1|Page
PNM300 TEST 2 NEWEST 2025 ACTUAL EXAM TEST
BANK| PNM300 EXAM 2 PREP WITH 250 REAL EXAM
QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) GRADED A+ (BRAND NEW!!)
When the nurse is administering an a-blocker for the first time, which of
the flowering is the most important development for the nurse to assess?
A. Renal failure
B. Hypotension
C. Blood dyscrasia
D. Dysrhythmias - Correct Answer - B. Hypotension
adverse effect. Severe and sudden drop with first dose
A pt with type 2 diabetes is taking a b blocker as part of treatment for
hypertension. Which complication is most likely to develop?
A. Hypertension
B. Hyper kale is
C. Hypoglycemia
D. Angina - Correct Answer - C. Hypoglycemia
- Overdose: pts stomach must be emptied stat
In assessing a patient before administration of a cardiac glycoside, the
nurse knows that which lab result can increase the toxicity of the drug?
pg. 1
,2|Page
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
The nurses is assessing a pt who has been taking a cholinergic drug for 3
days. The pt has flushed skin and orthostatic BP changed and reports
abdominal cramp and nausea. The nurse recognizes that the ot is most
likely experiencing
A. Early signs of a cholinergic crisis
B. Late signs of a cholinergic crisis
C. An allergic reaction to the drug
D. Expected adverse effects - Correct Answer - A. Early signs of a
cholinergic crisis
A patient has been placed on a milrinone (Primacor) infusion as part of
the therapy for end-stage heart failure. What adverse effect of this drug
will the nurse watch for when assessing this patient during the infusion?
A. Hypertension
B. Hyperkalemia
C. Nausea and vomiting
D. Cardiac dysrhythmias - Correct Answer - D. Cardiac dysrhythmias
pg. 2
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A pt with Alzheimer's disease accidentally took 2 weeks worth of a
cholinergic medication. Brought to the ED< the pt is going into shock
and is experiencing sever hypotension and vomiting. The nurse will
expect which initial treatment?
A. Administration of physostihgmine
B. Administration of atropine
C. Admin of epinephrine
D. Cardiovascular support with dopamine - Correct Answer - B.
Administration of atropine
atropine is the antidote for cholinergics, should be available in pts room
Glycopyrrolate and an opioid are administered to a pt before a surgery in
the preoperative area. The anti cholinergic is used to:
A. Potentiate the action of the opioid
B. Assist the pt in retaining urine during surgery
C. Control secretions during surgery
D. Prevent nausea - Correct Answer - C. Control secretions during
surgery
A patient has a digoxin level of 1.1 ng/mL. Which interpretation by the
nurse is correct?
A. It is below the therapeutic level.
B. It is within the therapeutic range.
C. It is above the therapeutic level.
pg. 3
, 4|Page
D. It is at a toxic level. - Correct Answer - B. It is within the therapeutic
range.
The nurse is reviewing discharge teaching for a patient who will be
taking digoxin (Lanoxin) therapy. The nurse will teach the patient 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
The nurse administering the phosphodiesterase inhibitor milrinone
(Primacor) recognizes that this drug will have a positive inotropic effect.
Which result reflects this effect?
A. Increased heart rate
B. Increased blood vessel dilation
C. Increased force of cardiac contractions
D. Increased conduction of electrical impulses across the heart - Correct
Answer - C. Increased force of cardiac contractions
The nurse notes in a patient's medical record that nesiritide (Natrecor)
has been ordered. Based on this order, the nurse interprets that the
patient has which disorder?
A. Atrial fibrillation
pg. 4
PNM300 TEST 2 NEWEST 2025 ACTUAL EXAM TEST
BANK| PNM300 EXAM 2 PREP WITH 250 REAL EXAM
QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) GRADED A+ (BRAND NEW!!)
When the nurse is administering an a-blocker for the first time, which of
the flowering is the most important development for the nurse to assess?
A. Renal failure
B. Hypotension
C. Blood dyscrasia
D. Dysrhythmias - Correct Answer - B. Hypotension
adverse effect. Severe and sudden drop with first dose
A pt with type 2 diabetes is taking a b blocker as part of treatment for
hypertension. Which complication is most likely to develop?
A. Hypertension
B. Hyper kale is
C. Hypoglycemia
D. Angina - Correct Answer - C. Hypoglycemia
- Overdose: pts stomach must be emptied stat
In assessing a patient before administration of a cardiac glycoside, the
nurse knows that which lab result can increase the toxicity of the drug?
pg. 1
,2|Page
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
The nurses is assessing a pt who has been taking a cholinergic drug for 3
days. The pt has flushed skin and orthostatic BP changed and reports
abdominal cramp and nausea. The nurse recognizes that the ot is most
likely experiencing
A. Early signs of a cholinergic crisis
B. Late signs of a cholinergic crisis
C. An allergic reaction to the drug
D. Expected adverse effects - Correct Answer - A. Early signs of a
cholinergic crisis
A patient has been placed on a milrinone (Primacor) infusion as part of
the therapy for end-stage heart failure. What adverse effect of this drug
will the nurse watch for when assessing this patient during the infusion?
A. Hypertension
B. Hyperkalemia
C. Nausea and vomiting
D. Cardiac dysrhythmias - Correct Answer - D. Cardiac dysrhythmias
pg. 2
,3|Page
A pt with Alzheimer's disease accidentally took 2 weeks worth of a
cholinergic medication. Brought to the ED< the pt is going into shock
and is experiencing sever hypotension and vomiting. The nurse will
expect which initial treatment?
A. Administration of physostihgmine
B. Administration of atropine
C. Admin of epinephrine
D. Cardiovascular support with dopamine - Correct Answer - B.
Administration of atropine
atropine is the antidote for cholinergics, should be available in pts room
Glycopyrrolate and an opioid are administered to a pt before a surgery in
the preoperative area. The anti cholinergic is used to:
A. Potentiate the action of the opioid
B. Assist the pt in retaining urine during surgery
C. Control secretions during surgery
D. Prevent nausea - Correct Answer - C. Control secretions during
surgery
A patient has a digoxin level of 1.1 ng/mL. Which interpretation by the
nurse is correct?
A. It is below the therapeutic level.
B. It is within the therapeutic range.
C. It is above the therapeutic level.
pg. 3
, 4|Page
D. It is at a toxic level. - Correct Answer - B. It is within the therapeutic
range.
The nurse is reviewing discharge teaching for a patient who will be
taking digoxin (Lanoxin) therapy. The nurse will teach the patient 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
The nurse administering the phosphodiesterase inhibitor milrinone
(Primacor) recognizes that this drug will have a positive inotropic effect.
Which result reflects this effect?
A. Increased heart rate
B. Increased blood vessel dilation
C. Increased force of cardiac contractions
D. Increased conduction of electrical impulses across the heart - Correct
Answer - C. Increased force of cardiac contractions
The nurse notes in a patient's medical record that nesiritide (Natrecor)
has been ordered. Based on this order, the nurse interprets that the
patient has which disorder?
A. Atrial fibrillation
pg. 4
