NU150 EXAM QUESTIONS AND
ANSWERS
The nurse is preparing to administer a thrombolytic drug to a client. The nurse
understands that this class of drugs would be contraindicated in clients with which
condition? - Answer-active bleeding
A nurse is caring for a client receiving warfarin therapy. The nurse instructs the client
and family that certain foods must be ingested in moderation because of the possible
interference with the effect of the therapy. Which foods must be taken in limited
quantity? - Answer-Food rich in Vitamin K
A client is receiving warfarin as an anticoagulant therapy. Which of the following lab
results should the nurse interpret to determine if the drug is within the therapeutic
effect? - Answer-INR (International Normalized Ratio)
PT (Prothrombin Time)
Assessment of a client receiving an anticoagulant reveals abdominal pain, coffee
ground emesis, black, tarry stools, hematuria, joint pain, and coughing up blood. The
nurse interprets these findings as which adverse drug reaction? - Answer-internal
bleeding
Which of the following adrenergic receptors is responsible for vasoconstriction of
peripheral blood vessels? - Answer-alpha 1 receptors
An instructor is describing the positive inotropic and negative chronotropic activity of
digoxin. Which would the instructor include as a result of this activity? - Answer-increase
cardiac contractility
increase cardiac output
decrease heart rate
A group of nursing students is reviewing cardiotonic drug, digoxin. The students
demonstrate understanding of the information when they identify which adverse drug
reaction is associated with this medication? - Answer-bradycardia
A client develops primary hypertension and asks the nurse, "How long will I need to
receive therapy?" The nurse response is based on the understanding that the therapy
would be required for how long? - Answer-lifelong
A nurse is education a group of nursing students on the mechanisms of action of
angiotensin-converting enzyme inhibitors (ACEI). Which of the following should the
nurse explain as the hormone produced by the adrenal cortex? - Answer-aldosterone
, A nurse is providing care to a client who has elevated levels of low-density lipoprotein
(LDL). A review of the client's history reveals a sedentary lifestyle and a history of being
overweight. The nurse understands that this combination of factors places the client at
risk for heart disease. Which of the following interventions could reduce the LDL levels
and increase HDL levels? - Answer-Low saturated fat diet
Maintaining healthy body weight
Physical aerobic exercises
After teaching a client about prescribed statin therapy, the nurse determines that
additional teaching is needed when the client makes which statement? - Answer-"I can
take the drug with grapefruit juice."
The nurse instructs a client about using sublingual nitroglycerin, telling him that he
should not exceed how many doses in a 15-minute period? - Answer-3
A client is taking atorvastatin, an antihyperlipidemic drug. Which of the following should
the nurse include in the teaching plan of this client? - Answer-Encourage increase in
fluid and fiber intake to promote regular bowel motion.
Expect to have regular blood work up for cholesterol and triglyceride levels.
Educate client that adherence to the drug could decrease the risk for stroke.
When describing nitroglycerin, an anti-anginal and vasodilator, which explanation of
mechanism would the nurse expect to include? - Answer-Nitrates relax the smooth
muscle layer of blood vessels.
Nitrates increase the amount of blood flowing through the vessel
Nitrates increase the lumen of the blood vessel.
After teaching a group of nursing students about amlodipine, a calcium channel blocker,
and anti-anginal drug, the instructor determines that the teaching was successful when
the students identify which mechanism of the drug? - Answer-Regulates the influx of
calcium thereby relaxing the smooth muscle of arteries
Increases the amount of blood flowing through the coronary arteries
Slows down the conduction speed of the cardiac impulse
After administering nitroglycerin, the nurse would be alert for which of the following
adverse drug reactions? - Answer-flushing, headache, hypotension
The nurse is caring for a client experiencing an acute angina attack. Sublingual
nitroglycerin has been administered. Which of the following should the nurse include in
the plan of care of the client? - Answer-Reassess presence of chest pain
Monitor the client's blood pressure
Instruct to sit or lay down in bed
Institute fall risk precautions.
A client has been admitted to a healthcare facility for hypertension management. The
healthcare provider has prescribed clonidine, a centrally nervous system-acting
ANSWERS
The nurse is preparing to administer a thrombolytic drug to a client. The nurse
understands that this class of drugs would be contraindicated in clients with which
condition? - Answer-active bleeding
A nurse is caring for a client receiving warfarin therapy. The nurse instructs the client
and family that certain foods must be ingested in moderation because of the possible
interference with the effect of the therapy. Which foods must be taken in limited
quantity? - Answer-Food rich in Vitamin K
A client is receiving warfarin as an anticoagulant therapy. Which of the following lab
results should the nurse interpret to determine if the drug is within the therapeutic
effect? - Answer-INR (International Normalized Ratio)
PT (Prothrombin Time)
Assessment of a client receiving an anticoagulant reveals abdominal pain, coffee
ground emesis, black, tarry stools, hematuria, joint pain, and coughing up blood. The
nurse interprets these findings as which adverse drug reaction? - Answer-internal
bleeding
Which of the following adrenergic receptors is responsible for vasoconstriction of
peripheral blood vessels? - Answer-alpha 1 receptors
An instructor is describing the positive inotropic and negative chronotropic activity of
digoxin. Which would the instructor include as a result of this activity? - Answer-increase
cardiac contractility
increase cardiac output
decrease heart rate
A group of nursing students is reviewing cardiotonic drug, digoxin. The students
demonstrate understanding of the information when they identify which adverse drug
reaction is associated with this medication? - Answer-bradycardia
A client develops primary hypertension and asks the nurse, "How long will I need to
receive therapy?" The nurse response is based on the understanding that the therapy
would be required for how long? - Answer-lifelong
A nurse is education a group of nursing students on the mechanisms of action of
angiotensin-converting enzyme inhibitors (ACEI). Which of the following should the
nurse explain as the hormone produced by the adrenal cortex? - Answer-aldosterone
, A nurse is providing care to a client who has elevated levels of low-density lipoprotein
(LDL). A review of the client's history reveals a sedentary lifestyle and a history of being
overweight. The nurse understands that this combination of factors places the client at
risk for heart disease. Which of the following interventions could reduce the LDL levels
and increase HDL levels? - Answer-Low saturated fat diet
Maintaining healthy body weight
Physical aerobic exercises
After teaching a client about prescribed statin therapy, the nurse determines that
additional teaching is needed when the client makes which statement? - Answer-"I can
take the drug with grapefruit juice."
The nurse instructs a client about using sublingual nitroglycerin, telling him that he
should not exceed how many doses in a 15-minute period? - Answer-3
A client is taking atorvastatin, an antihyperlipidemic drug. Which of the following should
the nurse include in the teaching plan of this client? - Answer-Encourage increase in
fluid and fiber intake to promote regular bowel motion.
Expect to have regular blood work up for cholesterol and triglyceride levels.
Educate client that adherence to the drug could decrease the risk for stroke.
When describing nitroglycerin, an anti-anginal and vasodilator, which explanation of
mechanism would the nurse expect to include? - Answer-Nitrates relax the smooth
muscle layer of blood vessels.
Nitrates increase the amount of blood flowing through the vessel
Nitrates increase the lumen of the blood vessel.
After teaching a group of nursing students about amlodipine, a calcium channel blocker,
and anti-anginal drug, the instructor determines that the teaching was successful when
the students identify which mechanism of the drug? - Answer-Regulates the influx of
calcium thereby relaxing the smooth muscle of arteries
Increases the amount of blood flowing through the coronary arteries
Slows down the conduction speed of the cardiac impulse
After administering nitroglycerin, the nurse would be alert for which of the following
adverse drug reactions? - Answer-flushing, headache, hypotension
The nurse is caring for a client experiencing an acute angina attack. Sublingual
nitroglycerin has been administered. Which of the following should the nurse include in
the plan of care of the client? - Answer-Reassess presence of chest pain
Monitor the client's blood pressure
Instruct to sit or lay down in bed
Institute fall risk precautions.
A client has been admitted to a healthcare facility for hypertension management. The
healthcare provider has prescribed clonidine, a centrally nervous system-acting
