MED SURG EXAM 2 PHARMACOLOGY UNIT
3 NCLEX QUESTIONS COMPLETE STUDY
GUIDE 2026 | PRACTICE QUESTIONS &
ANSWERS
| GRADED A+ | GUARANTEED SUCCESS
Updated 2026 Questions and Answers
100% Verified Exam Prep and Comprehensive
Rationales Included
,The client is also taking a diuretic that decreases her a. Increase the serum digoxin sensitivity level
potassium level. The nurse expects that a low potassium
level (hypokalemia) could have what effect on the
digoxin?
a. Increase the serum digoxin sensitivity level
b. Decrease the serum digoxin sensitivity level
c. Not have any effect on the serum digoxin sensitivity
level
d. Cause a low average serum digoxin sensitivity level
When a client first takes a nitrate, the nurse expects which b. Headaches
symptom that often occurs?
a. Nausea and vomiting
b. Headaches
c. Stomach cramps
d. Irregular pulse rate
The nurse acknowledges that beta blockers are as c. Decrease heart rate and decrease myocardial contractility.
effective as antianginals because they do what?
a. Increase oxygen to the systemic circulation.
b. Maintain heart rate and blood pressure.
c. Decrease heart rate and decrease myocardial
contractility.
d. Decrease heart rate and increase myocardial
contractility.
The health care provider is planning to discontinue a b. The beta blocker should NOT be abruptly stopped; the dose should be tapered
client's beta blocker. What instruction should the nurse down.
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.
, The beta blocker acebutolol (Sectral) is prescribed for c. To block the beta1-adrenergic receptors in the cardiac tissues
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
A client is to be discharged home with a transdermal a. "Apply the patch to a nonhairy area of the upper torso or arm."
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."
A nurse is monitoring a client with angina for therapeutic d. Client stating that pain is 0 out of 10
effects of nitroglycerin. Which assessment finding
indicates that the nitroglycerin has been effective?
a. Blood pressure 120/80 mm Hg
b. Heart rate 70 beats per minute
c. ECG without evidence of ST changes
d. Client stating that pain is 0 out of 10
The nurse is monitoring a client during IV nitroglycerin d. Chest pain
infusion. Which assessment finding will cause the nurse to
take action?
a. Blood pressure 110/90 mm Hg
b. Flushing
c. Headache
d. Chest pain
Which statement made by the client demonstrates a need d. "I can take up to five tablets at 3-minute intervals for chest pain if necessary."
for further instruction regarding the use of nitroglycerin?
a. "If I get a headache, I should keep taking nitroglycerin
and use Tylenol for pain relief."
b. "I should keep my nitroglycerin in a cool, dry place."
c. "I should change positions slowly to avoid getting
dizzy."
d. "I can take up to five tablets at 3-minute intervals for
chest pain if necessary."
3 NCLEX QUESTIONS COMPLETE STUDY
GUIDE 2026 | PRACTICE QUESTIONS &
ANSWERS
| GRADED A+ | GUARANTEED SUCCESS
Updated 2026 Questions and Answers
100% Verified Exam Prep and Comprehensive
Rationales Included
,The client is also taking a diuretic that decreases her a. Increase the serum digoxin sensitivity level
potassium level. The nurse expects that a low potassium
level (hypokalemia) could have what effect on the
digoxin?
a. Increase the serum digoxin sensitivity level
b. Decrease the serum digoxin sensitivity level
c. Not have any effect on the serum digoxin sensitivity
level
d. Cause a low average serum digoxin sensitivity level
When a client first takes a nitrate, the nurse expects which b. Headaches
symptom that often occurs?
a. Nausea and vomiting
b. Headaches
c. Stomach cramps
d. Irregular pulse rate
The nurse acknowledges that beta blockers are as c. Decrease heart rate and decrease myocardial contractility.
effective as antianginals because they do what?
a. Increase oxygen to the systemic circulation.
b. Maintain heart rate and blood pressure.
c. Decrease heart rate and decrease myocardial
contractility.
d. Decrease heart rate and increase myocardial
contractility.
The health care provider is planning to discontinue a b. The beta blocker should NOT be abruptly stopped; the dose should be tapered
client's beta blocker. What instruction should the nurse down.
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.
, The beta blocker acebutolol (Sectral) is prescribed for c. To block the beta1-adrenergic receptors in the cardiac tissues
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
A client is to be discharged home with a transdermal a. "Apply the patch to a nonhairy area of the upper torso or arm."
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."
A nurse is monitoring a client with angina for therapeutic d. Client stating that pain is 0 out of 10
effects of nitroglycerin. Which assessment finding
indicates that the nitroglycerin has been effective?
a. Blood pressure 120/80 mm Hg
b. Heart rate 70 beats per minute
c. ECG without evidence of ST changes
d. Client stating that pain is 0 out of 10
The nurse is monitoring a client during IV nitroglycerin d. Chest pain
infusion. Which assessment finding will cause the nurse to
take action?
a. Blood pressure 110/90 mm Hg
b. Flushing
c. Headache
d. Chest pain
Which statement made by the client demonstrates a need d. "I can take up to five tablets at 3-minute intervals for chest pain if necessary."
for further instruction regarding the use of nitroglycerin?
a. "If I get a headache, I should keep taking nitroglycerin
and use Tylenol for pain relief."
b. "I should keep my nitroglycerin in a cool, dry place."
c. "I should change positions slowly to avoid getting
dizzy."
d. "I can take up to five tablets at 3-minute intervals for
chest pain if necessary."
