NSG 318 FINAL EXAM QUESTIONS AND ANSWERS
UPDATED 2026/2027 ALL ANSWERS CORRECT |BEST
GRADED TO SCORE A+ | GUARANTEED PASS
A patient on digoxin therapy frequently takes CAMs. Which CAMs should the nurse educate the
patient to avoid? - CORRECT ANSWERS 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? - CORRECT
ANSWERS 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. Clopidogrel - CORRECT ANSWERS a. Nitroglycerin
How should a nurse instruct a patient to take nitroglycerin? - CORRECT ANSWERS 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? - CORRECT ANSWERS 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.
Which medication is in the cardiac glycoside drug class?
a. Nitroglycerin
b. Digoxin
,c. Diltiazem
d. Clopidogrel - CORRECT ANSWERS b. Digoxin
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 - CORRECT ANSWERS Ginseng, Licorice, Aloe and Ephedra
What are the uses of Digoxin? - CORRECT ANSWERS 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 - CORRECT ANSWERS D. The nurse should inform the HCP because this
results indicates toxicity.
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 - CORRECT ANSWERS 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 - CORRECT ANSWERS B. Administer Digoxin Immune
Fab. This med reverses the side effect of bradycardia
What is the therapeutic serum level of digoxin? - CORRECT ANSWERS 0.5 - 1 ng/ml
A patient was prescribed a topical/transdermal nitroglycerin. What should the nurse teach the patient
about this route? - CORRECT ANSWERS 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? - CORRECT ANSWERS 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? - CORRECT ANSWERS
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 Atenolol. What should the nurse teach the student? -
CORRECT ANSWERS It is used to treat HTN, angina and treat acute MI
A new grad doctor asks the nurse what are the drug interactions for atenolol. What should the nurse
inform the doctor? - CORRECT ANSWERS - Atropine and other anticholinergics bc it increases
absorption
- NSAIDS decreases the effects
- Insulin and sulfonylureas increase the risk of hypoglycemia
A patient beginning Atenolol would like to know what side effects to look out for. What should the
nurse teach the patient? - CORRECT ANSWERS 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? - CORRECT ANSWERS
- 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? - CORRECT ANSWERS diltiazem
What are the uses of diltiazem? - CORRECT ANSWERS 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 diltiazem. What should the nurse
inform the student? - CORRECT ANSWERS 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
c. Gingko
d. Green Tea
d. Hawthorn
e. Aloe - CORRECT ANSWERS Garlic and Hawthorn. Other CAMs with antihypertensive effects
includes Licorice, Goldenseal, Parsley and Ephedra
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 - CORRECT ANSWERS d. Question the HCPs order. Bronchospasm is
a contraindication because atenolol has a slight chance of stimulating Beta 2
UPDATED 2026/2027 ALL ANSWERS CORRECT |BEST
GRADED TO SCORE A+ | GUARANTEED PASS
A patient on digoxin therapy frequently takes CAMs. Which CAMs should the nurse educate the
patient to avoid? - CORRECT ANSWERS 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? - CORRECT
ANSWERS 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. Clopidogrel - CORRECT ANSWERS a. Nitroglycerin
How should a nurse instruct a patient to take nitroglycerin? - CORRECT ANSWERS 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? - CORRECT ANSWERS 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.
Which medication is in the cardiac glycoside drug class?
a. Nitroglycerin
b. Digoxin
,c. Diltiazem
d. Clopidogrel - CORRECT ANSWERS b. Digoxin
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 - CORRECT ANSWERS Ginseng, Licorice, Aloe and Ephedra
What are the uses of Digoxin? - CORRECT ANSWERS 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 - CORRECT ANSWERS D. The nurse should inform the HCP because this
results indicates toxicity.
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 - CORRECT ANSWERS 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 - CORRECT ANSWERS B. Administer Digoxin Immune
Fab. This med reverses the side effect of bradycardia
What is the therapeutic serum level of digoxin? - CORRECT ANSWERS 0.5 - 1 ng/ml
A patient was prescribed a topical/transdermal nitroglycerin. What should the nurse teach the patient
about this route? - CORRECT ANSWERS 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? - CORRECT ANSWERS 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? - CORRECT ANSWERS
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 Atenolol. What should the nurse teach the student? -
CORRECT ANSWERS It is used to treat HTN, angina and treat acute MI
A new grad doctor asks the nurse what are the drug interactions for atenolol. What should the nurse
inform the doctor? - CORRECT ANSWERS - Atropine and other anticholinergics bc it increases
absorption
- NSAIDS decreases the effects
- Insulin and sulfonylureas increase the risk of hypoglycemia
A patient beginning Atenolol would like to know what side effects to look out for. What should the
nurse teach the patient? - CORRECT ANSWERS 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? - CORRECT ANSWERS
- 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? - CORRECT ANSWERS diltiazem
What are the uses of diltiazem? - CORRECT ANSWERS 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 diltiazem. What should the nurse
inform the student? - CORRECT ANSWERS 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
c. Gingko
d. Green Tea
d. Hawthorn
e. Aloe - CORRECT ANSWERS Garlic and Hawthorn. Other CAMs with antihypertensive effects
includes Licorice, Goldenseal, Parsley and Ephedra
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 - CORRECT ANSWERS d. Question the HCPs order. Bronchospasm is
a contraindication because atenolol has a slight chance of stimulating Beta 2
