NUR521 Quiz 2.Final Exam 2026\2027.
A client who is receiving digoxin (Lanoxin) daily has a serum potassium level of 3 mEq/L and is
complaining of anorexia. A physician prescribes a digoxin level to rule out digoxin toxicity. A nurse
checks the results, knowing that which of the following is the therapeutic serum level (range) for
digoxin?
o 1.2 to 2.8 ng/mL
o 0.5 to 1.5 ng/mL
o 3.5 to 5.5 ng/mL
o 3 to 5 ng/mL
0.5 to 1.5 ng/mL
The nurse should question an order for metoprolol (Lopressor) when it is prescribed for a client
with:
o Sinus Bradycardia
o Angina pectoris
o Hypertension
o Myocardial Infarction
Sinus Bradycardia
What should the nurse include in a teaching plan aimed at reducing the side effects associated
with taking calcium channel blockers such as diltiazem (Cardizem)?
o Lie down after meals
o Change positions slowly
o Avoid dairy products in diet
o Take the drug with an antacid
Change positions slowly
Which points should the nurse plan to include when teaching a client receiving a thiazide diuretic?
(Select all that apply)
o Take the radial pulse before preparing the medication.
o Keep appointments for laboratory monitoring, including serum electrolytes, glucose, creatinine,
blood urea nitrogen (BUN), and uric acid levels.
o Include fruits such as melons and bananas in the diet.
o Minimize intake of high-fat foods.
o Keep appointments for laboratory monitoring, including serum electrolytes, glucose, creatinine, blood
urea nitrogen (BUN), and uric acid levels.
, NUR521 Quiz 2.Final Exam 2026\2027.
o Include fruits such as melons and bananas in the diet
o Minimize intake of high-fat foods.
When administering an intravenous titirated drip of lidocaine HCL to a client, a serious side effect
that must be reported to the physician immediately is:
o Anorexia
o Hypertension
o Paresthesias
o Tachycardia
Paresthesias
A home health nurse instructs a client about the use of a nitrate patch. The nurse tells the client
which of the following that will prevent client tolerance to nitrates?
o Have a 12-hour "no nitrate" time
o Keep nitrates on 24 hours then off 24 hours
o Do not remove the patches
o Have a 24-hour "no nitrate" time
Have a 12-hour "no nitrate" time
A client is prescribed lisinopril (Zestril) for treatment of hypertension. He asks a nurse about
possible adverse effects. Which are common adverse effects of antiogensin-converting enzyme
(ACE) inhibitors should the nurse include in her teaching? SELECT ALL THAT APPLY
o Hypotension
o Hyperkalemia
o Hyperglycemia
o Dry Cough
o Impotence
o Diarrhea
o Hypotension o Hypercalemia o Dry cough
A client is admitted with pulmonary embolism and is to be treated with alteplase (Activase, tPA). A
nurse would report which of the following assessments to the physician before initiating this
therapy?
o Blood pressure of 198/110 mmHg
o Adventitious (abnormal) breath sounds
o Temperature of 99.4 F orally
o Respiratory rate of 28 breaths/min
Blood pressure of 198/110 mmHg
A client who is receiving digoxin (Lanoxin) daily has a serum potassium level of 3 mEq/L and is
complaining of anorexia. A physician prescribes a digoxin level to rule out digoxin toxicity. A nurse
checks the results, knowing that which of the following is the therapeutic serum level (range) for
digoxin?
o 1.2 to 2.8 ng/mL
o 0.5 to 1.5 ng/mL
o 3.5 to 5.5 ng/mL
o 3 to 5 ng/mL
0.5 to 1.5 ng/mL
The nurse should question an order for metoprolol (Lopressor) when it is prescribed for a client
with:
o Sinus Bradycardia
o Angina pectoris
o Hypertension
o Myocardial Infarction
Sinus Bradycardia
What should the nurse include in a teaching plan aimed at reducing the side effects associated
with taking calcium channel blockers such as diltiazem (Cardizem)?
o Lie down after meals
o Change positions slowly
o Avoid dairy products in diet
o Take the drug with an antacid
Change positions slowly
Which points should the nurse plan to include when teaching a client receiving a thiazide diuretic?
(Select all that apply)
o Take the radial pulse before preparing the medication.
o Keep appointments for laboratory monitoring, including serum electrolytes, glucose, creatinine,
blood urea nitrogen (BUN), and uric acid levels.
o Include fruits such as melons and bananas in the diet.
o Minimize intake of high-fat foods.
o Keep appointments for laboratory monitoring, including serum electrolytes, glucose, creatinine, blood
urea nitrogen (BUN), and uric acid levels.
, NUR521 Quiz 2.Final Exam 2026\2027.
o Include fruits such as melons and bananas in the diet
o Minimize intake of high-fat foods.
When administering an intravenous titirated drip of lidocaine HCL to a client, a serious side effect
that must be reported to the physician immediately is:
o Anorexia
o Hypertension
o Paresthesias
o Tachycardia
Paresthesias
A home health nurse instructs a client about the use of a nitrate patch. The nurse tells the client
which of the following that will prevent client tolerance to nitrates?
o Have a 12-hour "no nitrate" time
o Keep nitrates on 24 hours then off 24 hours
o Do not remove the patches
o Have a 24-hour "no nitrate" time
Have a 12-hour "no nitrate" time
A client is prescribed lisinopril (Zestril) for treatment of hypertension. He asks a nurse about
possible adverse effects. Which are common adverse effects of antiogensin-converting enzyme
(ACE) inhibitors should the nurse include in her teaching? SELECT ALL THAT APPLY
o Hypotension
o Hyperkalemia
o Hyperglycemia
o Dry Cough
o Impotence
o Diarrhea
o Hypotension o Hypercalemia o Dry cough
A client is admitted with pulmonary embolism and is to be treated with alteplase (Activase, tPA). A
nurse would report which of the following assessments to the physician before initiating this
therapy?
o Blood pressure of 198/110 mmHg
o Adventitious (abnormal) breath sounds
o Temperature of 99.4 F orally
o Respiratory rate of 28 breaths/min
Blood pressure of 198/110 mmHg
