Question 1

1. A 62-year-old man is admitted to the hospital with a diagnosis of chest pain. He has an order for 0.3 mg of sublingual nitroglycerin prn for chest pain. Which of the following actions should the nurse do first when he complains of chest pain?

	A.	Call the physician
	B.	Have the patient swallow a tablet every 5 minutes for 15 minutes
	C.	Ask the patient to lie back and try to relax
	D.	Administer a tablet under his tongue and repeat the action in 5 and 10 minutes if the pain has not subsided

1 points  

Question 2

1. A resident of a long-term care facility receives 12.5 mg metoprolol (Lopressor) at 8 AM and 8 PM daily. Before administering this drug, the nurse should perform and document what assessments?

	A.	Heart rate and blood pressure
	B.	Level of consciousness and pain level
	C.	Oxygen saturation and respiratory rate
	D.	Temperature and respiratory rate

1 points  

Question 3

1. A nurse explains to a patient that nitroglycerin patches should be applied in the morning and removed in the evening. This medication schedule reduces the potential for

	A.	toxic effects.
	B.	nitrate dependence.
	C.	adverse effects.
	D.	nitrate tolerance.

1 points  

Question 4

1. A normal maintenance dose for digoxin is 0.125 to 0.5 mg/day. In which of the following patients would the nurse most likely administer a lower-than-normal maintenance dose of digoxin?

	A.	A 79-year-old male with cardiomegaly
	B.	A 42-year-old female with a third heart sound
	C.	A 25-year-old male with congestive heart failure and atrial fibrillation
	D.	A 32-year-old female with cardiomegaly

1 points  

Question 5

1. An expected outcome for a patient who has just taken sublingual nitroglycerin should be

	A.	decreased heart rate and decreased blood pressure.
	B.	decreased heart rate and increased blood pressure.
	C.	increased heart rate and decreased blood pressure.
	D.	increased heart rate and increased blood pressure.

1 points  

Question 6

1. A 58-year-old man is admitted to the emergency department. A diagnosis of severe digoxin toxicity is made. Bradycardia is present, and an electrocardiogram (ECG) confirms toxicity. The nurse will administer which of the following drugs?

	A.	Dopamine
	B.	Captopril
	C.	Furosemide
	D.	Digoxin immune fab

1 points  

Question 7

1. A 55-year-old man's hypertension has not responded adequately to his current medication regimen consisting or an ACE inhibitor, a beta-blocker and a thiazide diuretic. As a result, he will soon begin taking hydralazine (Apresoline) in addition to his existing antihypertensives. The addition of this medication to his regimen means that the nurse must prioritize which of the following nursing actions?

	A.	Checking the patient's blood glucose levels before each meal and at bedtime
	B.	Frequent assessment of the patient's cardiac status
	C.	Supervision of the patient when performing activities of daily living
	D.	Close monitoring of the patient's electrolyte levels

1 points  

Question 8

1. A 77-year-old man's chronic heart failure is being treated with a regimen of quinapril (Accupril) and furosemide (Lasix). Which of the following assessment findings would suggest that the loop diuretic is contributing to a therapeutic effect?

	A.	The man's heart rate is between 60 and 70 beats per minute with a regular rhythm.
	B.	The man's glomerular filtration rate and creatinine levels are within reference ranges.
	C.	The man's potassium and sodium levels remain with reference ranges.
	D.	The man's chest sounds are clear and his ankle edema is lessened.

1 points  

Question 9

1. A nurse is providing patient education to a 35-year-old man who has been prescribed clonidine (Catapres) as part of step 2 antihypertensive therapy. The nurse should anticipate that the drug will be administered

	A.	orally.
	B.	transdermally.
	C.	intravenously.
	D.	subcutaneously.

1 points  

Question 10

1. A nurse is caring for a patient who is admitted into the cardiac care unit with acute, decompensated heart failure. Nesiritide (Natrecor) has been ordered. When preparing for administration of the drug, the nurse will

	A.	administer the initial IV bolus over approximately 60 seconds.
	B.	add the reconstituted vial of medication to a 1,000 mL IV bag.
	C.	use the reconstituted solution within a 36-hour period.
	D.	shake the vial vigorously to mix the medication for reconstitution.

1 points  

Question 11

1. A nurse has administered a medication to a patient with hypertension. The prescribed drug is supposed to decrease cardiac output. A decrease in cardiac output would most likely

	A.	increase the serum creatinine level.
	B.	decrease drug absorption in the blood.
	C.	increase the synergistic effect of the drug.
	D.	decrease the amount of circulating blood sent through the kidneys.

1 points  

Question 12

1. A nurse is caring for a patient who is taking digoxin and a loop diuretic. Which of the following would be most important for the nurse to monitor?

	A.	Potassium levels
	B.	Sodium levels
	C.	Electrocardiogram results
	D.	Liver enzymes

1 points  

Question 13

1. A nurse has been following a male patient who is taking hydralazine, clonidine, and a diuretic for hypertension. After 2 weeks of medication therapy, the patient begins to complain of numbness and tingling in his hands and feet. The nurse suspects that these signs or symptoms are

	A.	signs of peripheral neuritis.
	B.	an adverse effect of the diuretic.
	C.	an idiosyncratic reaction to clonidine.
	D.	a result of new onset diabetes.

1 points  

Question 14

1. A nurse who provides care in a busy clinic is aware of the high incidence and prevalence of hyperlipidemia and the consequent need for antihyperlipidemics in many patients. Treatment of high cholesterol using statins would be contraindicated in which of the following patients?

	A.	A 72-year-old man who has emphysema and a 55-pack-year history of cigarette smoking
	B.	A female client who had a laparoscopic cholecystectomy (gall bladder removal) earlier this year
	C.	An obese male client who is a heavy alcohol user and who has cirrhosis of the liver
	D.	A resident of a long-term care facility whose Alzheimer disease is being treated with donepezil (Aricept)

1 points  

Question 15

1. A priority nursing assessment for a patient who is to receive an alpha- or beta-adrenergic antagonist would be to

	A.	assess heart rate.
	B.	check blood glucose level.
	C.	monitor respiratory rate.
	D.	measure urine output.

1 points  

Question 16

1. A patient with class-IV CHF has a medication regimen consisting of metoprolol (Lopressor), enalapril (Vasotec), and furosemide (Lasix). In addition to regularly assessing the patient s heart rate, the nurse should prioritize assessment of the patient's

	A.	exercise tolerance.
	B.	intake and output.
	C.	blood pressure.
	D.	cognition.

1 points  

Question 17

1. A female patient is taking 0.125 mg of digoxin daily for heart failure. At a recent clinic visit she reports that since she has been on the drug, she can breathe better and her heart rate has been around 74 beats per minute. The nurse weighs the patient and notices that she has gained 10 pounds since the digoxin therapy was started. The patient is concerned that the additional weight will necessitate an increase in the medication. Which of the following is an appropriate response by the nurse?

	A.	“No, the drug dosage will likely stay the same.”
	B.	“No, the drug dosage will have to be decreased.”
	C.	“I don't know; I will have to ask your physician.”
	D.	“Yes, the drug dosage will probably have to be increased.”

1 points  

Question 18

1. Several months of treatment with a statin accompanied by lifestyle modifications have failed to appreciably improve a patient's cholesterol levels. Consequently, the patient has been prescribed cholestyramine. The nurse should recognize that this drugs achieves its therapeutic effect by

	A.	mitigating the harmful effects of atherosclerosis by promoting vasodilation.
	B.	oxidizing cholesterol to bile acids.
	C.	binding LDL to HDL.
	D.	inhibiting the synthesis of cholesterol.

1 points  

Question 19

1. A patient is brought to the emergency department in hypertensive crisis. Nitroprusside is administered intravenously. The patient experiences diaphoresis and dizziness. Which of the following is the appropriate action by the nurse?

	A.	Ask the prescriber to reduce the dose
	B.	Obtain an order for naloxone
	C.	Give the nitroprusside at the ordered rate
	D.	Slow the rate of the infusion

1 points  

Question 20

1. A nurse is caring for a patient who is diabetic and has been diagnosed with hypertension. An angiotensin-converting enzyme inhibitor, captopril, has been prescribed for her. Which of the following should the nurse assess before beginning drug therapy?

	A.	Serum calcium levels
	B.	Blood glucose levels
	C.	Serum magnesium levels
	D.	Serum potassium levels

1 points  

Question 21

1. A patient is admitted to the emergency department with severe chest pain. The emergency department physician orders intravenous nitroglycerin 5 mcg/min, titrate dose by 5 mcg/min every 3 to 5 minutes per infusion pump as needed. Before administering the nitroglycerin, the nurse should prioritize which of the following assessments?

	A.	Blood urea nitrogen (BUN)
	B.	Blood pressure
	C.	Heart rate
	D.	Urinary output

1 points  

Question 22

1. The nurse is performing patient education for a woman who will soon begin treatment of hyperlipidemia with simvastatin (Zocor). The patient has asked the nurse if there are any “bad side effects” that she should be aware of. Which of the following statements should underlie the nurse's response?

	A.	The patient will have to schedule regular blood work to closely monitor her kidney function for the duration of treatment.
	B.	Most patients tolerate statins well, with minor muscle aches being among the most common adverse effects.
	C.	The patient may experience a dry cough, especially at night, for the first few weeks after starting to take the simvastatin.
	D.	Many patients experience gastrointestinal upset with statins, which can be partially alleviated by taking the drug with food.

1 points  

Question 23

1. A nurse is responsible for patient education for a 48-year-old woman who has been prescribed colestipol. The nurse will instruct the patient to take the medication

	A.	before a meal.
	B.	at bedtime.
	C.	two hours before a meal.
	D.	after a meal.

1 points  

Question 24

1. A 45-year-old man who is a construction worker has been diagnosed with hyperlipidemia and has been prescribed lovastatin. The nurse will advise the patient to

	A.	avoid prolonged exposure to sunlight.
	B.	drink moderate amounts of alcohol.
	C.	use over-the-counter (OTC) drugs to treat any muscle cramps or pain.
	D.	change to another similar drug if lovastatin proves to be ineffective.

1 points  

Question 25

1. A clinic nurse has been assigned a 49-year-old female patient who has a history of diabetes. A recent diagnosis of hypertension has been made, and the patient has been prescribed a thiazide diuretic and labetalol. The patient will be scheduled to return to the clinic once a month for the next 6 months. A priority action by the nurse will be to

	A.	monitor the patient's respiratory rate.
	B.	monitor the patient's blood pressure.
	C.	question the patient about her dietary intake.
	D.	weigh the patient.

 

Attachments:

• 1507039651-Pharmacology week 3 - quiz 1.docx