NR 293 PHARM QUIZ 3 | COMPREHENSIVE PHARMACOLOGY STUDY GUIDE,
PRACTICE QUESTIONS & ANSWERS 2026/2027
What is the purpose of antianginal drug therapy?
a. To increase myocardial oxygen demand
b. To increase blood flow to peripheral arteries
c. To increase blood flow to ischemic cardiac muscle
d. To decrease blood flow to ischemic cardiac muscle - correct answer ✔✔c
The nurse will teach a patient who will be taking nitroglycerin about which common adverse effect of
this drug?
a. Blurred vision
b. Dizziness
c. Headache
d. Weakness - correct answer ✔✔c
The nurse is reviewing dosage forms of nitroglycerin. This drug can be given by which routes? (Select all
that apply.)
a. Continuous intravenous drip
b. Intravenous bolus
. Sublingual spray
d. Oral
e. Topical ointment
f. Rectal suppository - correct answer ✔✔a,c,d,e
For a patient using transdermal nitroglycerin patches, the nurse knows that the prescriber will order
which procedure for preventing tolerance?
a. Leave the old patch on for 2 hours when applying a new patch. b. Apply a new patch every other day.
c. Leave the patch off for 24 hours once a week.
d. Remove the patch at night for 8 hours, and then apply a new patch - correct answer ✔✔d
Patients who are taking beta blockers for angina need to be taught which information?
a. These drugs are for long-term prevention of angina episodes.
b. These drugs must be taken as soon as angina pain occurs.
c. These drugs will be discontinued if dizziness is experienced.
d. These drugs need to be carried with the patient at all times in case angina occurs - correct answer
✔✔a
The nurse would recognize which of the following symptoms as descriptive of a side effect of nitrates?
a. Reflex tachycardia
b. Hypertension
c. Nausea
d. Cough - correct answer ✔✔a
, . Which of the following describes the rationale for the administration of nitroglycerin by the sublingual
route?
a. The first-pass effect is avoided.
b. Side effects are lessened.
c. Patients can self-administer.
d. It can be used in patients with swallowing problems - correct answer ✔✔a
A patient with coronary artery spasms will be most effectively treated with which type of antianginal
medication?
a. Beta blockers
b. Calcium channel blockers
c. Nitrates
d. Nitrites - correct answer ✔✔b
During his morning walk, a man begins to experience chest pain. He sits down and takes one
nitroglycerin sublingual tablet. After 5 minutes, the chest pain is worsening. What action would be the
priority in this situation?
a. Call 911 (emergency medical services).
b. Take another nitroglycerin tablet.
c. Take two more nitroglycerin tablets at the same time.
d. Sit quietly to wait for the pain to subside. - correct answer ✔✔a
The nurse is preparing for administration of a nitrate to a patient. After reviewing the patient's current
medications, the nurse holds the nitrate and contacts the provider. Which medication concerned the
nurse?
a. Furosemide
b. Sildenafil
c. Digoxin
d. lisinopril - correct answer ✔✔b
The order reads: "Give isosorbide dinitrate 80 mg twice a day." The medication is available in 40-mg
capsules. How many capsules will the patient receive for each dose? - correct answer ✔✔2 capsules
As part of treatment for early heart failure, a patient is started on an angiotensin-converting enzyme
(ACE) inhibitor. The nurse will monitor the patient's laboratory work for which potential effect?
a. Agranulocytosis
b. Proteinuria
c. Hyperkalemia
d. Hypoglycemia - correct answer ✔✔c
Before giving oral digoxin, the nurse discovers that the patient's radial pulse is 52 beats/min when
assessed apically for 1 minute. What will be the nurse's next action?
a. Give the dose.
b. Delay the dose until later.
c. Hold the dose and notify the physician.
d. Obtain a blood pressure reading - correct answer ✔✔d
PRACTICE QUESTIONS & ANSWERS 2026/2027
What is the purpose of antianginal drug therapy?
a. To increase myocardial oxygen demand
b. To increase blood flow to peripheral arteries
c. To increase blood flow to ischemic cardiac muscle
d. To decrease blood flow to ischemic cardiac muscle - correct answer ✔✔c
The nurse will teach a patient who will be taking nitroglycerin about which common adverse effect of
this drug?
a. Blurred vision
b. Dizziness
c. Headache
d. Weakness - correct answer ✔✔c
The nurse is reviewing dosage forms of nitroglycerin. This drug can be given by which routes? (Select all
that apply.)
a. Continuous intravenous drip
b. Intravenous bolus
. Sublingual spray
d. Oral
e. Topical ointment
f. Rectal suppository - correct answer ✔✔a,c,d,e
For a patient using transdermal nitroglycerin patches, the nurse knows that the prescriber will order
which procedure for preventing tolerance?
a. Leave the old patch on for 2 hours when applying a new patch. b. Apply a new patch every other day.
c. Leave the patch off for 24 hours once a week.
d. Remove the patch at night for 8 hours, and then apply a new patch - correct answer ✔✔d
Patients who are taking beta blockers for angina need to be taught which information?
a. These drugs are for long-term prevention of angina episodes.
b. These drugs must be taken as soon as angina pain occurs.
c. These drugs will be discontinued if dizziness is experienced.
d. These drugs need to be carried with the patient at all times in case angina occurs - correct answer
✔✔a
The nurse would recognize which of the following symptoms as descriptive of a side effect of nitrates?
a. Reflex tachycardia
b. Hypertension
c. Nausea
d. Cough - correct answer ✔✔a
, . Which of the following describes the rationale for the administration of nitroglycerin by the sublingual
route?
a. The first-pass effect is avoided.
b. Side effects are lessened.
c. Patients can self-administer.
d. It can be used in patients with swallowing problems - correct answer ✔✔a
A patient with coronary artery spasms will be most effectively treated with which type of antianginal
medication?
a. Beta blockers
b. Calcium channel blockers
c. Nitrates
d. Nitrites - correct answer ✔✔b
During his morning walk, a man begins to experience chest pain. He sits down and takes one
nitroglycerin sublingual tablet. After 5 minutes, the chest pain is worsening. What action would be the
priority in this situation?
a. Call 911 (emergency medical services).
b. Take another nitroglycerin tablet.
c. Take two more nitroglycerin tablets at the same time.
d. Sit quietly to wait for the pain to subside. - correct answer ✔✔a
The nurse is preparing for administration of a nitrate to a patient. After reviewing the patient's current
medications, the nurse holds the nitrate and contacts the provider. Which medication concerned the
nurse?
a. Furosemide
b. Sildenafil
c. Digoxin
d. lisinopril - correct answer ✔✔b
The order reads: "Give isosorbide dinitrate 80 mg twice a day." The medication is available in 40-mg
capsules. How many capsules will the patient receive for each dose? - correct answer ✔✔2 capsules
As part of treatment for early heart failure, a patient is started on an angiotensin-converting enzyme
(ACE) inhibitor. The nurse will monitor the patient's laboratory work for which potential effect?
a. Agranulocytosis
b. Proteinuria
c. Hyperkalemia
d. Hypoglycemia - correct answer ✔✔c
Before giving oral digoxin, the nurse discovers that the patient's radial pulse is 52 beats/min when
assessed apically for 1 minute. What will be the nurse's next action?
a. Give the dose.
b. Delay the dose until later.
c. Hold the dose and notify the physician.
d. Obtain a blood pressure reading - correct answer ✔✔d
