Page 1 of 33
NRNP 6521 ACTUAL MIDTERM EXAM WITH QUESTIONS
AND DETAILED ANSWERS
A nurse is creating a plan of care for a 68-year-old woman with
a recent diagnosis of
unstable angina and new prescription for nitroglycerin. Which of
the following nursing
diagnoses should the nurse prioritize in the planning of this
patient's care? - answer-Acute Pain, headache, related to
adverse effects of drug therapy
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? - answer-Administer a tablet under his tongue and repeat
the action in 5 and 10 minutes if the pain has not subsided
An expected outcome for a patient who has just taken
sublingual nitroglycerin should
be - answer-increased HR and decrease BP
, Page 2 of 33
A patient is to take nifedipine (Procardia) 10 mg PO tid. How
many milligrams will he take per dose? - answer-10 mg
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 ... - answer-
Nitrate tolerance
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? - answer-Blood pressure
A nurse is caring for a patient with chronic angina. The patient is
receiving ranolazine
(Ranexa) 500 mg PO bid. Which of the following signs or
symptoms would the nurse
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attribute to being a common adverse effect of this medication? -
answer-Dizziness
A 45-year-old man enters the emergency department
complaining of chest pain. The
nurse has an order to administer amyl nitrite. The nurse will... -
answer-crush the capsule and ask the patient to inhale the
vapors
A patient is being discharged home with a prescription for
sublingual nitroglycerin.
The nurse will instruct the patient and family to... - answer-keep
the tablets in the original dark bottle.
A nurse has an order to apply nitroglycerin topically, twice a day.
The nurse's initial
action will be to... - answer-don a pair of gloves
A patient calls the clinic and reports that he is having chest pain.
The patient states that
ì'm scared that I am going to die and I've been pacing up and
down my driveway.î
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After calming the patient, the initial instruction by the nurse
would be to... - answer-have the patient go into his house and
sit or lie down
A recent episode of chest pain while doing yard work prompted
a 70-year-old man to
seek care and he has been subsequently diagnosed with
chronic stable angina. The
nurse should recognize what guiding principle in the treatment
of this patient's angina? - answer-The patient's angina may
necessitate the use of a calcium channel blocker
Frequent episodes of exercise-related chest pain have caused a
79-year-old woman to
use her prescribed nitroglycerin spray several times in recent
weeks. This patient's age will have what effect on her use of
nitroglycerin? - answer-The woman will be more susceptible to
hypotension than a young patient.
A man has left his most recent visit to his primary care provider
with a new
prescription for a transdermal nitroglycerin patch. What patient
education should the
NRNP 6521 ACTUAL MIDTERM EXAM WITH QUESTIONS
AND DETAILED ANSWERS
A nurse is creating a plan of care for a 68-year-old woman with
a recent diagnosis of
unstable angina and new prescription for nitroglycerin. Which of
the following nursing
diagnoses should the nurse prioritize in the planning of this
patient's care? - answer-Acute Pain, headache, related to
adverse effects of drug therapy
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? - answer-Administer a tablet under his tongue and repeat
the action in 5 and 10 minutes if the pain has not subsided
An expected outcome for a patient who has just taken
sublingual nitroglycerin should
be - answer-increased HR and decrease BP
, Page 2 of 33
A patient is to take nifedipine (Procardia) 10 mg PO tid. How
many milligrams will he take per dose? - answer-10 mg
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 ... - answer-
Nitrate tolerance
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? - answer-Blood pressure
A nurse is caring for a patient with chronic angina. The patient is
receiving ranolazine
(Ranexa) 500 mg PO bid. Which of the following signs or
symptoms would the nurse
, Page 3 of 33
attribute to being a common adverse effect of this medication? -
answer-Dizziness
A 45-year-old man enters the emergency department
complaining of chest pain. The
nurse has an order to administer amyl nitrite. The nurse will... -
answer-crush the capsule and ask the patient to inhale the
vapors
A patient is being discharged home with a prescription for
sublingual nitroglycerin.
The nurse will instruct the patient and family to... - answer-keep
the tablets in the original dark bottle.
A nurse has an order to apply nitroglycerin topically, twice a day.
The nurse's initial
action will be to... - answer-don a pair of gloves
A patient calls the clinic and reports that he is having chest pain.
The patient states that
ì'm scared that I am going to die and I've been pacing up and
down my driveway.î
, Page 4 of 33
After calming the patient, the initial instruction by the nurse
would be to... - answer-have the patient go into his house and
sit or lie down
A recent episode of chest pain while doing yard work prompted
a 70-year-old man to
seek care and he has been subsequently diagnosed with
chronic stable angina. The
nurse should recognize what guiding principle in the treatment
of this patient's angina? - answer-The patient's angina may
necessitate the use of a calcium channel blocker
Frequent episodes of exercise-related chest pain have caused a
79-year-old woman to
use her prescribed nitroglycerin spray several times in recent
weeks. This patient's age will have what effect on her use of
nitroglycerin? - answer-The woman will be more susceptible to
hypotension than a young patient.
A man has left his most recent visit to his primary care provider
with a new
prescription for a transdermal nitroglycerin patch. What patient
education should the
