PHARMACOLOGY CARDIOVASCULAR
DRUGS NCLEX QUESTIONS COMPLETE
STUDY GUIDE 2026 | PRACTICE
QUESTIONS, RATIONALES & CHEAT SHEET
| GRADED A+ | GUARANTEED SUCCESS
Updated 2026 Questions and Answers
100% Verified Exam Prep and Comprehensive
Rationales Included
,a. Increase the serum digoxin sensitivity level The client is also taking a diuretic that decreases her potassium level. The nurse
expects that a low potassium level (hypokalemia) could have what effect on the
digoxin?
a. Increase the serum digoxin sensitivity level
b. Decrease the serum digoxin sensitivity level
c. Not have any effect on the serum digoxin sensitivity level
d. Cause a low average serum digoxin sensitivity level
b. Headaches When a client first takes a nitrate, the nurse expects which symptom that often
occurs?
a. Nausea and vomiting
b. Headaches
c. Stomach cramps
d. Irregular pulse rate
c. Decrease heart rate and decrease myocardial The nurse acknowledges that beta blockers are as effective as antianginals
contractility. because they do what?
a. Increase oxygen to the systemic circulation.
b. Maintain heart rate and blood pressure.
c. Decrease heart rate and decrease myocardial contractility.
d. Decrease heart rate and increase myocardial contractility.
b. The beta blocker should NOT be abruptly stopped; the The health care provider is planning to discontinue a client's beta blocker. What
dose should be tapered down. instruction should the nurse give the client regarding the beta blocker?
a. The beta blocker should be abruptly stopped when another cardiac drug is
prescribed.
b. The beta blocker should NOT be abruptly stopped; the dose should be tapered
down.
c. The beta blocker dose should be maintained while taking another antianginal
drug.
d. Half the beta blocker dose should be taken for the next several weeks.
c. To block the beta1-adrenergic receptors in the cardiac The beta blocker acebutolol (Sectral) is prescribed for dysrhythmias. The nurse
tissues knows that what is the primary purpose of the drug?
a. To increase the beta1 and beta2 receptors in the cardiac tissues
b. To increase the flow of oxygen to the cardiac tissues
c. To block the beta1-adrenergic receptors in the cardiac tissues
d. To block the beta2-adrenergic receptors in the cardiac tissues
, a. "Apply the patch to a nonhairy area of the upper torso A client is to be discharged home with a transdermal nitroglycerin patch. Which
or arm." instruction will the nurse include in the client's teaching plan?
a. "Apply the patch to a nonhairy area of the upper torso or arm."
b. "Apply the patch to the same site each day."
c. "If you have a headache, remove the patch for 4 hours and then reapply."
d. "If you have chest pain, apply a second patch next to the first patch."
d. Client stating that pain is 0 out of 10 A nurse is monitoring a client with angina for therapeutic effects of nitroglycerin.
Which assessment finding indicates that the nitroglycerin has been effective?
a. Blood pressure 120/80 mm Hg
b. Heart rate 70 beats per minute
c. ECG without evidence of ST changes
d. Client stating that pain is 0 out of 10
d. Chest pain The nurse is monitoring a client during IV nitroglycerin infusion. Which assessment
finding will cause the nurse to take action?
a. Blood pressure 110/90 mm Hg
b. Flushing
c. Headache
d. Chest pain
d. "I can take up to five tablets at 3-minute intervals for Which statement made by the client demonstrates a need for further instruction
chest pain if necessary." regarding the use of nitroglycerin?
a. "If I get a headache, I should keep taking nitroglycerin and use Tylenol for pain
relief."
b. "I should keep my nitroglycerin in a cool, dry place."
c. "I should change positions slowly to avoid getting dizzy."
d. "I can take up to five tablets at 3-minute intervals for chest pain if necessary."
a. Client states that she has no chest pain. Which client assessment would assist the nurse in evaluating therapeutic effects of
a calcium channel blocker?
a. Client states that she has no chest pain.
b. Client states that the swelling in her feet is reduced.
c. Client states the she does not feel dizzy.
d. Client states that she feels stronger.
DRUGS NCLEX QUESTIONS COMPLETE
STUDY GUIDE 2026 | PRACTICE
QUESTIONS, RATIONALES & CHEAT SHEET
| GRADED A+ | GUARANTEED SUCCESS
Updated 2026 Questions and Answers
100% Verified Exam Prep and Comprehensive
Rationales Included
,a. Increase the serum digoxin sensitivity level The client is also taking a diuretic that decreases her potassium level. The nurse
expects that a low potassium level (hypokalemia) could have what effect on the
digoxin?
a. Increase the serum digoxin sensitivity level
b. Decrease the serum digoxin sensitivity level
c. Not have any effect on the serum digoxin sensitivity level
d. Cause a low average serum digoxin sensitivity level
b. Headaches When a client first takes a nitrate, the nurse expects which symptom that often
occurs?
a. Nausea and vomiting
b. Headaches
c. Stomach cramps
d. Irregular pulse rate
c. Decrease heart rate and decrease myocardial The nurse acknowledges that beta blockers are as effective as antianginals
contractility. because they do what?
a. Increase oxygen to the systemic circulation.
b. Maintain heart rate and blood pressure.
c. Decrease heart rate and decrease myocardial contractility.
d. Decrease heart rate and increase myocardial contractility.
b. The beta blocker should NOT be abruptly stopped; the The health care provider is planning to discontinue a client's beta blocker. What
dose should be tapered down. instruction should the nurse give the client regarding the beta blocker?
a. The beta blocker should be abruptly stopped when another cardiac drug is
prescribed.
b. The beta blocker should NOT be abruptly stopped; the dose should be tapered
down.
c. The beta blocker dose should be maintained while taking another antianginal
drug.
d. Half the beta blocker dose should be taken for the next several weeks.
c. To block the beta1-adrenergic receptors in the cardiac The beta blocker acebutolol (Sectral) is prescribed for dysrhythmias. The nurse
tissues knows that what is the primary purpose of the drug?
a. To increase the beta1 and beta2 receptors in the cardiac tissues
b. To increase the flow of oxygen to the cardiac tissues
c. To block the beta1-adrenergic receptors in the cardiac tissues
d. To block the beta2-adrenergic receptors in the cardiac tissues
, a. "Apply the patch to a nonhairy area of the upper torso A client is to be discharged home with a transdermal nitroglycerin patch. Which
or arm." instruction will the nurse include in the client's teaching plan?
a. "Apply the patch to a nonhairy area of the upper torso or arm."
b. "Apply the patch to the same site each day."
c. "If you have a headache, remove the patch for 4 hours and then reapply."
d. "If you have chest pain, apply a second patch next to the first patch."
d. Client stating that pain is 0 out of 10 A nurse is monitoring a client with angina for therapeutic effects of nitroglycerin.
Which assessment finding indicates that the nitroglycerin has been effective?
a. Blood pressure 120/80 mm Hg
b. Heart rate 70 beats per minute
c. ECG without evidence of ST changes
d. Client stating that pain is 0 out of 10
d. Chest pain The nurse is monitoring a client during IV nitroglycerin infusion. Which assessment
finding will cause the nurse to take action?
a. Blood pressure 110/90 mm Hg
b. Flushing
c. Headache
d. Chest pain
d. "I can take up to five tablets at 3-minute intervals for Which statement made by the client demonstrates a need for further instruction
chest pain if necessary." regarding the use of nitroglycerin?
a. "If I get a headache, I should keep taking nitroglycerin and use Tylenol for pain
relief."
b. "I should keep my nitroglycerin in a cool, dry place."
c. "I should change positions slowly to avoid getting dizzy."
d. "I can take up to five tablets at 3-minute intervals for chest pain if necessary."
a. Client states that she has no chest pain. Which client assessment would assist the nurse in evaluating therapeutic effects of
a calcium channel blocker?
a. Client states that she has no chest pain.
b. Client states that the swelling in her feet is reduced.
c. Client states the she does not feel dizzy.
d. Client states that she feels stronger.
