NUR2474 EXAM 4 2026 COMPLETE
QUESTIONS AND ANSWERS GRADED A+
◉ Which information should the nurse include in client education
regarding a cholesterol-lowering agent? Answer: "You should
continue your exercise program to increase your high-density
lipoprotein (HLD) serum.
◉ What would the nurse expect has occurred with a client who has
taken senna for several days and now experiencing yellowish-
brownish urea? Answer: Expected effect of the medication
(Anthraquinone's in laxatives such as senna, change urine to brown,
yellow, or orange.)
◉ Verapamil can elevate? Answer: digoxin levels
◉ Client took too much warfarin normal vitals and no petechiae
Answer: Expect DR to order pt INR
◉ Patient on warfarin and levels of INR 4.7 Answer: Best action is to
hold dose and notify physician
◉ Heparin post op and APTT is 120 BP 90/50 Answer: Expect Dr to
order protamine sulfate
,◉ Post surgery patient is pale and fatigued HR98 RR20 BP 100/50
Answer: Expect provider to order hemoglobin and hematocrit
◉ Aspirin prevents Answer: platelet aggregation
◉ Amiodarone Answer: is a positum channel blocker it is given for
Aflutter to prevent recurrence. Levels can be increased by grapefruit
juice and toxicity can result. Amiodarone levels can be reduced by
cholestyramine.
◉ Propranolol Answer: is a beta adrenergic blocker non selective
given for recurrent ventricular tachycardia. Question the order if
patient has asthma as it can cause bronchospasm.
◉ Stage B Heart failure Answer: Captopril for reduced EF or ejection
fraction and symptomatic
◉ Normal GFR Answer: 90-120
◉ If GFR is <20 Answer: risk of digoxin toxicity is greater
◉ If digoxin level is 2.5 ng/ml Answer: hold dose and contact
healthcare provider
,◉ Always check apical pulse before Answer: giving digoxin
◉ Torsades De pointes Answer: Give IV magnesium
◉ Digoxin therapeutic range Answer: 0.5-0.8
◉ Normal potassium level Answer: is 3.5 to 5
◉ Furosemide effective if Answer: Output is greater than input
◉ Hypertension BP150/90 crackles bibasilar, 2+ edema, distended
jugular veins Answer: Expect order furosemide (loop diuretic)
◉ Diabetes mellitus and hypertension Answer: Anticipate order for
ace inhibitor
◉ Patient has cough for 3 days that is non productive after starting
lisinopril Answer: Stop lisinopril and start losartan
◉ Angiotensin II Receptor Blockers (ARBs) Answer: DO NOT
promote accumulation of bradykinin in the lung and therefore have
lower instance of cough
, ◉ Losartan Answer: is an angiotensin 2 receptor blocker adverse
effects are angioedema, fetal harm and renal failure
◉ Patient with 2+ pitting edema In bilateral lower extremities,
bibasilar crackles and potassium of 6 Answer: Question it if Dr
orders spironolactone which is a potassium sparing drug
◉ APTT normal levels Answer: 40 seconds (60 to 80 if on heparin)
◉ Methyldopa and labetalol Answer: are drugs of choice for treating
chronic hypertension of pregnancy
◉ Hypertension is the most common complication of Answer:
pregnancy
◉ Nitroprusside (IV) Answer: is the drug of choice for hypertensive
emergencies
◉ A severe hypertensive emergency exists when diastolic Answer:
Diastolic BP exceeds 120 mm Hg and there is ongoing end organ
damage
QUESTIONS AND ANSWERS GRADED A+
◉ Which information should the nurse include in client education
regarding a cholesterol-lowering agent? Answer: "You should
continue your exercise program to increase your high-density
lipoprotein (HLD) serum.
◉ What would the nurse expect has occurred with a client who has
taken senna for several days and now experiencing yellowish-
brownish urea? Answer: Expected effect of the medication
(Anthraquinone's in laxatives such as senna, change urine to brown,
yellow, or orange.)
◉ Verapamil can elevate? Answer: digoxin levels
◉ Client took too much warfarin normal vitals and no petechiae
Answer: Expect DR to order pt INR
◉ Patient on warfarin and levels of INR 4.7 Answer: Best action is to
hold dose and notify physician
◉ Heparin post op and APTT is 120 BP 90/50 Answer: Expect Dr to
order protamine sulfate
,◉ Post surgery patient is pale and fatigued HR98 RR20 BP 100/50
Answer: Expect provider to order hemoglobin and hematocrit
◉ Aspirin prevents Answer: platelet aggregation
◉ Amiodarone Answer: is a positum channel blocker it is given for
Aflutter to prevent recurrence. Levels can be increased by grapefruit
juice and toxicity can result. Amiodarone levels can be reduced by
cholestyramine.
◉ Propranolol Answer: is a beta adrenergic blocker non selective
given for recurrent ventricular tachycardia. Question the order if
patient has asthma as it can cause bronchospasm.
◉ Stage B Heart failure Answer: Captopril for reduced EF or ejection
fraction and symptomatic
◉ Normal GFR Answer: 90-120
◉ If GFR is <20 Answer: risk of digoxin toxicity is greater
◉ If digoxin level is 2.5 ng/ml Answer: hold dose and contact
healthcare provider
,◉ Always check apical pulse before Answer: giving digoxin
◉ Torsades De pointes Answer: Give IV magnesium
◉ Digoxin therapeutic range Answer: 0.5-0.8
◉ Normal potassium level Answer: is 3.5 to 5
◉ Furosemide effective if Answer: Output is greater than input
◉ Hypertension BP150/90 crackles bibasilar, 2+ edema, distended
jugular veins Answer: Expect order furosemide (loop diuretic)
◉ Diabetes mellitus and hypertension Answer: Anticipate order for
ace inhibitor
◉ Patient has cough for 3 days that is non productive after starting
lisinopril Answer: Stop lisinopril and start losartan
◉ Angiotensin II Receptor Blockers (ARBs) Answer: DO NOT
promote accumulation of bradykinin in the lung and therefore have
lower instance of cough
, ◉ Losartan Answer: is an angiotensin 2 receptor blocker adverse
effects are angioedema, fetal harm and renal failure
◉ Patient with 2+ pitting edema In bilateral lower extremities,
bibasilar crackles and potassium of 6 Answer: Question it if Dr
orders spironolactone which is a potassium sparing drug
◉ APTT normal levels Answer: 40 seconds (60 to 80 if on heparin)
◉ Methyldopa and labetalol Answer: are drugs of choice for treating
chronic hypertension of pregnancy
◉ Hypertension is the most common complication of Answer:
pregnancy
◉ Nitroprusside (IV) Answer: is the drug of choice for hypertensive
emergencies
◉ A severe hypertensive emergency exists when diastolic Answer:
Diastolic BP exceeds 120 mm Hg and there is ongoing end organ
damage
