2
NURS 1141 Exam with accurate detailed solutions || || || || || ||
When administering sublingual nitroglycerin for emergency treatment of angina or chest
|| || || || || || || || || || ||
pain, the nurse monitors for which common adverse effect?
|| || || || || || || ||
A. HTN ||
B. Bradycardia
||
C. Nausea
||
D. Headache
||
D. Headache
||
A nurse is attending a backyard picnic of an older neighbor when the nurse notices the
|| || || || || || || || || || || || || || || ||
neighbor is holding the chest and looking pale and diaphoretic. The neighbor is reaching
|| || || || || || || || || || || || || ||
for a second nitroglycerin tablet from the bottle and places it under the tongue. An
|| || || || || || || || || || || || || || ||
ambulance is already been summoned, but the location is a rural area. What other measure
|| || || || || || || || || || || || || || ||
does the nurse intiate?
|| || ||
A. Have the neighbor walk to the house to lie down
|| || || || || || || || || ||
B. Have the neighbor chew an aspirin tablet
|| || || || || || ||
C. Perform a physical assessment
|| || || ||
D. Have the neighbor take the cardiac prescription drugs that are scheduled for that evening
|| || || || || || || || || || || || || ||
B. Have the neighbor chew an aspirin tablet
|| || || || || || ||
Why is a patient who is using a transdermal nitroglycerin patch instructed to remove the
|| || || || || || || || || || || || || || ||
patch at bedtime and apply a new one in the morning?
|| || || || || || || || || ||
A. to avoid allergic response
|| || || ||
B. to avoid overdosage
|| || ||
C. to prevent tolerance
|| || ||
D. to prevent the pt from forgetting to remove the patch in the morning
|| || || || || || || || || || || || ||
C. to prevent tolerance
|| || ||
Which drug class should not be used when a pt is taking nitrates?
|| || || || || || || || || || || ||
A. Beta-adrenergic Blockers
|| ||
B. Calcium Channel Blockers
|| || ||
C. Alpha-adrenergic Blockers
|| ||
D. Erectile Dysfunction Drugs
|| || ||
D. Erectile Dysfunction Drugs
|| || ||
, 2
A nurse is reviewing core measures in charts of patients who have been discharged
|| || || || || || || || || || || || || ||
following an acute MI. The nurse should ensure patients are discharged home with which
|| || || || || || || || || || || || || ||
medication?
A. Calcium Channel Blockers
|| || ||
B. Beta-adrenergic Blockers
|| ||
C. Intravenous Nitroglycerin
|| ||
D. amiodarone (Pacerone)
|| ||
B. Beta-adrenergic Blockers
|| ||
A patient has been recently diagnosed with heart failure due to systolic dysfunction. She
|| || || || || || || || || || || || || ||
asks the nurse to explain the disease process to the family members. The best explanation
|| || || || || || || || || || || || || || ||
is:
A. "the heart rate is failing to keep up with the body's needs."
|| || || || || || || || || || || ||
B. "The patient has developed dysrhythmias that have failed to respond to medication."
|| || || || || || || || || || || ||
C. "The heart does not have adequate force to pump all needed blood."
|| || || || || || || || || || || ||
D. "The left ventricle fails to relax enough between beats to fill with blood."
|| || || || || || || || || || || || ||
C. "The heart does not have adequate force to pump all needed blood."
|| || || || || || || || || || || ||
• systolic = contraction/pumping
|| || ||
• diastolic = filling/relaxation
|| || ||
A patient has presented to the ED reporting feeling short of breath. What other symptom
|| || || || || || || || || || || || || || ||
alerts the nurse that the patient may be in HF?
|| || || || || || || || ||
A. lungs clear to auscultation
|| || || ||
B. 2+ ankle edema
|| || ||
C. BP 118/74 mmHg
|| || ||
D. Stable weight
|| ||
B. 2+ ankle edema
|| || ||
Digoxin (Lanoxin) is a cardiac glycoside that is among the oldest medications used for HF.
|| || || || || || || || || || || || || || ||
What are its two primary actions?
|| || || || ||
A. negative inotropy/negative chronotropy
|| || ||
B. positive inotropy/negative chronotropy
|| || ||
C. negative chronotropy/postive dromotropy
|| || ||
D. postive chronotropy/negative inotropy
|| || ||
B. positive inotropy/negative chronotropy
|| || ||
• increase contraction + decrease HR
|| || || || ||
NURS 1141 Exam with accurate detailed solutions || || || || || ||
When administering sublingual nitroglycerin for emergency treatment of angina or chest
|| || || || || || || || || || ||
pain, the nurse monitors for which common adverse effect?
|| || || || || || || ||
A. HTN ||
B. Bradycardia
||
C. Nausea
||
D. Headache
||
D. Headache
||
A nurse is attending a backyard picnic of an older neighbor when the nurse notices the
|| || || || || || || || || || || || || || || ||
neighbor is holding the chest and looking pale and diaphoretic. The neighbor is reaching
|| || || || || || || || || || || || || ||
for a second nitroglycerin tablet from the bottle and places it under the tongue. An
|| || || || || || || || || || || || || || ||
ambulance is already been summoned, but the location is a rural area. What other measure
|| || || || || || || || || || || || || || ||
does the nurse intiate?
|| || ||
A. Have the neighbor walk to the house to lie down
|| || || || || || || || || ||
B. Have the neighbor chew an aspirin tablet
|| || || || || || ||
C. Perform a physical assessment
|| || || ||
D. Have the neighbor take the cardiac prescription drugs that are scheduled for that evening
|| || || || || || || || || || || || || ||
B. Have the neighbor chew an aspirin tablet
|| || || || || || ||
Why is a patient who is using a transdermal nitroglycerin patch instructed to remove the
|| || || || || || || || || || || || || || ||
patch at bedtime and apply a new one in the morning?
|| || || || || || || || || ||
A. to avoid allergic response
|| || || ||
B. to avoid overdosage
|| || ||
C. to prevent tolerance
|| || ||
D. to prevent the pt from forgetting to remove the patch in the morning
|| || || || || || || || || || || || ||
C. to prevent tolerance
|| || ||
Which drug class should not be used when a pt is taking nitrates?
|| || || || || || || || || || || ||
A. Beta-adrenergic Blockers
|| ||
B. Calcium Channel Blockers
|| || ||
C. Alpha-adrenergic Blockers
|| ||
D. Erectile Dysfunction Drugs
|| || ||
D. Erectile Dysfunction Drugs
|| || ||
, 2
A nurse is reviewing core measures in charts of patients who have been discharged
|| || || || || || || || || || || || || ||
following an acute MI. The nurse should ensure patients are discharged home with which
|| || || || || || || || || || || || || ||
medication?
A. Calcium Channel Blockers
|| || ||
B. Beta-adrenergic Blockers
|| ||
C. Intravenous Nitroglycerin
|| ||
D. amiodarone (Pacerone)
|| ||
B. Beta-adrenergic Blockers
|| ||
A patient has been recently diagnosed with heart failure due to systolic dysfunction. She
|| || || || || || || || || || || || || ||
asks the nurse to explain the disease process to the family members. The best explanation
|| || || || || || || || || || || || || || ||
is:
A. "the heart rate is failing to keep up with the body's needs."
|| || || || || || || || || || || ||
B. "The patient has developed dysrhythmias that have failed to respond to medication."
|| || || || || || || || || || || ||
C. "The heart does not have adequate force to pump all needed blood."
|| || || || || || || || || || || ||
D. "The left ventricle fails to relax enough between beats to fill with blood."
|| || || || || || || || || || || || ||
C. "The heart does not have adequate force to pump all needed blood."
|| || || || || || || || || || || ||
• systolic = contraction/pumping
|| || ||
• diastolic = filling/relaxation
|| || ||
A patient has presented to the ED reporting feeling short of breath. What other symptom
|| || || || || || || || || || || || || || ||
alerts the nurse that the patient may be in HF?
|| || || || || || || || ||
A. lungs clear to auscultation
|| || || ||
B. 2+ ankle edema
|| || ||
C. BP 118/74 mmHg
|| || ||
D. Stable weight
|| ||
B. 2+ ankle edema
|| || ||
Digoxin (Lanoxin) is a cardiac glycoside that is among the oldest medications used for HF.
|| || || || || || || || || || || || || || ||
What are its two primary actions?
|| || || || ||
A. negative inotropy/negative chronotropy
|| || ||
B. positive inotropy/negative chronotropy
|| || ||
C. negative chronotropy/postive dromotropy
|| || ||
D. postive chronotropy/negative inotropy
|| || ||
B. positive inotropy/negative chronotropy
|| || ||
• increase contraction + decrease HR
|| || || || ||
