NCLEX-RN Pharmacology Cardiovascular
System Practice Questions & Rationales |
20 NGN-Style Medication Safety MCQs
Question 1
Clinical Scenario
A 67-year-old man is admitted to the cardiac telemetry unit
with worsening heart failure secondary to ischemic
cardiomyopathy. His history includes hypertension, type 2
diabetes mellitus, chronic kidney disease stage 3, and a
previous myocardial infarction. His current medications
include lisinopril, furosemide, atorvastatin, aspirin, and
metoprolol succinate.
This morning, his assessment findings are:
• Blood pressure: 108/68 mm Hg
• Heart rate: 54 beats/min
• Respiratory rate: 18 breaths/min
• Oxygen saturation: 96% on room air
• Potassium: 4.3 mEq/L
• Serum creatinine: 1.7 mg/dL (baseline 1.6 mg/dL)
, The client reports feeling "more tired than usual" and slightly
dizzy when standing. The nurse is preparing to administer
the scheduled morning medications.
Question Stem
Which nursing action is most appropriate before
administering the scheduled dose of metoprolol succinate?
A.
Administer the medication as prescribed because the blood
pressure is within an acceptable range.
B.
Hold the medication and notify the health care provider
because the client's heart rate is below the recommended
threshold.
C.
Administer the medication with the furosemide to reduce
orthostatic hypotension.
D.
Ask the client to ambulate before taking the medication to
evaluate exercise tolerance.
System Practice Questions & Rationales |
20 NGN-Style Medication Safety MCQs
Question 1
Clinical Scenario
A 67-year-old man is admitted to the cardiac telemetry unit
with worsening heart failure secondary to ischemic
cardiomyopathy. His history includes hypertension, type 2
diabetes mellitus, chronic kidney disease stage 3, and a
previous myocardial infarction. His current medications
include lisinopril, furosemide, atorvastatin, aspirin, and
metoprolol succinate.
This morning, his assessment findings are:
• Blood pressure: 108/68 mm Hg
• Heart rate: 54 beats/min
• Respiratory rate: 18 breaths/min
• Oxygen saturation: 96% on room air
• Potassium: 4.3 mEq/L
• Serum creatinine: 1.7 mg/dL (baseline 1.6 mg/dL)
, The client reports feeling "more tired than usual" and slightly
dizzy when standing. The nurse is preparing to administer
the scheduled morning medications.
Question Stem
Which nursing action is most appropriate before
administering the scheduled dose of metoprolol succinate?
A.
Administer the medication as prescribed because the blood
pressure is within an acceptable range.
B.
Hold the medication and notify the health care provider
because the client's heart rate is below the recommended
threshold.
C.
Administer the medication with the furosemide to reduce
orthostatic hypotension.
D.
Ask the client to ambulate before taking the medication to
evaluate exercise tolerance.
