NSG 318 Final Exam | Questions with 100% Verified Answers |
Latest Update 2026/2027
Question: Which medication is in the cardiac glycoside drug class?
a. Nitroglycerin
b. Digoxin
c. Coumadin
d. Plavix
Answer:
b. Digoxin
Question: What are the uses of Digoxin?
Answer:
Used to treat heart failure and atrial fibrillation?
Question: 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
Answer:
D. The nurse should inform the HCP because this results indicates toxicity.
Question: What is the therapeutic serum level of digoxin?
Answer:
0.5 - 1 ng/ml
Question: 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
Answer:
D. Green or yellow halos, cardiac dysrhythmias, bradycardia, vomiting, anorexia and
diarrhea
,Question: 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
Answer:
B. Administer Digoxin Immune Fab. This med reverses the side effect of bradycardia
Question: 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
Answer:
Ginseng, Licorice, Aloe and Ephedra
Question: A patient on digoxin therapy frequently takes CAMs. Which
CAMs should the nurse educate the patient to avoid?
Answer:
Ginseng, St. John's Wort, Psyllium, Hawthorn, Licorice, Aloe, and Ephedra
Question: What are 3 important things a nurse needs to watch for during
digoxin therapy?
Answer:
Apical pulse >60
Toxicity: 0.5-1.0 ng/mL
Potassium: Increases risk of digitalis toxicity
Question: Which medication is in the antianginal drug class?
a. Nitroglycerin
b. Digoxin
c. Coumadin
d. Plavix
Answer:
a. Nitroglycerin
,Question: How should a nurse instruct a patient to take nitroglycerin?
Answer:
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
Question: A patient asks a nurse why they can only have 3 doses of
nitroglycerin. What should the nurse tell the patient?
Answer:
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.
Question: A patient was prescribed a topical/transdermal nitroglycerin.
What should the nurse teach the patient about this route?
Answer:
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.
Question: 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?
Answer:
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
Question: What intervention should the nurse take when administering
nitroglycerin?
Answer:
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)
Question: A student nurse asks what are the used on Tenormin. What
should the nurse teach the student?
Answer:
It is used to treat HTN, angina and treat acute MI
, Question: 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
Answer:
d. Question the HCPs order. Bronchospasm is a contraindication because atenolol has a
slight chance of stimulating Beta 2
Question: A new grad doctor asks the nurse what are the drug
interactions for atenolol. What should the nurse inform the
doctor?
Answer:
- Atropine and other anticholinergics bc it increases absorption
- NSAIDS decreases the effects
- Insulin and sulfonylureas increase the risk of hypoglycemia
Question: A patient beginning Tenormin would like to know what side
effects to look out for. What should the nurse teach the
patient?
Answer:
Normal side effects are depression, cool extremities and ED. If you have any of the
following side effects you should report it: Dyspnea, bradycardia, excessive dizziness,
early morning insomnia and mental depression.
Question: What patient education needs to given to the patient in
regards to atenolol?
Answer:
- Sit on side of the bed before ambulating to avoid orthostatic hypotension
- Pulse should be >60 BPM prior to administering
- Do NOT stop med abruptly to avoid rebound and risk of MI. It should be weaned off
over 1-2 weeks
- Warn male pts of ED which is usually dose-related
- Advise patient to not drive/operate dangerous equipment until drug response is known
Question: Which medication is a calcium channel blocker?
Answer:
Cardizem (diltiazem)
Latest Update 2026/2027
Question: Which medication is in the cardiac glycoside drug class?
a. Nitroglycerin
b. Digoxin
c. Coumadin
d. Plavix
Answer:
b. Digoxin
Question: What are the uses of Digoxin?
Answer:
Used to treat heart failure and atrial fibrillation?
Question: 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
Answer:
D. The nurse should inform the HCP because this results indicates toxicity.
Question: What is the therapeutic serum level of digoxin?
Answer:
0.5 - 1 ng/ml
Question: 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
Answer:
D. Green or yellow halos, cardiac dysrhythmias, bradycardia, vomiting, anorexia and
diarrhea
,Question: 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
Answer:
B. Administer Digoxin Immune Fab. This med reverses the side effect of bradycardia
Question: 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
Answer:
Ginseng, Licorice, Aloe and Ephedra
Question: A patient on digoxin therapy frequently takes CAMs. Which
CAMs should the nurse educate the patient to avoid?
Answer:
Ginseng, St. John's Wort, Psyllium, Hawthorn, Licorice, Aloe, and Ephedra
Question: What are 3 important things a nurse needs to watch for during
digoxin therapy?
Answer:
Apical pulse >60
Toxicity: 0.5-1.0 ng/mL
Potassium: Increases risk of digitalis toxicity
Question: Which medication is in the antianginal drug class?
a. Nitroglycerin
b. Digoxin
c. Coumadin
d. Plavix
Answer:
a. Nitroglycerin
,Question: How should a nurse instruct a patient to take nitroglycerin?
Answer:
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
Question: A patient asks a nurse why they can only have 3 doses of
nitroglycerin. What should the nurse tell the patient?
Answer:
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.
Question: A patient was prescribed a topical/transdermal nitroglycerin.
What should the nurse teach the patient about this route?
Answer:
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.
Question: 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?
Answer:
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
Question: What intervention should the nurse take when administering
nitroglycerin?
Answer:
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)
Question: A student nurse asks what are the used on Tenormin. What
should the nurse teach the student?
Answer:
It is used to treat HTN, angina and treat acute MI
, Question: 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
Answer:
d. Question the HCPs order. Bronchospasm is a contraindication because atenolol has a
slight chance of stimulating Beta 2
Question: A new grad doctor asks the nurse what are the drug
interactions for atenolol. What should the nurse inform the
doctor?
Answer:
- Atropine and other anticholinergics bc it increases absorption
- NSAIDS decreases the effects
- Insulin and sulfonylureas increase the risk of hypoglycemia
Question: A patient beginning Tenormin would like to know what side
effects to look out for. What should the nurse teach the
patient?
Answer:
Normal side effects are depression, cool extremities and ED. If you have any of the
following side effects you should report it: Dyspnea, bradycardia, excessive dizziness,
early morning insomnia and mental depression.
Question: What patient education needs to given to the patient in
regards to atenolol?
Answer:
- Sit on side of the bed before ambulating to avoid orthostatic hypotension
- Pulse should be >60 BPM prior to administering
- Do NOT stop med abruptly to avoid rebound and risk of MI. It should be weaned off
over 1-2 weeks
- Warn male pts of ED which is usually dose-related
- Advise patient to not drive/operate dangerous equipment until drug response is known
Question: Which medication is a calcium channel blocker?
Answer:
Cardizem (diltiazem)
