating chest pain?
a. to call 911
b. to call her health care provider
c. to lie down after taking an aspirin
d. to take more tablets until pain subsides - Answer-a
COMPLETE SOLUTIONS
After the patient anginal pain is relieved he says to the nurse, that nitroglycerin works
great. How does it do that? What is the nurse response?
a. Nitroglycerin decreases the amount of oxygen needed by the heart to function.
b. Nitroglycerin makes the coronary arteries open much wider.
c. Nitroglycerin promotes growth of new, smaller arteries to supply oxygen to the heart.
d. Nitroglycerin decreases preload and afterload. - Answer-A
An adult patient has had symptoms of unstable angina during admission tot he hospital.
What is the most appropriate nursing diagnosis?
a. Deficient knowledge about underlying disease and methods for avoiding
complications.
b.Anxiety related to fear of death.
c. Ineffective tissue perfusion (total body) related to reduce oxygen supply to the heart
d. Noncompliance related to failure to accept necessary lifestyle changes. - Answer-C
The nurse is preparing to administer sublingual nitroglycerin to a patient for the first time
and warns that the patient may experience what right after administration?
a. Nervousness or paresthesia
b. Throbbing headache or dizziness
c. Drowsiness or blurred vision
d. Tinnitus or diplopia - Answer-B
A patient is diagnosed with Prinzmetals angina. What drug would the nurse expect to
administer to this patient?
a. Nadolol
b. Diltiazem
c. Propranolol
d. Metoprolol - Answer-B
The nurse is caring for a patient diagnosed with human immunodeficiency virus (HIV)
and newly diagnosed angina. What drug would the nurse question if ordered?
a. Ranolazine (Ranexa)
b. Nitroglycerin (generic)
c. Propranolol
d. Diltiazem - Answer-A
Other than angina, what other medical condition might the nurse treat by administering
nitroglycerin.
a. Muscular dystrophy
,b. Pulmonary embolisms
c. Polycythemia
d. Anal fissures - Answer-D
What would a nurse teach the patient about potency of nitroglycerin? (select all that
apply)
a. The tablet should fizzle or burn when placed under the tongue
b. Protect the drug from heat and light
c. Always replace when past the expiration date
d. Older tablets may require you to use two tablets at one time.
e. Nitroglycerin does not lose its potency easily. - Answer-A,B,C
The nurse teaches the patient how to use topical nitroglycerin and includes what
teaching points in the teaching plan? (Select all that apply)
a. Rotate applications sites
b. Assess the skin for signs of breakdown
c. Make sure no one touches the side with the medication
d. Do not shower with the patch in place.
e. Increase fluid intake to avoid hypotension - Answer-A,B,C
The provider orders isosorbide dinitrate as oral maintenance drug to prevent angina.
What dosage would the nurse administer without need to question the dose.
a. 2.5mg
b. 80mg
c. 40mg
d. 5mg - Answer-B
When planning patient care the nurse recognizes what patient is at greatest risk of
developing coronary artery disease?
a. A 32-year-old Asian American with total cholesterol of 120mg/dL
B. A 62-year-old white American with total cholesterol of 260mg/dL
c. A 48-year-old African American with total cholesterol of 198mg/dL
d. A 26-year-old Native American with total cholesterol of 150mg/dL - Answer-B
The nurse is assessing a patient who reports taking cholestyramine(Questran) mixed
with diet cola twice per day. What is an appropriate nursing diagnosis for this patient.
a. Acute pain related to central nervous system and GI effects
b. Constipation related to GI effects
c. Noncompliance related to how the drug test is taken.
d. Deficient knowledge regarding drug therapy - Answer-D
,A patient tells the nurse he has had an exacerbation of hemorrhoidal irritation. What drug
would the nurse suspect is most likely to contribute to this adverse effect?
a. Bile acid sequestrants
b. Beta-hydroxy-beta-methylglutary coenzyme A (HMG-CoA) reductase inhibitors
c. Cholesterol absorption inhibitors
d. Fibrates - Answer-A
The nurse is engaged in patient teaching about a newly prescribed bile acid sequestrant
that may be mixed with a carbonated beverage. What bile acid sequestrant is the nurse
describing?
a. Cholestyramine (Questran)
b. Colesevelam (Welchol)
c. Colestipol (Colestid)
d. Ezetimibe (Zetia) - Answer-C
The patient asks the nurse what atorvastatin (Lipitor) newly prescribed will do what
expected outcome will the nurse describe.
a. Decrease in serum cholesterol only
b. Decrease in serum cholesterol and low density lipoprotein (LDL) levels.
c. Decrease in sitosterol and serum cholesterol
d. Decrease in campesterol and LDL levels - Answer-B
The nurse is taking a health history on a 38-year-old man who is taking atorvastatin
(Lipitor) for high cholesterol. What will the nurse question specifically related to the safe
use of this drug?
a. alcohol
b. nicotine
c. caffeine
d. herbal tea - Answer-A
A 9-year-old child has received an order for oral pravastatin (Pravachol) 40mg/d for
genetically linked hyperlipidemia. In preparation for patient teaching concerning this drug
what initial action will the nurse take?
, a. ask the parents to be present for the teaching session
b. determine the appropriate time to discuss the drug with the patient
c. question the doctor concerning the ordered dosage
d. review the childs normal daily dietary intake of fatty foods. - Answer-C
which statement by the patient would lead the nurse to believe that he has understood
the teaching provided regarding angina?
a. i will not exercise because it precipitates angina
b. as long as i take the medication, i need make no lifestyle change
c. there is no correlation between my hypertension and angina
d. heavy meals and cigarette smoking can precipitate an angina attack - Answer-d
the nurse is caring for a patient who is taking calcium-channel blocker. what adverse
effects would the nurse caution this patient about?
a. hypertension and tachycardia
b. headache and dizziness
c. itching and rash
d. nausea and diarrhea - Answer-b
the nurse assesses patients receiving nifedipine (Adalat) for what adverse effects?
a. ascites
b. asthma
c. peripheral edema
d. tetany - Answer-c
what adverse reaction does the nurse anticipate if the 56-year-old patient takes his beta-
blocker with clonidine?
a. hypertension
b. bradycardia
c. angina
d. syncope - Answer-a
an asthmatic patient taking beta-blockers should be assessed by the nurse for what
potential advers reaction?
a. bronchospasm
b. hypoglycemia
c. pleural effusion
d. pneumonia - Answer-a
the nurse should instruct the patient to take what action if three nitroglycerin tablets taken
sublingually are not effective in eliminating chest pain?
a. to call 911
b. to call her health care provider
c. to lie down after taking an aspirin
d. to take more tablets until pain subsides - Answer-a
