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Pharmacology NCLEX QuestionsStudy online at https://quizlet.com/_1283zx1.A newly admitted client takes digoxin 0.25 mg/day. The nurse knows that which is the serum therapeutic range for digoxin?a. 0.1 to 1.5 ng/mLb. 0.5 to 2.0 ng/mLc. 1.0 to 2.5 ng/mLd. 2.0 to 4.0 ng/mLb. 0.5 to 2.0 ng/mL2.The client's serum digoxin level is 3.0 ng/mL. What does the nurse know about this serum digoxin level?a. It is in the high (elevated) range.b. It is in the low (decreased) range.c. It is within the normal range.d. It is in the low average range.a. It is in the high (elevated) range.3.The nurse is assessing the client for possible evi-dence of digitalis toxicity. The nurse acknowledges that which is included in the signs and symptoms for digitalis toxicity?a. Pulse (heart) rate of 100 beats/minb. Pulse of 72 with an irregular ratec. Pulse greater than 60 beats/min and irregular rated. Pulse below 60 beats/min and irregular rated. Pulse below 60 beats/min and ir-regular rate4.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?a. Increase the serum digoxin sensitivity levelb. Decrease the serum digoxin sensitivity levelc. Not have any effect on the serum digoxin sensitivity leveld. Cause a low average serum digoxin sensitivity levela. Increase the serum digoxin sensitivity level5.b. Headaches1 / 32
Pharmacology NCLEX QuestionsStudy online at https://quizlet.com/_1283zxWhen a client first takes a nitrate, the nurse expects which symptom that often occurs?a. Nausea and vomitingb. Headachesc. Stomach crampsd. Irregular pulse rate6.The nurse acknowledges that beta blockers are as effective as antianginals because they do what?a. Increase oxygen to the systemic circulation.b. Maintain heart rate and blood pressure.c. Decrease heart rate and decrease myocardial con-tractility.d. Decrease heart rate and increase myocardial con-tractility.c. Decrease heart rate and decrease myocardial con-tractility.7.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?a. The beta blocker should be abruptly stopped when another cardiac drug is prescribed.b. The beta blocker should NOT be abruptly stopped; the dose should be tapered down.c. The beta blocker dose should be maintained while taking another antianginal drug.d. Half the beta blocker dose should be taken for the next several weeks.b. The beta block-er should NOT be abruptly stopped; the dose should be tapered down.8.The beta blocker acebutolol (Sectral) is prescribed for dysrhythmias. The nurse knows that what is the primary purpose of the drug?a. To increase the beta1 and beta2 receptors in the cardiac tissuesb. To increase the flow of oxygen to the cardiac tis-suesc. To block the beta1-adren-ergic receptors in the cardiac tissues2 / 32
Pharmacology NCLEX QuestionsStudy online at https://quizlet.com/_1283zxc. To block the beta1-adrenergic receptors in the car-diac tissuesd. To block the beta2-adrenergic receptors in the car-diac tissues9.A client is to be discharged home with a transdermal nitroglycerin patch. Which instruction will the nurse include in the client's teaching plan?a. "Apply the patch to a nonhairy area of the upper torso or arm."b. "Apply the patch to the same site each day."c. "If you have a headache, remove the patch for 4 hours and then reapply."d. "If you have chest pain, apply a second patch next to the first patch."a. "Apply the patch to a nonhairy area of the upper torso or arm."10.A nurse is monitoring a client with angina for ther-apeutic effects of nitroglycerin. Which assessment finding indicates that the nitroglycerin has been ef-fective?a. Blood pressure 120/80 mm Hgb. Heart rate 70 beats per minutec. ECG without evidence of ST changesd. Client stating that pain is 0 out of 10d. Client stating that pain is 0 out of 1011.The nurse is monitoring a client during IV nitroglyc-erin infusion. Which assessment finding will cause the nurse to take action?a. Blood pressure 110/90 mm Hgb. Flushingc. Headached. Chest paind. Chest pain12.Which statement made by the client demonstrates a need for further instruction regarding the use of nitroglycerin?d. "I can take up to five tablets at 3-minute intervals 3 / 32
Pharmacology NCLEX QuestionsStudy online at https://quizlet.com/_1283zxa. "If I get a headache, I should keep taking nitroglyc-erin and use Tylenol for pain relief."b. "I should keep my nitroglycerin in a cool, dry place."c. "I should change positions slowly to avoid getting dizzy."d. "I can take up to five tablets at 3-minute intervals for chest pain if necessary."for chest pain if necessary."13.Which client assessment would assist the nurse in evaluating therapeutic effects of a calcium channel blocker?a. Client states that she has no chest pain.b. Client states that the swelling in her feet is reduced.c. Client states the she does not feel dizzy.d. Client states that she feels stronger.a. Client states that she has no chest pain.14.What statement is the most important for the nurse to include in the teaching plan for a client who has started on a transdermal nitroglycerin patch?a. "This medication works faster than sublingual ni-troglycerin works."b. "This medication is the strongest of any nitroglyc-erin preparation available."c. "This medication should be used only when you are experiencing chest pain."d. "This medication will work for 24 hours and you will need to change the patch daily."d. "This medica-tion will work for 24 hours and you will need to change the patch daily."15.What will the nurse instruct the client to do to prevent the development of tolerance to nitroglycerin?a. Apply the nitroglycerin patch every other day.b. Switch to sublingual nitroglycerin when the client's systolic blood pressure elevates to more than 140 mm Hg.c. Apply the nitroglycerin patch for 14 hours and re-c. Apply the nitro-glycerin patch for 14 hours and re-move it for 10 hours at night.4 / 32
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