NUR530 Exam 2 NCLEX Questions And
Answers Graded A+.
A newly admitted client takes digoxin 0.25 mg/day. The nurse knows that which is the serum therapeutic
range for digoxin?
a. 0.1 to 1.5 ng/mL
b. 0.5 to 2.0 ng/mL
c. 1.0 to 2.5 ng/mL
d. 2.0 to 4.0 ng/mL - Answer b. 0.5 to 2.0 ng/mL
When a client first takes a nitrate, the nurse expects which symptom that often occurs?
a. Nausea and vomiting
b. Headaches
c. Stomach cramps
d. Irregular pulse rate - Answer b. Headaches
The health care provider is planning to discontinue a client's beta blocker. What instruction should the
nurse give the client regarding the beta blocker?
a. The beta blocker should be abruptly stopped when another cardiac drug is prescribed.
b. The beta blocker should NOT be abruptly stopped; the dose should be tapered down.
c. The beta blocker dose should be maintained while taking another antianginal drug.
d. Half the beta blocker dose should be taken for the next several weeks. - Answer b. The beta blocker
should NOT be abruptly stopped; the dose should be tapered down.
The beta blocker acebutolol (Sectral) is prescribed for dysrhythmias. The nurse knows that what is the
primary purpose of the drug?
, a. To increase the beta1 and beta2 receptors in the cardiac tissues
b. To increase the flow of oxygen to the cardiac tissues
c. To block the beta1-adrenergic receptors in the cardiac tissues
d. To block the beta2-adrenergic receptors in the cardiac tissues - Answer c. To block the beta1-
adrenergic receptors in the cardiac tissues
A client is to be discharged home with a transdermal nitroglycerin patch. Which instruction will the nurse
include in the client's teaching plan?
a. "Apply the patch to a nonhairy area of the upper torso or arm."
b. "Apply the patch to the same site each day."
c. "If you have a headache, remove the patch for 4 hours and then reapply."
d. "If you have chest pain, apply a second patch next to the first patch." - Answer a. "Apply the patch to
a nonhairy area of the upper torso or arm."
The nurse is monitoring a client taking digoxin (Lanoxin) for treatment of heart failure. Which assessment
finding indicates a therapeutic effect of the drug?
a. Heart rate 110 beats per minute
b. Heart rate 58 beats per minute
c. Urinary output 40 mL/hr
d. Blood pressure 90/50 mm Hg - Answer b. Heart rate 58 beats per minute
A client is to begin treatment for short-term management of heart failure with milrinone lactate
(Primacor). What is the priority nursing action?
a. Administer digoxin via IV infusion with the Primacor.
b. Administer Lasix (furosemide) via IV infusion after the Primacor.
c. Monitor blood pressure continuously.
d. Maintain an infusion of lactated Ringers with Primacor infusion. - Answer c. Monitor blood pressure
continuously.
Answers Graded A+.
A newly admitted client takes digoxin 0.25 mg/day. The nurse knows that which is the serum therapeutic
range for digoxin?
a. 0.1 to 1.5 ng/mL
b. 0.5 to 2.0 ng/mL
c. 1.0 to 2.5 ng/mL
d. 2.0 to 4.0 ng/mL - Answer b. 0.5 to 2.0 ng/mL
When a client first takes a nitrate, the nurse expects which symptom that often occurs?
a. Nausea and vomiting
b. Headaches
c. Stomach cramps
d. Irregular pulse rate - Answer b. Headaches
The health care provider is planning to discontinue a client's beta blocker. What instruction should the
nurse give the client regarding the beta blocker?
a. The beta blocker should be abruptly stopped when another cardiac drug is prescribed.
b. The beta blocker should NOT be abruptly stopped; the dose should be tapered down.
c. The beta blocker dose should be maintained while taking another antianginal drug.
d. Half the beta blocker dose should be taken for the next several weeks. - Answer b. The beta blocker
should NOT be abruptly stopped; the dose should be tapered down.
The beta blocker acebutolol (Sectral) is prescribed for dysrhythmias. The nurse knows that what is the
primary purpose of the drug?
, a. To increase the beta1 and beta2 receptors in the cardiac tissues
b. To increase the flow of oxygen to the cardiac tissues
c. To block the beta1-adrenergic receptors in the cardiac tissues
d. To block the beta2-adrenergic receptors in the cardiac tissues - Answer c. To block the beta1-
adrenergic receptors in the cardiac tissues
A client is to be discharged home with a transdermal nitroglycerin patch. Which instruction will the nurse
include in the client's teaching plan?
a. "Apply the patch to a nonhairy area of the upper torso or arm."
b. "Apply the patch to the same site each day."
c. "If you have a headache, remove the patch for 4 hours and then reapply."
d. "If you have chest pain, apply a second patch next to the first patch." - Answer a. "Apply the patch to
a nonhairy area of the upper torso or arm."
The nurse is monitoring a client taking digoxin (Lanoxin) for treatment of heart failure. Which assessment
finding indicates a therapeutic effect of the drug?
a. Heart rate 110 beats per minute
b. Heart rate 58 beats per minute
c. Urinary output 40 mL/hr
d. Blood pressure 90/50 mm Hg - Answer b. Heart rate 58 beats per minute
A client is to begin treatment for short-term management of heart failure with milrinone lactate
(Primacor). What is the priority nursing action?
a. Administer digoxin via IV infusion with the Primacor.
b. Administer Lasix (furosemide) via IV infusion after the Primacor.
c. Monitor blood pressure continuously.
d. Maintain an infusion of lactated Ringers with Primacor infusion. - Answer c. Monitor blood pressure
continuously.
