Cardiac NCLEX Practice Questions and Answers with verified solutions

Cardiac NCLEX Practice Questions and Answers with verified solutions A 50 y/o pt is prescribed to take nitrate each day for his condition. You know the result of nitrate administration is: A. decreased myocardial oxygen demand B. increased myocardial oxygen demand C. increased left ventricular end-diastolic volume D. increased atrial pressure - ANS -A A 56 y/o man started antihypertensive drug therapy 3 months earlier and is in the office for a follow-up visit. While the nurse is taking his BP, he informs the nurse that he has had some problems with sexual intercourse. Which of the following would be the most appropriate response by the nurse: A. not to worry. Tolerance will develop B. the physician can work with you on changing the dose or drug C. sexual dysfunction happens with this therapy, and you must lean to accept it D. this is an unusual occurrence, but it is important to stay on your meds - ANS -B A 62 y/o male pt has nitroglycerin (Nitrostat) added to his med regimen. Which statement made by this pt indicates that further education is needed? A. I will take this med if I have an episode of chest pain B. I will wait at least 1 hour after I take my sildanefil (Viagra) before using Nitrostat C. I can take up to 3 tablets every 5 minutes if my angina occurs D. I know that I must put this tablet under my tongue for it to work - ANS -B a 68 y/o male is experiencing severe hypotension after receiving IV nitroglycerin. What is the most probable cause for this reaction? A. pt is having a MI B. the pt has a high potassium level C. the pt routinely exercises, but has not be active in over a week D. the pt failed to report that he is on Viagra - ANS -D A 68 y/o man has been taking the nitrate isosorbide for 2 years for angina. He recently has been experiencing erectile dysfunction and wants a prescription for sildenafil (Viagra). Which response would the nurse most likely hear from the prescriber? A. He will have to be switched to isosorbide mononitrate if he wants to take sildenafil B. taking sildenafil with the nitrate may result in severe hypotension C. I'll write a prescription, but if he uses it, he needs to stop talking the isosorbide for one dose D. these drugs are compatible with each other, and so I'll write a prescription - ANS -B A client receives a dose of furosemid (Lasix) 120 mg intravenously for treatment of congestive heart failure. Which symptom indicates that an adverse reaction is most likely occurring? A. bradycardia B. weight gain C. hypotension D. crackles - ANS -C a client who has been taking warfarin (Coumadin) is admitted with coffee-ground emesis. What is the nurse's primary action? A. Administer vitamin E B. Administer vitamin K C. Administer protamine sulfate D. Administer calcium gluconate - ANS -B A healthcare provider orders NTG to be administered by IV drip. The nurse carrying out the order would monitor for which of the following as a priority specific to medication? A. shortness of breath when raising head of bed B. urine output C. blood pressure and heart rate D. facial flushing and headache - ANS -C A home health nurse instructs a pt about the use of a nitrate patch. The nurse tells the pt that which of the following will prevent pt tolerance to nitrates? A. do not remove the patches B. have a 12-hr no-nitrate time C. have a 24-hr no-nitrate time D. keep nitrates on 48 hrs, then off 24 hrs - ANS -B a nurse gives a subq injection of heparin sodium (heparin). Which is a true statement regarding this injection? A. massage the area after heparin is administered subq B. aspiration before injection can cause hematoma formation C. give the injection each time in the same general area D. hold the skin taut when giving the injection - ANS -B A nurse is caring for a pt receiving heparin IV. The nurse anticipates that which lab study will be prescribed to monitor the therapeutic effect of heparin? A. hematocrit B. hemoglobin C. prothrombin time D. activated partial thromboplastin time - ANS -D A nurse provides discharge instructions to a post op pt who is taking warfarin sodium (Coumadin). Which statement, if made by the pt, reflects the need for further teaching? A. I will take my pills every day at the same time B. I will be certain to limit my alcohol consumption C. I have already called my family to pick up my Medic-Alert bracelet D. I will take enteric-coated Aspirin for my headaches - ANS -D A nurse teaching a pt on correct self administration of sublingual nitroglycerin (Nitrostat) tablets realizes the pt requires further teaching when they state: A. I will call an ambulance while administering the 3rd tablet B. I will not drive while taking nitroglycerin tablets C. I will keep my tablets in a clear bottle D. I will not take nitroglycerin with erectile dysfunction medication - ANS -C A nurse with adequate knowledge about the administration of IV nitroglycerin will recognize that which of the following statements is correct? A. the intravenous form is given by bolus injection B. because the IV forms are short-lived, the dosing must be every 2 hours C. IV nitroglycerin must be protected form exposure to light through use of special tubing D. IV nitroglycerin can be given via gravity drip infusions - ANS -C A nurse with adequate knowledge about the administration of IV nitroglycerin will recognize that which of the following statements is correct? A. the intravenous form is given by bolus injection B. because the IV forms are short-lived, the dosing must be every 2 hours C. IV nitroglycerin must be protected form exposure to light through use of special tubing D. IV nitroglycerin can be given via gravity drip infusions - ANS -C a pt has a new prescription for an adrenergic drug. During a review of the pt's list of current meds, which would cause concern about a possible interaction with this new prescription: A. a benzodiazepine taken as needed for allergies B. a multivitamin with iron C. an oral anticoagulant D. NSAIDS - ANS -A A pt has a new prescription from transdermal nitroglycerin patches. The nurse teaches the pt that these patches are most appropriately used for which of the following? A. to relieve exertional angina B. to prevent palpatations C. to prevent the occurrence of angina D. to reduce the severity of anginal episodes - ANS -C A pt has a potassium level of 6.0 and a digoxin level of 3.0. What medication would the nurse be giving: A. digibind B. sodium citrate