NR 293 Pharm Exam 2 Review | Cardiovascular
Medications | Chamberlain Nursing Study Guide
2026/2027 Accurate Real Exam Question And
Answers With Rationales | Expert Verified For
Guaranteed Pass | Graded A
Question 1
A client is started on lisinopril. Which side effect should the nurse include in teaching?
A) Bradycardia
B) Dry cough
C) Hyperkalemia
D) Constipation
Answer
Answer: B
Rationale
ACE inhibitors cause a dry cough due to bradykinin accumulation; report if intolerable.
Question 2
A client on furosemide reports muscle weakness and leg cramps. Which electrolyte imbalance
should the nurse suspect?
A) Hyperkalemia
B) Hypokalemia
C) Hypernatremia
D) Hypercalcemia
,Answer
Answer: B
Rationale
Loop diuretics cause potassium loss; monitor potassium and assess for muscle weakness.
Question 3
Which medication should be held if a client’s apical pulse is below 60 bpm?
A) Metoprolol
B) Digoxin
C) Amlodipine
D) Lisinopril
Answer
Answer: B
Rationale
Digoxin is withheld for bradycardia (apical pulse <60) to avoid toxicity and worsening bradycardia.
Question 4
A client is receiving heparin infusion. Which laboratory value is used to monitor therapy?
A) PT/INR
B) aPTT
C) Platelet count
D) Bleeding time
Answer
Answer: B
2
,Rationale
Heparin therapy is monitored with aPTT; goal is 1.5–2.5 times control.
Question 5
A client on warfarin has an INR of 5.2 and no signs of bleeding. Which action should the nurse
take?
A) Administer vitamin K IV
B) Hold the warfarin and notify the provider
C) Give the next dose as ordered
D) Increase the warfarin dose
Answer
Answer: B
Rationale
Supratherapeutic INR without bleeding requires holding warfarin and notifying the provider.
Question 6
A client is prescribed metoprolol. Which instruction about stopping the medication is correct?
A) Stop abruptly if feeling better
B) Taper gradually to avoid rebound hypertension
C) Skip doses on weekends
D) Double dose if missed
Answer
Answer: B
Rationale
Abrupt withdrawal of beta-blockers can cause rebound hypertension, tachycardia, and angina.
3
, Question 7
A client on spironolactone should avoid which food?
A) Apples
B) Bananas
C) White bread
D) Green beans
Answer
Answer: B
Rationale
Spironolactone is potassium-sparing; avoid high-potassium foods to prevent hyperkalemia.
Question 8
A client is prescribed nitroglycerin sublingual for angina. Which instruction is correct?
A) Swallow the tablet whole
B) Place under tongue and call 911 if pain unrelieved after 1 dose
C) Take with food
D) Use only at bedtime
Answer
Answer: B
Rationale
Sublingual nitroglycerin is for acute angina; if pain persists after 1 dose, call 911.
Question 9
4
Medications | Chamberlain Nursing Study Guide
2026/2027 Accurate Real Exam Question And
Answers With Rationales | Expert Verified For
Guaranteed Pass | Graded A
Question 1
A client is started on lisinopril. Which side effect should the nurse include in teaching?
A) Bradycardia
B) Dry cough
C) Hyperkalemia
D) Constipation
Answer
Answer: B
Rationale
ACE inhibitors cause a dry cough due to bradykinin accumulation; report if intolerable.
Question 2
A client on furosemide reports muscle weakness and leg cramps. Which electrolyte imbalance
should the nurse suspect?
A) Hyperkalemia
B) Hypokalemia
C) Hypernatremia
D) Hypercalcemia
,Answer
Answer: B
Rationale
Loop diuretics cause potassium loss; monitor potassium and assess for muscle weakness.
Question 3
Which medication should be held if a client’s apical pulse is below 60 bpm?
A) Metoprolol
B) Digoxin
C) Amlodipine
D) Lisinopril
Answer
Answer: B
Rationale
Digoxin is withheld for bradycardia (apical pulse <60) to avoid toxicity and worsening bradycardia.
Question 4
A client is receiving heparin infusion. Which laboratory value is used to monitor therapy?
A) PT/INR
B) aPTT
C) Platelet count
D) Bleeding time
Answer
Answer: B
2
,Rationale
Heparin therapy is monitored with aPTT; goal is 1.5–2.5 times control.
Question 5
A client on warfarin has an INR of 5.2 and no signs of bleeding. Which action should the nurse
take?
A) Administer vitamin K IV
B) Hold the warfarin and notify the provider
C) Give the next dose as ordered
D) Increase the warfarin dose
Answer
Answer: B
Rationale
Supratherapeutic INR without bleeding requires holding warfarin and notifying the provider.
Question 6
A client is prescribed metoprolol. Which instruction about stopping the medication is correct?
A) Stop abruptly if feeling better
B) Taper gradually to avoid rebound hypertension
C) Skip doses on weekends
D) Double dose if missed
Answer
Answer: B
Rationale
Abrupt withdrawal of beta-blockers can cause rebound hypertension, tachycardia, and angina.
3
, Question 7
A client on spironolactone should avoid which food?
A) Apples
B) Bananas
C) White bread
D) Green beans
Answer
Answer: B
Rationale
Spironolactone is potassium-sparing; avoid high-potassium foods to prevent hyperkalemia.
Question 8
A client is prescribed nitroglycerin sublingual for angina. Which instruction is correct?
A) Swallow the tablet whole
B) Place under tongue and call 911 if pain unrelieved after 1 dose
C) Take with food
D) Use only at bedtime
Answer
Answer: B
Rationale
Sublingual nitroglycerin is for acute angina; if pain persists after 1 dose, call 911.
Question 9
4
