NSG 318 FINAL EXAM / 2025 – 2026 MOST RECENT
VERSION WITH WELL- DETAILED QUESTIONS AND
COMPRENSIVE ANSWERS / 100% SOLVED /
ALREADY GRADED A+
Which medication is in the cardiac glycoside drug class?
a. Nitro-glycerine
b. Digoxin
c. Coumadin
d. Plavix
b. Digoxin
What are the uses of Digoxin?
Used to treat heart failure and atrial fibrillation?
A patient's serum digoxin level is 1.1 ng/mL. What action should
the nurse take?
a. Given the next dose
b. Retake the lab test
c. Split the dose in half
d. Inform the HCP
D. The nurse should inform the HCP because this results indicates
toxicity.
What is the therapeutic serum level of digoxin?
0.5 - 1 ng/ml
The nurse is caring for a patient on digoxin therapy. The student
nurse asks the nurse what are signs of digoxin toxicity. What
should the nurse teach the student nurse?
a. Depression
b. Circulatory Collapse
c. Tachycardia
d. Green or yellow hallos
D. Green or yellow halos, cardiac dysrhythmias, bradycardia,
vomiting, anorexia and diarrhea
,A patient on digoxin therapy reports having blurred vision and
yellow halos and respirations are 5 per minute. What action should
the nurse take next?
a. Administer protamine
b. Administer digoxin immune fab
c. Administer vitamin K
d. Nothing these are normal side effects
B. Administer Digoxin Immune Fab. This med reverses the side
effect of bradycardia
Which CAMs increase the risk of digitalis toxicity? SATA
a. Gingko
b. Ginseng
c. Cinnamon
d. Licorice
e. Aloe
f. Parsley
g. Green tea
h. Ephedra
Ginseng,
Licorice,
Aloe and Ephedra
A patient on digoxin therapy frequently takes CAMs. Which CAMs
should the nurse educate the patient to avoid?
Ginseng, St. John's Wort, Psyllium, Hawthorn, Licorice, Aloe, and
Ephedra
What are 3 important things a nurse needs to watch for during
digoxin therapy?
Apical pulse >60
Toxicity: 0.5-1.0 ng/mL
Potassium: Increases risk of digitalis toxicity
Which medication is in the antianginal drug class?
a. Nitroglycerin
b. Digoxin
c. Coumadin
d. Plavix
a. Nitroglycerin
How should a nurse instruct a patient to take nitroglycerin?
,The most common route is sublingual.
Take 1 dose when the chest pain begins.
If still having chest pain in 5 mins call 911 and then take a 2nd
dose.
If still having chest pain in 5 mins and EMT has not arrived, take a 3
and FINAL dose
A patient asks a nurse why they can only have 3 doses of
nitroglycerin. What should the nurse tell the patient?
The main side effect of this med is that it decreases BP. With each
dose the BP is decreasing. So with multiple doses, you will
eventually have no BP.
A patient was prescribed a topical/transdermal nitroglycerin. What
should the nurse teach the patient about this route?
The patient needs to be nitrate free for 8-12 hours to avoid
developing a tolerance. Typically, this nitrate free period can occur
at night.
A patient asks the nurse what side effects they should look out for
while on nitroglycerin. What information should the nurse give to
the patient?
Blurred vision, palpitation to compensate for the low BP, tolerance,
and orthostatic hypotension. A life-threatening side effect is
circulatory collapse which is when there is no BP if you overdose
What intervention should the nurse take when administering
nitroglycerin?
Monitor VS, position pt sitting or laying down when administering,
advise pt to NOT drink alcohol while taking med bc alcohol also
decreases BP and instruct pt on how to properly store the med (not
childproof, and temp sensitive)
A student nurse asks what are the used on Tenormin. What should
the nurse teach the student?
It is used to treat HTN, angina and treat acute MI
A doctor orders atenolol for a patient with a history of acute
bronchospasms. What action should the nurse take next?
a. Measure pts BP before administering
b. Give the next dose
c. Obtain a medical reconciliation
d. Question the HCPs order
, d. Question the HCPs order. Bronchospasm is a contraindication
because atenolol has a slight chance of stimulating Beta 2
A new grad doctor asks the nurse what are the drug interactions
for atenolol. What should the nurse inform the doctor?
- Atropine and other anticholinergics bc it increases absorption
- NSAIDS decreases the effects
- Insulin and sulfonylureas increase the risk of hypoglycemia
A patient beginning Tenormin would like to know what side effects
to look out for. What should the nurse teach the patient?
Normal side effects are depression, cool extremities and ED. If you
have any of the following side effects you should report it:
Dyspnea, bradycardia, excessive dizziness, early morning
insomnia and mental depression.
What patient education needs to given to the patient in regards to
atenolol?
- Sit on side of the bed before ambulating to avoid orthostatic
hypotension
- Pulse should be >60 BPM prior to administering
- Do NOT stop med abruptly to avoid rebound and risk of MI. It
should be weaned off over 1-2 weeks
- Warn male pts of ED which is usually dose-related
- Advise patient to not drive/operate dangerous equipment until
drug response is known
Which medication is a calcium channel blocker?
Cardizem (diltiazem)
What are the uses of diltiazem?
Atrial dysrhythmias, HTN and relaxes coronary and peripheral
blood vessels
Hint: Calms heart by lowering BR and BP = zen heart
A student nurse asks what drug interactions are associated with
Cardizem. What should the nurse inform the student?
Digoxin, beta blockers and other antihypertensive
A patient is on antihypertensive therapy. She is interested in CAMs.
Which CAMs should the nurse advise her to avoid? SATA
a. Garlic
b. Psyllium
VERSION WITH WELL- DETAILED QUESTIONS AND
COMPRENSIVE ANSWERS / 100% SOLVED /
ALREADY GRADED A+
Which medication is in the cardiac glycoside drug class?
a. Nitro-glycerine
b. Digoxin
c. Coumadin
d. Plavix
b. Digoxin
What are the uses of Digoxin?
Used to treat heart failure and atrial fibrillation?
A patient's serum digoxin level is 1.1 ng/mL. What action should
the nurse take?
a. Given the next dose
b. Retake the lab test
c. Split the dose in half
d. Inform the HCP
D. The nurse should inform the HCP because this results indicates
toxicity.
What is the therapeutic serum level of digoxin?
0.5 - 1 ng/ml
The nurse is caring for a patient on digoxin therapy. The student
nurse asks the nurse what are signs of digoxin toxicity. What
should the nurse teach the student nurse?
a. Depression
b. Circulatory Collapse
c. Tachycardia
d. Green or yellow hallos
D. Green or yellow halos, cardiac dysrhythmias, bradycardia,
vomiting, anorexia and diarrhea
,A patient on digoxin therapy reports having blurred vision and
yellow halos and respirations are 5 per minute. What action should
the nurse take next?
a. Administer protamine
b. Administer digoxin immune fab
c. Administer vitamin K
d. Nothing these are normal side effects
B. Administer Digoxin Immune Fab. This med reverses the side
effect of bradycardia
Which CAMs increase the risk of digitalis toxicity? SATA
a. Gingko
b. Ginseng
c. Cinnamon
d. Licorice
e. Aloe
f. Parsley
g. Green tea
h. Ephedra
Ginseng,
Licorice,
Aloe and Ephedra
A patient on digoxin therapy frequently takes CAMs. Which CAMs
should the nurse educate the patient to avoid?
Ginseng, St. John's Wort, Psyllium, Hawthorn, Licorice, Aloe, and
Ephedra
What are 3 important things a nurse needs to watch for during
digoxin therapy?
Apical pulse >60
Toxicity: 0.5-1.0 ng/mL
Potassium: Increases risk of digitalis toxicity
Which medication is in the antianginal drug class?
a. Nitroglycerin
b. Digoxin
c. Coumadin
d. Plavix
a. Nitroglycerin
How should a nurse instruct a patient to take nitroglycerin?
,The most common route is sublingual.
Take 1 dose when the chest pain begins.
If still having chest pain in 5 mins call 911 and then take a 2nd
dose.
If still having chest pain in 5 mins and EMT has not arrived, take a 3
and FINAL dose
A patient asks a nurse why they can only have 3 doses of
nitroglycerin. What should the nurse tell the patient?
The main side effect of this med is that it decreases BP. With each
dose the BP is decreasing. So with multiple doses, you will
eventually have no BP.
A patient was prescribed a topical/transdermal nitroglycerin. What
should the nurse teach the patient about this route?
The patient needs to be nitrate free for 8-12 hours to avoid
developing a tolerance. Typically, this nitrate free period can occur
at night.
A patient asks the nurse what side effects they should look out for
while on nitroglycerin. What information should the nurse give to
the patient?
Blurred vision, palpitation to compensate for the low BP, tolerance,
and orthostatic hypotension. A life-threatening side effect is
circulatory collapse which is when there is no BP if you overdose
What intervention should the nurse take when administering
nitroglycerin?
Monitor VS, position pt sitting or laying down when administering,
advise pt to NOT drink alcohol while taking med bc alcohol also
decreases BP and instruct pt on how to properly store the med (not
childproof, and temp sensitive)
A student nurse asks what are the used on Tenormin. What should
the nurse teach the student?
It is used to treat HTN, angina and treat acute MI
A doctor orders atenolol for a patient with a history of acute
bronchospasms. What action should the nurse take next?
a. Measure pts BP before administering
b. Give the next dose
c. Obtain a medical reconciliation
d. Question the HCPs order
, d. Question the HCPs order. Bronchospasm is a contraindication
because atenolol has a slight chance of stimulating Beta 2
A new grad doctor asks the nurse what are the drug interactions
for atenolol. What should the nurse inform the doctor?
- Atropine and other anticholinergics bc it increases absorption
- NSAIDS decreases the effects
- Insulin and sulfonylureas increase the risk of hypoglycemia
A patient beginning Tenormin would like to know what side effects
to look out for. What should the nurse teach the patient?
Normal side effects are depression, cool extremities and ED. If you
have any of the following side effects you should report it:
Dyspnea, bradycardia, excessive dizziness, early morning
insomnia and mental depression.
What patient education needs to given to the patient in regards to
atenolol?
- Sit on side of the bed before ambulating to avoid orthostatic
hypotension
- Pulse should be >60 BPM prior to administering
- Do NOT stop med abruptly to avoid rebound and risk of MI. It
should be weaned off over 1-2 weeks
- Warn male pts of ED which is usually dose-related
- Advise patient to not drive/operate dangerous equipment until
drug response is known
Which medication is a calcium channel blocker?
Cardizem (diltiazem)
What are the uses of diltiazem?
Atrial dysrhythmias, HTN and relaxes coronary and peripheral
blood vessels
Hint: Calms heart by lowering BR and BP = zen heart
A student nurse asks what drug interactions are associated with
Cardizem. What should the nurse inform the student?
Digoxin, beta blockers and other antihypertensive
A patient is on antihypertensive therapy. She is interested in CAMs.
Which CAMs should the nurse advise her to avoid? SATA
a. Garlic
b. Psyllium
