NSG 318 EXAM 3 2026 ASSESSMENT SCRIPT
QUESTION BANK DETAILED RESPONSES
◉ antianginal drugs.
Answer: -nitrates
-beta blockers
-Ca channel blockers
◉ nitroglycerin class.
Answer: antianginal (Nitrate)
◉ nitroglycerin uses.
Answer: control angina, acute MI and HF
◉ nitroglycerin action.
Answer: dec myocardial demand for O2 consumption (vasodilator)
◉ Nitroglycerin Contraindications.
Answer: inc intracranial pressure; heat and light dec potency of
drug. keep in dark bottle
,◉ nitroglycerin routes of administration.
Answer: -SL spray: 1-3min onset. space out over 5mins and call 911
before taking 2nd dose
-Topical cream: wipe off old cream 1st (4-8hr duration)
-Transdermal: leave off for 12hrs to give break
◉ nitroglycerin side effects/adverse effects.
Answer: CNS effects, syncope, tolerance, GI distress, circulatory
collapse
◉ nitroglycerin drug interactions.
Answer: -alcohol, beta blockers, Ca channel blockers,
antihypertensives, Aspirin, benzos, vasodilators: inc effect
-heparin: dec effect
◉ nitroglycerin CAM interactions.
Answer: -Hawthorn: inc. levels
◉ nitroglycerin interventions.
Answer: -for SL spray, call 911 if 1st dose doesn't work
-proper storage of tabs
-administer SL tab if chest pain occurs
,◉ Atenolol class.
Answer: beta 1 adrenergic blocker
◉ atenolol use.
Answer: tx of hypertension, prophylaxis, and acute MI
◉ atenolol action.
Answer: blocks beta 1 adrenergic receptor sites (NE and
Epinephrine), depress SNS, suppress RAAS, dec workload and O2
demands of heart
◉ what ethnicity may beta blockers not work for.
Answer: African Americans (unless paired with diuretics)
◉ Atenolol contraindications.
Answer: sinus bradycardia, heart block, pulm edema, bronchospasm,
pregnancy
◉ atenolol drug interactions.
Answer: -Atropine/anticholinergics: inc absorption
-NSAIDs: dec effects
, -Insulin and sulfonylureas: inc risk of hypoglycemia
◉ Atenolol side effects/adverse effects.
Answer: ED, CNS effects, GI distress, cool extremities, hypotension,
bradycardia, dyspnea, bronchospasm, thrombocytopenia
◉ atenolol interventions.
Answer: -teach pt to not stop taking abruptly to avoid rebound HTN
(wean off 1-2 weeks)
-warn male clients of dose related ED
-assist with ambulation (ortho hypotension)
◉ Diltiazem class.
Answer: calcium channel blocker
◉ diltiazem use.
Answer: tx hypertension and atrial dysrhythmias (brings more O2 to
myocardium and dec cardiac workload)
◉ diltiazem action.
Answer: inhibits transport of Ca ions to myocardial cells
QUESTION BANK DETAILED RESPONSES
◉ antianginal drugs.
Answer: -nitrates
-beta blockers
-Ca channel blockers
◉ nitroglycerin class.
Answer: antianginal (Nitrate)
◉ nitroglycerin uses.
Answer: control angina, acute MI and HF
◉ nitroglycerin action.
Answer: dec myocardial demand for O2 consumption (vasodilator)
◉ Nitroglycerin Contraindications.
Answer: inc intracranial pressure; heat and light dec potency of
drug. keep in dark bottle
,◉ nitroglycerin routes of administration.
Answer: -SL spray: 1-3min onset. space out over 5mins and call 911
before taking 2nd dose
-Topical cream: wipe off old cream 1st (4-8hr duration)
-Transdermal: leave off for 12hrs to give break
◉ nitroglycerin side effects/adverse effects.
Answer: CNS effects, syncope, tolerance, GI distress, circulatory
collapse
◉ nitroglycerin drug interactions.
Answer: -alcohol, beta blockers, Ca channel blockers,
antihypertensives, Aspirin, benzos, vasodilators: inc effect
-heparin: dec effect
◉ nitroglycerin CAM interactions.
Answer: -Hawthorn: inc. levels
◉ nitroglycerin interventions.
Answer: -for SL spray, call 911 if 1st dose doesn't work
-proper storage of tabs
-administer SL tab if chest pain occurs
,◉ Atenolol class.
Answer: beta 1 adrenergic blocker
◉ atenolol use.
Answer: tx of hypertension, prophylaxis, and acute MI
◉ atenolol action.
Answer: blocks beta 1 adrenergic receptor sites (NE and
Epinephrine), depress SNS, suppress RAAS, dec workload and O2
demands of heart
◉ what ethnicity may beta blockers not work for.
Answer: African Americans (unless paired with diuretics)
◉ Atenolol contraindications.
Answer: sinus bradycardia, heart block, pulm edema, bronchospasm,
pregnancy
◉ atenolol drug interactions.
Answer: -Atropine/anticholinergics: inc absorption
-NSAIDs: dec effects
, -Insulin and sulfonylureas: inc risk of hypoglycemia
◉ Atenolol side effects/adverse effects.
Answer: ED, CNS effects, GI distress, cool extremities, hypotension,
bradycardia, dyspnea, bronchospasm, thrombocytopenia
◉ atenolol interventions.
Answer: -teach pt to not stop taking abruptly to avoid rebound HTN
(wean off 1-2 weeks)
-warn male clients of dose related ED
-assist with ambulation (ortho hypotension)
◉ Diltiazem class.
Answer: calcium channel blocker
◉ diltiazem use.
Answer: tx hypertension and atrial dysrhythmias (brings more O2 to
myocardium and dec cardiac workload)
◉ diltiazem action.
Answer: inhibits transport of Ca ions to myocardial cells
