NURS 225 Exam 5 West Coast University 2026 | Most Tested
Questions & Verified Answers | Graded A+
1. If a patient has taken three nitroglycerin tablets within 15 minutes and still
experiences anginal pain, what should the patient do next?
Seek help for anginal symptoms
Take an additional tablet
Wait for another 15 minutes
Call their doctor the next day
2. If a patient taking nitroglycerin experiences a headache after taking the
medication, what should the nurse recommend as a management strategy?
Suggest the patient take an aspirin to relieve the headache.
Instruct the patient to take nitroglycerin with food to prevent
headaches.
Inform the patient that headaches are a common side effect and
may decrease with continued use.
Advise the patient to stop taking nitroglycerin immediately.
3. In a clinical scenario where a patient is experiencing a hypertensive crisis,
how would the administration of sodium nitroprusside impact their treatment
plan compared to other antihypertensive agents?
Sodium nitroprusside is less effective than oral medications for long-
term blood pressure control.
Sodium nitroprusside provides rapid blood pressure reduction,
making it suitable for immediate management of hypertensive
crises, unlike other agents that may take longer to act.
, Sodium nitroprusside should be avoided in all hypertensive patients
due to its side effects.
Sodium nitroprusside is only used for patients with heart failure and
not for hypertensive crises.
4. A patient with heart failure is being treated with milrinone. If the patient
begins to show signs of increased heart rate and palpitations, what should
the nurse consider regarding the medication's effects?
The medication should be stopped immediately due to its side effects.
The inotropic effect of milrinone may be causing increased heart
rate and contractility.
The patient may be experiencing an allergic reaction to milrinone.
The medication is likely causing vasodilation, leading to hypotension.
5. A patient has been prescribed an ACE inhibitor to treat heart failure. Which
medication is an ACE inhibitor?
Lisinopril
Candesartan
Furosemide
Hydrochlorothiazide
6. If a patient receiving milrinone develops hypotension, what should the nurse
prioritize after notifying the physician?
Increasing the infusion rate of milrinone to improve cardiac output.
Administering a diuretic to reduce fluid overload.
Reassessing the patient's blood pressure to determine the severity
of hypotension.
, Documenting the event in the patient's chart without further action.
7. Why is it important for a nurse to educate a patient about the risks of
pregnancy while taking enalapril maleate?
Enalapril maleate has no effect on pregnancy.
Enalapril maleate is only prescribed to men.
Enalapril maleate is safe to use during pregnancy.
Enalapril maleate can cause fetal harm if taken during pregnancy.
8. Discuss how smoking and family history contribute to the risk of heart
disease.
Smoking and family history both increase the likelihood of
developing heart disease due to their impact on cardiovascular
health.
Smoking has no effect on heart disease, while family history is the only
risk factor.
Only family history is relevant to heart disease risk, as smoking is easily
reversible.
Smoking decreases the risk of heart disease, while family history has
no impact.
9. Why is monitoring bleeding and clotting values particularly important in
elderly patients with right-sided heart issues?
Elderly patients may have increased risk of bleeding and clotting
complications due to comorbidities and medication interactions.
Right-sided heart issues do not affect bleeding and clotting values.
Bleeding and clotting values are only relevant for surgical patients.
, Monitoring blood glucose is more critical than bleeding and clotting
in these patients.
10. Which of the following drug classes is contraindicated for use in pregnant
women?
ARBs, ACE inhibitors, direct renin inhibitors
Calcium channel blockers
Beta blockers
Diuretics
11. Why is limiting dietary sodium important for patients with heart failure?
Limiting dietary sodium improves protein synthesis.
Limiting dietary sodium helps reduce fluid retention and edema in
heart failure patients.
Limiting dietary sodium has no effect on heart failure.
Limiting dietary sodium increases blood pressure.
12. What is a common side effect of nitroglycerin due to its pharmacological
action?
Dizziness
Fatigue
Nausea
Headache
13. What is the correct administration method for cholestyramine tablets?
They should be taken with food only.
Questions & Verified Answers | Graded A+
1. If a patient has taken three nitroglycerin tablets within 15 minutes and still
experiences anginal pain, what should the patient do next?
Seek help for anginal symptoms
Take an additional tablet
Wait for another 15 minutes
Call their doctor the next day
2. If a patient taking nitroglycerin experiences a headache after taking the
medication, what should the nurse recommend as a management strategy?
Suggest the patient take an aspirin to relieve the headache.
Instruct the patient to take nitroglycerin with food to prevent
headaches.
Inform the patient that headaches are a common side effect and
may decrease with continued use.
Advise the patient to stop taking nitroglycerin immediately.
3. In a clinical scenario where a patient is experiencing a hypertensive crisis,
how would the administration of sodium nitroprusside impact their treatment
plan compared to other antihypertensive agents?
Sodium nitroprusside is less effective than oral medications for long-
term blood pressure control.
Sodium nitroprusside provides rapid blood pressure reduction,
making it suitable for immediate management of hypertensive
crises, unlike other agents that may take longer to act.
, Sodium nitroprusside should be avoided in all hypertensive patients
due to its side effects.
Sodium nitroprusside is only used for patients with heart failure and
not for hypertensive crises.
4. A patient with heart failure is being treated with milrinone. If the patient
begins to show signs of increased heart rate and palpitations, what should
the nurse consider regarding the medication's effects?
The medication should be stopped immediately due to its side effects.
The inotropic effect of milrinone may be causing increased heart
rate and contractility.
The patient may be experiencing an allergic reaction to milrinone.
The medication is likely causing vasodilation, leading to hypotension.
5. A patient has been prescribed an ACE inhibitor to treat heart failure. Which
medication is an ACE inhibitor?
Lisinopril
Candesartan
Furosemide
Hydrochlorothiazide
6. If a patient receiving milrinone develops hypotension, what should the nurse
prioritize after notifying the physician?
Increasing the infusion rate of milrinone to improve cardiac output.
Administering a diuretic to reduce fluid overload.
Reassessing the patient's blood pressure to determine the severity
of hypotension.
, Documenting the event in the patient's chart without further action.
7. Why is it important for a nurse to educate a patient about the risks of
pregnancy while taking enalapril maleate?
Enalapril maleate has no effect on pregnancy.
Enalapril maleate is only prescribed to men.
Enalapril maleate is safe to use during pregnancy.
Enalapril maleate can cause fetal harm if taken during pregnancy.
8. Discuss how smoking and family history contribute to the risk of heart
disease.
Smoking and family history both increase the likelihood of
developing heart disease due to their impact on cardiovascular
health.
Smoking has no effect on heart disease, while family history is the only
risk factor.
Only family history is relevant to heart disease risk, as smoking is easily
reversible.
Smoking decreases the risk of heart disease, while family history has
no impact.
9. Why is monitoring bleeding and clotting values particularly important in
elderly patients with right-sided heart issues?
Elderly patients may have increased risk of bleeding and clotting
complications due to comorbidities and medication interactions.
Right-sided heart issues do not affect bleeding and clotting values.
Bleeding and clotting values are only relevant for surgical patients.
, Monitoring blood glucose is more critical than bleeding and clotting
in these patients.
10. Which of the following drug classes is contraindicated for use in pregnant
women?
ARBs, ACE inhibitors, direct renin inhibitors
Calcium channel blockers
Beta blockers
Diuretics
11. Why is limiting dietary sodium important for patients with heart failure?
Limiting dietary sodium improves protein synthesis.
Limiting dietary sodium helps reduce fluid retention and edema in
heart failure patients.
Limiting dietary sodium has no effect on heart failure.
Limiting dietary sodium increases blood pressure.
12. What is a common side effect of nitroglycerin due to its pharmacological
action?
Dizziness
Fatigue
Nausea
Headache
13. What is the correct administration method for cholestyramine tablets?
They should be taken with food only.
