Final Exam 1 NUR 213 Practice
Questions and Answers 2025-2026
Updated.
The nurse is caring for clients on the telemetry unit. Which medication should the nurse
administer first?
1. The antidote Digi bind for the client whose digoxin level is 1.9 mg/dL.
2. The narcotic morphine IVP to the client who has pleuritic chest pain.
3. The sodium channel blocker lidocaine to the client exhibiting bigeminy.
4. The ACE inhibitor lisinopril (Zestril) to the client with a B/P of 170/90. - Answer 3. The
sodium channel blocker lidocaine to the client exhibiting bigeminy.
A client with bigeminy, a life-threatening ventricular dysrhythmia, must be assessed first and
treated; an IV bolus of lidocaine, followed by an intravenous drip, is the treatment of choice.
The client is receiving an intravenous infusion of heparin. The bag hanging has 20,000 units of
heparin in 500 mL of D5W at 22 mL per hour via an intravenous pump. How many units of
heparin is the client receiving every hour? - Answer 880 units
The client is receiving an intravenous infusion of heparin. The bag hanging has 10,000 units of
heparin in 100 mL of D5W. The HCP has ordered the medication to be delivered at 1000 units
per hour. At what rate would the nurse set the intravenous pump? - Answer 10 mL/hr
The client in congestive heart failure is prescribed milrinone lactate (Primacor), a
phosphodiesterase inhibitor. Which priority intervention should the nurse implement?
1. Assess the client's respiratory status.
2. Monitor the client's telemetry strip.
3. Check the client's apical pulse rate.
4. Evaluate the brain natriuretic peptide (BNP). - Answer 2. Monitor the client's telemetry
strip.
Severe cardiac dysrhythmias may result from this medication; therefore, the client's telemetry
should be monitored.
, 3. "I have not had my daily aspirin in more than a week."
4. "I am highly allergic to poison ivy or oak." - Answer 2. "I broke out in an awful rash after
eating oysters."
The RN is preparing to administer a nitroglycerin drip to a pt. in cardiogenic shock. Which
intervention should the RN implement?
1. Mix the nitroglycerin in 500 mL of lactated Ringer's.
2. Wrap the intravenous bag and tubing in a foil package.
3. Use regular intravenous tubing when administering Tridil.
4. Ensure that the client's nitroglycerin patch is in a non hairy area. - Answer 2. Wrap the
intravenous bag and tubing in a foil package.
The nurse is preparing to administer dopamine, a beta and alpha agonist, to a client in
cardiogenic shock. Which intervention should the nurse implement?
1. Ensure the client is on a cardiac monitor.
2. Assess the blood pressure every 4 hours.
3. Evaluate the intake and output every shift.
4. Explain that burning at the intravenous site may occur. - Answer 1. Ensure the client is on
a cardiac monitor.
The client in cardiogenic shock is receiving norepinephrine (Levophed), a sympathomimetic.
Which priority intervention should the nurse implement?
1. Do not abruptly discontinue the medication.
2. Administer medication on an infusion pump.
3. Check the client's creatinine level and BUN.
4. Monitor the client's blood pressure continuously. - Answer 4. Monitor the client's blood
pressure continuously.
The nurse is preparing to administer albumin 5%, a colloid solution. Which statement is the
scientific rationale for administering this medication?
1. Albumin acts directly on the smooth muscles to cause vasodilatation.
2. Albumin mimics the fight-or-flight response of the sympathetic nervous system.
3. Albumin is a blood volume expander that promotes circulatory volume.
4. Albumin contains dextrose and increases fluid volume in the interstitial space. - Answer 3.
Questions and Answers 2025-2026
Updated.
The nurse is caring for clients on the telemetry unit. Which medication should the nurse
administer first?
1. The antidote Digi bind for the client whose digoxin level is 1.9 mg/dL.
2. The narcotic morphine IVP to the client who has pleuritic chest pain.
3. The sodium channel blocker lidocaine to the client exhibiting bigeminy.
4. The ACE inhibitor lisinopril (Zestril) to the client with a B/P of 170/90. - Answer 3. The
sodium channel blocker lidocaine to the client exhibiting bigeminy.
A client with bigeminy, a life-threatening ventricular dysrhythmia, must be assessed first and
treated; an IV bolus of lidocaine, followed by an intravenous drip, is the treatment of choice.
The client is receiving an intravenous infusion of heparin. The bag hanging has 20,000 units of
heparin in 500 mL of D5W at 22 mL per hour via an intravenous pump. How many units of
heparin is the client receiving every hour? - Answer 880 units
The client is receiving an intravenous infusion of heparin. The bag hanging has 10,000 units of
heparin in 100 mL of D5W. The HCP has ordered the medication to be delivered at 1000 units
per hour. At what rate would the nurse set the intravenous pump? - Answer 10 mL/hr
The client in congestive heart failure is prescribed milrinone lactate (Primacor), a
phosphodiesterase inhibitor. Which priority intervention should the nurse implement?
1. Assess the client's respiratory status.
2. Monitor the client's telemetry strip.
3. Check the client's apical pulse rate.
4. Evaluate the brain natriuretic peptide (BNP). - Answer 2. Monitor the client's telemetry
strip.
Severe cardiac dysrhythmias may result from this medication; therefore, the client's telemetry
should be monitored.
, 3. "I have not had my daily aspirin in more than a week."
4. "I am highly allergic to poison ivy or oak." - Answer 2. "I broke out in an awful rash after
eating oysters."
The RN is preparing to administer a nitroglycerin drip to a pt. in cardiogenic shock. Which
intervention should the RN implement?
1. Mix the nitroglycerin in 500 mL of lactated Ringer's.
2. Wrap the intravenous bag and tubing in a foil package.
3. Use regular intravenous tubing when administering Tridil.
4. Ensure that the client's nitroglycerin patch is in a non hairy area. - Answer 2. Wrap the
intravenous bag and tubing in a foil package.
The nurse is preparing to administer dopamine, a beta and alpha agonist, to a client in
cardiogenic shock. Which intervention should the nurse implement?
1. Ensure the client is on a cardiac monitor.
2. Assess the blood pressure every 4 hours.
3. Evaluate the intake and output every shift.
4. Explain that burning at the intravenous site may occur. - Answer 1. Ensure the client is on
a cardiac monitor.
The client in cardiogenic shock is receiving norepinephrine (Levophed), a sympathomimetic.
Which priority intervention should the nurse implement?
1. Do not abruptly discontinue the medication.
2. Administer medication on an infusion pump.
3. Check the client's creatinine level and BUN.
4. Monitor the client's blood pressure continuously. - Answer 4. Monitor the client's blood
pressure continuously.
The nurse is preparing to administer albumin 5%, a colloid solution. Which statement is the
scientific rationale for administering this medication?
1. Albumin acts directly on the smooth muscles to cause vasodilatation.
2. Albumin mimics the fight-or-flight response of the sympathetic nervous system.
3. Albumin is a blood volume expander that promotes circulatory volume.
4. Albumin contains dextrose and increases fluid volume in the interstitial space. - Answer 3.
