NUR 140 EXAM 2 PRACTICE QUESTIONS WITH
COMPLETE SOLUTIONS
A child with repeated asthma attacks may be treated with which
drugs? SATA
A)A leukotriene receptor antagonist
B)A beta-blocker
C)an inhaled corticosteroid
D)An inhaled beta-agonist
E)A surfactant
F)A mast cell stabilizer Correct Answer a, c, d, f
A heart transplantation patient has no nerve connections to the
transplanted heart. In such a person, one would expect to find
A)a slower-than-normal resting heart rate.
B)atria that contract at a different rate than ventricles.
C)an increase in heart rate during emotional stress.
D)inability to exercise because there is no way to increase heart
rate. Correct Answer c
A nurse assessing a patient with HF would expect to find
A)cardiac arrest.
B)congestion of blood vessels.
C)an infection.
D)a pulmonary embolism. Correct Answer b
A nurse is about to administer digoxin (Lanoxin) to a patient
whose apical pulse is 48 beats/min. The nurse should
,A)administer the drug and notify the prescriber that the heart
rate is low.
B retake the pulse in 15 minutes and give the drug it the pulse
has not changed.
C)retake the pulse in 1 hour and withhold the drug if the pulse is
still less than 60 beats/min.
D)withhold the drug and notify the prescriber that the heart rate
is below 60 beats/min. Correct Answer c
A nurse is preparing to administer a prescribed cardiac glycoside
to a patient based on the understanding that this group of drugs
acts in which way?
A)They work in the kidneys to increase fluid excretion.
B)They affect renin release in the renin-angiotensin system.
C)They block the parasympathetic influence on the heart
muscle.
D)They affect intracellular calcium levels in the heart muscle.
Correct Answer d
A nurse would instruct a patient taking digoxin (Lanoxin) for the
treatment of HF to take which action?
A)Make up any missed doses the next day.
B)Report changes in heart rate.
C)Avoid exposure to the sun.
D)Avoid potassium supplements. Correct Answer b
A nurse would question an order for beta1-selective adrenergic
blocker for a patient with
, a)cardiac arrhythmias
b)hypertension.
C) cardiogenic shock.
D)open-angle glaucoma. Correct Answer c
A patient develops left-sided HF after an MI. Which would the
nurse expect to find during the patient assessment?
A)Orthopnea
B)Polyuria
C) Tachypnea
D)Dyspnea
E)Blood-tinged sputum
F)Swollen ankles Correct Answer a, b, d, e
A patient is brought into the emergency room with a potentially
life-threatening ventricular arrhythmia. Immediate treatment
might include
A)loading dose of digoxin.
B)injection of quinidine.
C)bolus and titrated doses of lidocaine.
D)loading dose of propafenone. Correct Answer c
A patient is brought to the emergency room with a suspected
myocardial infarction. The patient is upset because they had just
had an ECG in their provider's office and it was fine. The
explanation of this common phenomenon would include the fact
that the ECG
A)only reflects changes in cardiac output.
COMPLETE SOLUTIONS
A child with repeated asthma attacks may be treated with which
drugs? SATA
A)A leukotriene receptor antagonist
B)A beta-blocker
C)an inhaled corticosteroid
D)An inhaled beta-agonist
E)A surfactant
F)A mast cell stabilizer Correct Answer a, c, d, f
A heart transplantation patient has no nerve connections to the
transplanted heart. In such a person, one would expect to find
A)a slower-than-normal resting heart rate.
B)atria that contract at a different rate than ventricles.
C)an increase in heart rate during emotional stress.
D)inability to exercise because there is no way to increase heart
rate. Correct Answer c
A nurse assessing a patient with HF would expect to find
A)cardiac arrest.
B)congestion of blood vessels.
C)an infection.
D)a pulmonary embolism. Correct Answer b
A nurse is about to administer digoxin (Lanoxin) to a patient
whose apical pulse is 48 beats/min. The nurse should
,A)administer the drug and notify the prescriber that the heart
rate is low.
B retake the pulse in 15 minutes and give the drug it the pulse
has not changed.
C)retake the pulse in 1 hour and withhold the drug if the pulse is
still less than 60 beats/min.
D)withhold the drug and notify the prescriber that the heart rate
is below 60 beats/min. Correct Answer c
A nurse is preparing to administer a prescribed cardiac glycoside
to a patient based on the understanding that this group of drugs
acts in which way?
A)They work in the kidneys to increase fluid excretion.
B)They affect renin release in the renin-angiotensin system.
C)They block the parasympathetic influence on the heart
muscle.
D)They affect intracellular calcium levels in the heart muscle.
Correct Answer d
A nurse would instruct a patient taking digoxin (Lanoxin) for the
treatment of HF to take which action?
A)Make up any missed doses the next day.
B)Report changes in heart rate.
C)Avoid exposure to the sun.
D)Avoid potassium supplements. Correct Answer b
A nurse would question an order for beta1-selective adrenergic
blocker for a patient with
, a)cardiac arrhythmias
b)hypertension.
C) cardiogenic shock.
D)open-angle glaucoma. Correct Answer c
A patient develops left-sided HF after an MI. Which would the
nurse expect to find during the patient assessment?
A)Orthopnea
B)Polyuria
C) Tachypnea
D)Dyspnea
E)Blood-tinged sputum
F)Swollen ankles Correct Answer a, b, d, e
A patient is brought into the emergency room with a potentially
life-threatening ventricular arrhythmia. Immediate treatment
might include
A)loading dose of digoxin.
B)injection of quinidine.
C)bolus and titrated doses of lidocaine.
D)loading dose of propafenone. Correct Answer c
A patient is brought to the emergency room with a suspected
myocardial infarction. The patient is upset because they had just
had an ECG in their provider's office and it was fine. The
explanation of this common phenomenon would include the fact
that the ECG
A)only reflects changes in cardiac output.
