NSG 318 EXAM 250 ACTUAL QUESTIONS AND
CORRECT ANSWERS LATEST 2026-2027 ALREADY
GRADED A+
Which medication is in the antianginal drug class?
a. Nitroglycerin
b. Digoxin
c. Coumadin
d. Plavix - ANS... -a. Nitroglycerin
How should a nurse instruct a patient to take nitroglycerin? - ANS... -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? - ANS... -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? - ANS... -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.
Which medication is in the cardiac glycoside drug class?
a. Nitroglycerin
b. Digoxin
c. Coumadin
d. Plavix - ANS... -b. Digoxin
,What are the uses of Digoxin? - ANS... -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 - ANS... -D. The nurse should inform the HCP because this
results indicates toxicity.
What is the therapeutic serum level of digoxin? - ANS... -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 - ANS... -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 - ANS... -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 - ANS... -Ginseng, Licorice, Aloe and Ephedra
, A patient on digoxin therapy frequently takes CAMs. Which CAMs should the
nurse educate the patient to avoid? - ANS... -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? -
ANS... -Apical pulse >60
Toxicity: 0.5-1.0 ng/mL
Potassium: Increases risk of digitalis toxicity
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? - ANS... -
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? -
ANS... -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? - ANS... -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 - ANS... -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? - ANS... -- 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? - ANS... -Normal side effects are
depression, cool extremities and ED. If you have any of the following side effects
CORRECT ANSWERS LATEST 2026-2027 ALREADY
GRADED A+
Which medication is in the antianginal drug class?
a. Nitroglycerin
b. Digoxin
c. Coumadin
d. Plavix - ANS... -a. Nitroglycerin
How should a nurse instruct a patient to take nitroglycerin? - ANS... -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? - ANS... -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? - ANS... -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.
Which medication is in the cardiac glycoside drug class?
a. Nitroglycerin
b. Digoxin
c. Coumadin
d. Plavix - ANS... -b. Digoxin
,What are the uses of Digoxin? - ANS... -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 - ANS... -D. The nurse should inform the HCP because this
results indicates toxicity.
What is the therapeutic serum level of digoxin? - ANS... -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 - ANS... -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 - ANS... -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 - ANS... -Ginseng, Licorice, Aloe and Ephedra
, A patient on digoxin therapy frequently takes CAMs. Which CAMs should the
nurse educate the patient to avoid? - ANS... -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? -
ANS... -Apical pulse >60
Toxicity: 0.5-1.0 ng/mL
Potassium: Increases risk of digitalis toxicity
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? - ANS... -
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? -
ANS... -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? - ANS... -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 - ANS... -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? - ANS... -- 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? - ANS... -Normal side effects are
depression, cool extremities and ED. If you have any of the following side effects
