RNSG 1301 - Unit IV Exam Study
Guide Questions and Answers.
How is hypertension defined with regard to blood pressure readings? - Answer systolic
pressure above 140 mm Hg or diastolic pressure above 90 mm Hg
A client is diagnosed with hypertension and is being treated with captopril. A client with which
diagnosis should be prescribed with captopril as the first-line treatment? - Answer diabetes
mellitus
What additional medication will best increase the effectiveness of blood pressure control in this
client prescribed losartan? - Answer hydrochlorothiazide
A client is prescribed captopril. What adverse effect should the client be instructed on that can
occur with angiotensin-converting enzyme (ACE) inhibitors? - Answer persistent cough
An adult client recently diagnosed with hypertension has begun combination therapy. Which
client statement would suggest a need for further health education? - Answer "I'll only need
to take these drugs on days when my blood pressure is particularly high."
An adult client with a long-standing dysrhythmia has been taking oral propranolol for the last
several months, resulting in acceptable symptom control. What is a priority teaching point for
the nurse to communicate to this client? - Answer the importance of not stopping the
medication abruptly
What is a major effect of amiodarone when prescribed for ventricular fibrillation? - Answer It
slows the process of repolarization.
Which assessment would be considered a priority for a client receiving amiodarone? - Answer
heart rate checks
In some cases, low-dose amiodarone may be used to prevent recurrence of what cardiac
disorder? - Answer atrial fibrillation
Which class IV calcium channel blocker is exclusively administered to treat acute
supraventricular tachycardia? - Answer diltiazem
A client reports substernal chest pain that radiates to the neck. The pain lasts 5 minutes and
then subsides with relaxation. What is the most likely cause of the chest pain? - Answer
angina pectoris
, The nurse is teaching the client about coronary artery disease (CAD). Which statement by the
client indicates that he or she has understood the teaching? - Answer "High fat in the diet
and smoking can cause my episodes of chest pain."
A client with a history of angina has sustained a mild head injury in a motor vehicle accident.
When the client reports chest pain, what explanation should the nurse provide to support the
decision not to treat the angina-related pain with nitroglycerin tablets? - Answer
Nitroglycerin will increase intracranial pressure.
A client, diagnosed with erectile dysfunction, is taking nitroglycerin for chest pain. What is the
best explanation for why a nitrate-like sildenafil would be contraindicated? - Answer
"Nitroglycerin and sildenafil cause a severe decrease in blood pressure."
A client is experiencing chest pain and self-administers nitroglycerin sublingually. When should
the client expect to notice relief of the chest pain? - Answer 1 to 3 minutes
A client with a long-standing diagnosis of asthma is prescribed a beta-blocker for the treatment
of angina. The nurse should consequently prioritize assessment for what health problem? -
Answer bronchospasm
A client with angina is prescribed propranolol. Following absorption of the drug, the nurse
should monitor the client for what desired effect? - Answer decreased heart rate
Which assessment findings would prompt the nurse to withhold a scheduled dose of oral
atenolol? Select all that apply. - Answer B. blood pressure of 88/49 mm Hg
C.heart rate of 54 beats per minute
A client has been diagnosed with narrow-angle glaucoma. What ocular effect will be produced if
the client is prescribed an adrenergic agent? - Answer mydriasis
A client is administered epinephrine in conjunction with a local anesthetic. What effect will
epinephrine produce? - Answer increased vasoconstrictive effects
Assessment has identified that a client with a history of monoamine oxidase inhibitor (MAO)
therapy has also been taking an adrenergic drug for several days. What assessments should the
nurse focus on to monitor the possible adverse reaction of the combination of medications?
Select all that apply. - Answer A.level of consciousness
B.respiratory distress
C. cardiac dysrhythmia
Guide Questions and Answers.
How is hypertension defined with regard to blood pressure readings? - Answer systolic
pressure above 140 mm Hg or diastolic pressure above 90 mm Hg
A client is diagnosed with hypertension and is being treated with captopril. A client with which
diagnosis should be prescribed with captopril as the first-line treatment? - Answer diabetes
mellitus
What additional medication will best increase the effectiveness of blood pressure control in this
client prescribed losartan? - Answer hydrochlorothiazide
A client is prescribed captopril. What adverse effect should the client be instructed on that can
occur with angiotensin-converting enzyme (ACE) inhibitors? - Answer persistent cough
An adult client recently diagnosed with hypertension has begun combination therapy. Which
client statement would suggest a need for further health education? - Answer "I'll only need
to take these drugs on days when my blood pressure is particularly high."
An adult client with a long-standing dysrhythmia has been taking oral propranolol for the last
several months, resulting in acceptable symptom control. What is a priority teaching point for
the nurse to communicate to this client? - Answer the importance of not stopping the
medication abruptly
What is a major effect of amiodarone when prescribed for ventricular fibrillation? - Answer It
slows the process of repolarization.
Which assessment would be considered a priority for a client receiving amiodarone? - Answer
heart rate checks
In some cases, low-dose amiodarone may be used to prevent recurrence of what cardiac
disorder? - Answer atrial fibrillation
Which class IV calcium channel blocker is exclusively administered to treat acute
supraventricular tachycardia? - Answer diltiazem
A client reports substernal chest pain that radiates to the neck. The pain lasts 5 minutes and
then subsides with relaxation. What is the most likely cause of the chest pain? - Answer
angina pectoris
, The nurse is teaching the client about coronary artery disease (CAD). Which statement by the
client indicates that he or she has understood the teaching? - Answer "High fat in the diet
and smoking can cause my episodes of chest pain."
A client with a history of angina has sustained a mild head injury in a motor vehicle accident.
When the client reports chest pain, what explanation should the nurse provide to support the
decision not to treat the angina-related pain with nitroglycerin tablets? - Answer
Nitroglycerin will increase intracranial pressure.
A client, diagnosed with erectile dysfunction, is taking nitroglycerin for chest pain. What is the
best explanation for why a nitrate-like sildenafil would be contraindicated? - Answer
"Nitroglycerin and sildenafil cause a severe decrease in blood pressure."
A client is experiencing chest pain and self-administers nitroglycerin sublingually. When should
the client expect to notice relief of the chest pain? - Answer 1 to 3 minutes
A client with a long-standing diagnosis of asthma is prescribed a beta-blocker for the treatment
of angina. The nurse should consequently prioritize assessment for what health problem? -
Answer bronchospasm
A client with angina is prescribed propranolol. Following absorption of the drug, the nurse
should monitor the client for what desired effect? - Answer decreased heart rate
Which assessment findings would prompt the nurse to withhold a scheduled dose of oral
atenolol? Select all that apply. - Answer B. blood pressure of 88/49 mm Hg
C.heart rate of 54 beats per minute
A client has been diagnosed with narrow-angle glaucoma. What ocular effect will be produced if
the client is prescribed an adrenergic agent? - Answer mydriasis
A client is administered epinephrine in conjunction with a local anesthetic. What effect will
epinephrine produce? - Answer increased vasoconstrictive effects
Assessment has identified that a client with a history of monoamine oxidase inhibitor (MAO)
therapy has also been taking an adrenergic drug for several days. What assessments should the
nurse focus on to monitor the possible adverse reaction of the combination of medications?
Select all that apply. - Answer A.level of consciousness
B.respiratory distress
C. cardiac dysrhythmia
