Nurs 2114 Unit 4 Chapters 24 & 26 Review Questions
Antianginal Drugs and Antidysrhythmic Drugs
Chapter 24
Antianginal Drugs
Examination Review Questions
1. A patient has a new prescription for transdermal nitroglycerin patches. The nurse teaches the
patient that these patches are most appropriately used for which purpose? a. To relieve
exertional angina
b. To prevent palpitations
c. To prevent the occurrence of angina
d. To stop an episode of angina
2. A nurse with adequate knowledge about the administration of intravenous nitroglycerin will
recognize which statement as correct?
a. The intravenous form is given by intravenous push injection.
b. Because the intravenous forms are short-lived, the dosing must be every 2 hours.
c. Intravenous nitroglycerin must be protected from exposure to light through use of
special tubing.
d. Intravenous nitroglycerin can be given via gravity drip infusions.
3. Which statement by the patient reflects the need for additional patient education about the
calcium channel blocker diltiazem (Cardizem)?
a. “I can take this drug to stop an attack of angina.”
b. “I understand that food and antacids can change how well I can absorb this drug when I take
it as a pill.”
c. “When the long-acting forms are taken, the drug cannot be crushed.”
d. “This drug may cause my blood pressure to drop, so I should be careful when getting up.”
pg. 1
, 4. While assessing a patient with angina who is to start β-blocker therapy, the nurse is aware
that the presence of which condition may be a problem if these drugs are used? a.
Hypertension
b. Essential tremors
c. Exertional angina
d. Asthma
5. A 68-year-old man has been taking the nitrate isosorbide dinitrate (ISDN) for 2 years for
angina. He has recently been experiencing erectile dysfunction and wants a prescription for
sildenafil citrate (Viagra). Which response would the nurse most likely hear from the health
care provider?
a. “He will have to be switched to isosorbide-5-mononitrate if he wants to take sildenafil
citrate.”
b. “Taking sildenafil citrate with the nitrate may result in a contraindication and cause
severe hypotension.”
c. “I'll write a prescription, but if he uses it, he needs to stop taking the isosorbide for one
dose.”
d. “These drugs are compatible with each other, so I'll write a prescription.”
6. The nurse is reviewing drug interactions with a male patient who has a prescription for
isosorbide (ISDN) as treatment for angina symptoms. Which substances listed below could
potentially result in a drug interaction? (Select all that apply.)
a. A glass of wine
b. Thyroid replacement hormone
c. tadalafil (Cialis), an erectile dysfunction drug
d. metformin hydrochloride (Glucophage®), an antihyperglycemic drug
e. carvedilol, a β-blocker
7. The order reads, “Give metoprolol (Lopresor) 300 mg/day PO in 2 divided doses.” The tablets
are available in 50-mg strength. How many tablets will the patient receive per dose?
pg. 2
, Study Guide Questions
1. The purpose of antianginal drug therapy is to do which of the following? (Select the best
response.)
a. To increase myocardial oxygen demand
b. To increase blood flow to peripheral arteries
c. To increase blood flow to ischemic cardiac muscle
d. To decrease blood flow to ischemic cardiac muscle
2. A patient is on nitroglycerin therapy. Which of the following common adverse effects is it
a priority to teach the patient about? a. Blurred vision
b. Dizziness
c. Headache
d. Weakness
3. A patient who has a history of dysphagia is placed on nitroglycerin therapy. What
available form of nitroglycerin is appropriate for this patient? (Select all that apply.) a.
Continuous intravenous drip
b. Intravenous bolus
c. Sublingual spray
d. Oral dosage forms – also available but patient has dysphagia
e. Topical ointment
f. Rectal suppository
4. In regard to a patient using transdermal nitroglycerin patches, the nurse knows that the
prescriber will order which of the following procedures for preventing tolerance? a.
Leaving the old patch on for 2 hours after applying a new patch
b. Applying a new patch every other day
c. Leaving the patch off for 24 hours once a week
d. Removing the patch at night for 8 hours, and then applying a new patch in the morning
5. Which important specific information should be given to a patient taking β-blockers for
angina?
a. These drugs are for long-term prevention of angina episodes.
pg. 3
Antianginal Drugs and Antidysrhythmic Drugs
Chapter 24
Antianginal Drugs
Examination Review Questions
1. A patient has a new prescription for transdermal nitroglycerin patches. The nurse teaches the
patient that these patches are most appropriately used for which purpose? a. To relieve
exertional angina
b. To prevent palpitations
c. To prevent the occurrence of angina
d. To stop an episode of angina
2. A nurse with adequate knowledge about the administration of intravenous nitroglycerin will
recognize which statement as correct?
a. The intravenous form is given by intravenous push injection.
b. Because the intravenous forms are short-lived, the dosing must be every 2 hours.
c. Intravenous nitroglycerin must be protected from exposure to light through use of
special tubing.
d. Intravenous nitroglycerin can be given via gravity drip infusions.
3. Which statement by the patient reflects the need for additional patient education about the
calcium channel blocker diltiazem (Cardizem)?
a. “I can take this drug to stop an attack of angina.”
b. “I understand that food and antacids can change how well I can absorb this drug when I take
it as a pill.”
c. “When the long-acting forms are taken, the drug cannot be crushed.”
d. “This drug may cause my blood pressure to drop, so I should be careful when getting up.”
pg. 1
, 4. While assessing a patient with angina who is to start β-blocker therapy, the nurse is aware
that the presence of which condition may be a problem if these drugs are used? a.
Hypertension
b. Essential tremors
c. Exertional angina
d. Asthma
5. A 68-year-old man has been taking the nitrate isosorbide dinitrate (ISDN) for 2 years for
angina. He has recently been experiencing erectile dysfunction and wants a prescription for
sildenafil citrate (Viagra). Which response would the nurse most likely hear from the health
care provider?
a. “He will have to be switched to isosorbide-5-mononitrate if he wants to take sildenafil
citrate.”
b. “Taking sildenafil citrate with the nitrate may result in a contraindication and cause
severe hypotension.”
c. “I'll write a prescription, but if he uses it, he needs to stop taking the isosorbide for one
dose.”
d. “These drugs are compatible with each other, so I'll write a prescription.”
6. The nurse is reviewing drug interactions with a male patient who has a prescription for
isosorbide (ISDN) as treatment for angina symptoms. Which substances listed below could
potentially result in a drug interaction? (Select all that apply.)
a. A glass of wine
b. Thyroid replacement hormone
c. tadalafil (Cialis), an erectile dysfunction drug
d. metformin hydrochloride (Glucophage®), an antihyperglycemic drug
e. carvedilol, a β-blocker
7. The order reads, “Give metoprolol (Lopresor) 300 mg/day PO in 2 divided doses.” The tablets
are available in 50-mg strength. How many tablets will the patient receive per dose?
pg. 2
, Study Guide Questions
1. The purpose of antianginal drug therapy is to do which of the following? (Select the best
response.)
a. To increase myocardial oxygen demand
b. To increase blood flow to peripheral arteries
c. To increase blood flow to ischemic cardiac muscle
d. To decrease blood flow to ischemic cardiac muscle
2. A patient is on nitroglycerin therapy. Which of the following common adverse effects is it
a priority to teach the patient about? a. Blurred vision
b. Dizziness
c. Headache
d. Weakness
3. A patient who has a history of dysphagia is placed on nitroglycerin therapy. What
available form of nitroglycerin is appropriate for this patient? (Select all that apply.) a.
Continuous intravenous drip
b. Intravenous bolus
c. Sublingual spray
d. Oral dosage forms – also available but patient has dysphagia
e. Topical ointment
f. Rectal suppository
4. In regard to a patient using transdermal nitroglycerin patches, the nurse knows that the
prescriber will order which of the following procedures for preventing tolerance? a.
Leaving the old patch on for 2 hours after applying a new patch
b. Applying a new patch every other day
c. Leaving the patch off for 24 hours once a week
d. Removing the patch at night for 8 hours, and then applying a new patch in the morning
5. Which important specific information should be given to a patient taking β-blockers for
angina?
a. These drugs are for long-term prevention of angina episodes.
pg. 3
