NR 293 FINAL EXAM -PHARMACOLOGY FOR
NURSING |ACTUAL QUESTIONS AND VERIFIED
ANSWERS|BRAND NEW 2026-2027
UPDATE|GRADED A+
Question 1
A patient about to receive his morning dose of digoxin has an apical pulse of 70 beats per
minute. What will the nurse do?
A. Administer the dose.
B. Administer the dose and notify the physician.
C. Check the radial pulse for 1 full minute.
D. Withhold the dose and notify the
CORRECT ANSWER
A. Administer the dose.
Question 2
In assessing a patient before administration of a cardiac glycoside, the nurse knows that
what condition can predispose a patient to digitalis toxicity?
A. Hypokalemia
B. Hyperkalemia
C. Hypocalcemia
D. Hypernatremia
CORRECT ANSWER
A. Hypokalemia; control ventricular response to atrial fibrillation and a derived from
foxglove. Digoxin is the only available cardiac glycoside---positive inotropic---inhibits
sodium potassium pump (adenosine tripphophatase) Sodium and calcium rise.
Cholinergic stimulation via the vagus nerve of Parasympathetic nervous system. ---
Negative chronotropic---Negative Dromotropic effect
1
@THE STUDY VAULT
,Question 3
While assessing a patient who is receiving intravenous digitalis, the nurse recognizes that
the drug has a negative chronotropic effect. How would this drug effect be evident in the
patient?
A. Increased heart rate
B. Decreased heart rate
C. Decreased conduction
D. Increased ectopic beats
CORRECT ANSWER
B. Decreased heart rate
Question 4
A patient has been taking digoxin at home but has taken an accidental overdose and has
developed toxicity. He has been admitted to the telemetry unit where the physician has
ordered digoxin immune Fab (Digibind). The patient asks the nurse why the medication is
ordered. What is the nurse's best response?
A. "It works faster than digoxin."
B. "It is safer than digoxin and can be taken orally."
C. "It helps to convert the irregular heart rhythm to a more normal rhythm."
D. "This drug is an antidote to digoxin and will help to lower the blood levels."
CORRECT ANSWER
D. "This drug is an antidote to digoxin and will help to lower the blood levels." (severe
bradycardia, advanced heart block, ventricularr tachycardia, fibrillation, and
hyperkalemia); available in parental form. Clinical signs and symptoms are monitored
NOT serum levels----used for systolic heart failure and atrial fibrillation.
2
@THE STUDY VAULT
,Question 5
5. A patient has been placed on a milrinone infusion as part of the therapy for end-stage
heart failure. What risks involved with this drug will the nurse keep in mind while
assessing this patient during the infusion?
A. Hypertension
B. Hyperkalemia
C. Nausea and vomiting
D. Cardiac dysrhythmias
CORRECT ANSWER
D. Cardiac dysrhythmias (contraindictated with ventricular tachycardia, and fibrillation)
used for treatment of atrial fibrillation. Available in Oral and injection form.
Question 6
6. A patient with atrial fibrillation was started on digoxin, and 1 week later a digoxin level
was drawn. Which result is within normal therapeutic levels for digoxin?
A. 0.4 ng/mL
B. 0.7 ng/mL
C. 2.1 ng/mL
D. 2.6 ng/mL or higher
CORRECT ANSWER
B. 0.7 ng/mL (normal 0.5 to 2.0 ng/mL
Question 7
7. When reviewing the list of medications taken by a patient who will be receiving a new
prescription for digoxin, the nurse would be concerned about which medication that may
interact with the digoxin?
A. aspirin
3
@THE STUDY VAULT
, B. acetaminophen (Tylenol)
C. furosemide (Lasix)
D. vitamin K
CORRECT ANSWER
C. furosemide (Lasix); (loop Diuretics); numerous ones on page 341
Question 8
8. The nurse is reviewing discharge teaching for a patient who will be taking digoxin
(Lanoxin) therapy. The patient should be taught to avoid which foods when taking the
digoxin?
A. Leafy green vegetables
B. Dairy products
C. Grapefruit juice
D. Bran muffins
CORRECT ANSWER
D. Bran muffins
Question 9
9. In assessing a patient before administration of a cardiac glycoside, the nurse knows that
which lab result can increase the toxicity of the drug?
A. Potassium level 2.8 mEq/L
B. Potassium level 4.9 mEq/L
C. Sodium level 140 mEq/L
D. Calcium level 10 mg/dL
CORRECT ANSWER
A. Potassium level 2.8 mEq/L (low potassium normal is 3.5 to 5.0)
4
@THE STUDY VAULT
NURSING |ACTUAL QUESTIONS AND VERIFIED
ANSWERS|BRAND NEW 2026-2027
UPDATE|GRADED A+
Question 1
A patient about to receive his morning dose of digoxin has an apical pulse of 70 beats per
minute. What will the nurse do?
A. Administer the dose.
B. Administer the dose and notify the physician.
C. Check the radial pulse for 1 full minute.
D. Withhold the dose and notify the
CORRECT ANSWER
A. Administer the dose.
Question 2
In assessing a patient before administration of a cardiac glycoside, the nurse knows that
what condition can predispose a patient to digitalis toxicity?
A. Hypokalemia
B. Hyperkalemia
C. Hypocalcemia
D. Hypernatremia
CORRECT ANSWER
A. Hypokalemia; control ventricular response to atrial fibrillation and a derived from
foxglove. Digoxin is the only available cardiac glycoside---positive inotropic---inhibits
sodium potassium pump (adenosine tripphophatase) Sodium and calcium rise.
Cholinergic stimulation via the vagus nerve of Parasympathetic nervous system. ---
Negative chronotropic---Negative Dromotropic effect
1
@THE STUDY VAULT
,Question 3
While assessing a patient who is receiving intravenous digitalis, the nurse recognizes that
the drug has a negative chronotropic effect. How would this drug effect be evident in the
patient?
A. Increased heart rate
B. Decreased heart rate
C. Decreased conduction
D. Increased ectopic beats
CORRECT ANSWER
B. Decreased heart rate
Question 4
A patient has been taking digoxin at home but has taken an accidental overdose and has
developed toxicity. He has been admitted to the telemetry unit where the physician has
ordered digoxin immune Fab (Digibind). The patient asks the nurse why the medication is
ordered. What is the nurse's best response?
A. "It works faster than digoxin."
B. "It is safer than digoxin and can be taken orally."
C. "It helps to convert the irregular heart rhythm to a more normal rhythm."
D. "This drug is an antidote to digoxin and will help to lower the blood levels."
CORRECT ANSWER
D. "This drug is an antidote to digoxin and will help to lower the blood levels." (severe
bradycardia, advanced heart block, ventricularr tachycardia, fibrillation, and
hyperkalemia); available in parental form. Clinical signs and symptoms are monitored
NOT serum levels----used for systolic heart failure and atrial fibrillation.
2
@THE STUDY VAULT
,Question 5
5. A patient has been placed on a milrinone infusion as part of the therapy for end-stage
heart failure. What risks involved with this drug will the nurse keep in mind while
assessing this patient during the infusion?
A. Hypertension
B. Hyperkalemia
C. Nausea and vomiting
D. Cardiac dysrhythmias
CORRECT ANSWER
D. Cardiac dysrhythmias (contraindictated with ventricular tachycardia, and fibrillation)
used for treatment of atrial fibrillation. Available in Oral and injection form.
Question 6
6. A patient with atrial fibrillation was started on digoxin, and 1 week later a digoxin level
was drawn. Which result is within normal therapeutic levels for digoxin?
A. 0.4 ng/mL
B. 0.7 ng/mL
C. 2.1 ng/mL
D. 2.6 ng/mL or higher
CORRECT ANSWER
B. 0.7 ng/mL (normal 0.5 to 2.0 ng/mL
Question 7
7. When reviewing the list of medications taken by a patient who will be receiving a new
prescription for digoxin, the nurse would be concerned about which medication that may
interact with the digoxin?
A. aspirin
3
@THE STUDY VAULT
, B. acetaminophen (Tylenol)
C. furosemide (Lasix)
D. vitamin K
CORRECT ANSWER
C. furosemide (Lasix); (loop Diuretics); numerous ones on page 341
Question 8
8. The nurse is reviewing discharge teaching for a patient who will be taking digoxin
(Lanoxin) therapy. The patient should be taught to avoid which foods when taking the
digoxin?
A. Leafy green vegetables
B. Dairy products
C. Grapefruit juice
D. Bran muffins
CORRECT ANSWER
D. Bran muffins
Question 9
9. In assessing a patient before administration of a cardiac glycoside, the nurse knows that
which lab result can increase the toxicity of the drug?
A. Potassium level 2.8 mEq/L
B. Potassium level 4.9 mEq/L
C. Sodium level 140 mEq/L
D. Calcium level 10 mg/dL
CORRECT ANSWER
A. Potassium level 2.8 mEq/L (low potassium normal is 3.5 to 5.0)
4
@THE STUDY VAULT
