Pharmacology Cardiac Nclex Quizs

Pharmacology Cardiac Nclex Quizs With Verified Answers

• Increase the serum digoxin sensitivity level - ANSWER The client is also taking a

diuretic that decreases her potassium level. The nurse expects that a low potassium level (hypokalemia) could have what effect on the digoxin?

• Increase the serum digoxin sensitivity level
• Decrease the serum digoxin sensitivity level
• Not have any effect on the serum digoxin sensitivity level
• Cause a low average serum digoxin sensitivity level

• Headaches - ANSWER When a client first takes a nitrate, the nurse expects which

symptom that often occurs?

• Nausea and vomiting
• Headaches
• Stomach cramps
• Irregular pulse rate

• Decrease heart rate and decrease myocardial contractility. - ANSWER The nurse

acknowledges that beta blockers are as effective as antianginals because they do what?

• Increase oxygen to the systemic circulation.
• Maintain heart rate and blood pressure.

• Decrease heart rate and decrease myocardial contractility.
• Decrease heart rate and increase myocardial contractility.

• The beta blocker should NOT be abruptly stopped; the dose should be tapered down. -

ANSWER The health care provider is planning to discontinue a client's beta blocker.What instruction should the nurse give the client regarding the beta blocker?

• The beta blocker should be abruptly stopped when another cardiac drug is prescribed.
• The beta blocker should NOT be abruptly stopped; the dose should be tapered down.
• The beta blocker dose should be maintained while taking another antianginal drug.
• Half the beta blocker dose should be taken for the next several weeks.

• To block the beta1-adrenergic receptors in the cardiac tissues - ANSWER The beta

blocker acebutolol (Sectral) is prescribed for dysrhythmias. The nurse knows that what is the primary purpose of the drug?

• To increase the beta1 and beta2 receptors in the cardiac tissues
• To increase the flow of oxygen to the cardiac tissues
• To block the beta1-adrenergic receptors in the cardiac tissues
• To block the beta2-adrenergic receptors in the cardiac tissues

• Client stating that pain is 0 out of 10 - ANSWER A nurse is monitoring a client with

angina for therapeutic effects of nitroglycerin. Which assessment finding indicates that the nitroglycerin has been effective?

• Blood pressure 120/80 mm Hg
• Heart rate 70 beats per minute

• ECG without evidence of ST changes
• Client stating that pain is 0 out of 10

• Chest pain - ANSWER The nurse is monitoring a client during IV nitroglycerin infusion.

Which assessment finding will cause the nurse to take action?

• Blood pressure 110/90 mm Hg
• Flushing
• Headache
• Chest pain

• "I can take up to five tablets at 3-minute intervals for chest pain if necessary." -

ANSWER Which statement made by the client demonstrates a need for further instruction regarding the use of nitroglycerin?

• "If I get a headache, I should keep taking nitroglycerin and use Tylenol for pain relief."
• "I should keep my nitroglycerin in a cool, dry place."
• "I should change positions slowly to avoid getting dizzy."
• "I can take up to five tablets at 3-minute intervals for chest pain if necessary."

• Client states that she has no chest pain. - ANSWER Which client assessment would

assist the nurse in evaluating therapeutic effects of a calcium channel blocker?

• Client states that she has no chest pain.
• Client states that the swelling in her feet is reduced.
• Client states the she does not feel dizzy.

• Client states that she feels stronger.

• "It's best to keep it in its original container away from heat and light." - ANSWER The

client asks the nurse how nitroglycerin should be stored while traveling. What is the nurse's best response?

• "You can protect it from heat by placing the bottle in an ice chest."
• "It's best to keep it in its original container away from heat and light."
• "You can put a few tablets in a resealable bag and carry it in your pocket."
• "It's best to lock them in the glove compartment to keep them away from heat and

light."

• "I should sit or lie down after I take a nitroglycerin tablet to prevent dizziness." -

ANSWER Which statement indicates to the nurse that the client understands sublingual nitroglycerin medication instructions?

• "I will take up to five doses every 3 minutes for chest pain."
• "I can chew the tablet for the quickest effect."
• "I will keep the tablets locked in a safe place until I need them."
• "I should sit or lie down after I take a nitroglycerin tablet to prevent dizziness."

• Heart rate 58 beats per minute - ANSWER The nurse is monitoring a client taking

digoxin (Lanoxin) for treatment of heart failure. Which assessment finding indicates a therapeutic effect of the drug?

• Heart rate 110 beats per minute
• Heart rate 58 beats per minute