NR293 Exam 2 Actual Exam Style V3
NR293 Exam 2 Actual Exam Style V3
1. A patient is prescribed Lisinopril for hypertension. Which assessment finding should the
nurse prioritize as a potentially life-threatening adverse effect?
A. Dry, persistent nonproductive cough
B. Increased serum potassium levels
C. Swelling of the tongue and lips
D. Orthostatic hypotension upon standing
Correct Answer: C
Expert Explanation: Lisinopril is an ACE inhibitor that can cause angioedema, which is a
medical emergency involving swelling of the face, lips, and airway. While a dry cough is a
common side effect, it is not life-threatening like airway compromise. The nurse must
monitor for this hypersensitivity reaction to ensure patient safety and immediate
intervention.
2. The nurse is preparing to administer Digoxin to a patient with heart failure. Which action
should the nurse take first?
A. Check the patient’s blood pressure in both arms
B. Review the most recent serum potassium level
,C. Assess the apical pulse for one full minute
D. Monitor the patient’s respiratory rate
Correct Answer: C
Expert Explanation: Assessing the apical pulse for a full minute is the priority action
before administering Digoxin to ensure the heart rate is above 60 beats per minute. If the
heart rate is below 60, the medication should be withheld and the provider notified. This
drug has a narrow therapeutic index and can significantly slow the heart rate.
3. A patient is receiving Furosemide intravenously. Which electrolyte imbalance is the patient
at highest risk for developing?
A. Hyperkalemia
B. Hypokalemia
C. Hypercalcemia
D. Hypernatremia
Correct Answer: B
Expert Explanation: Furosemide is a loop diuretic that causes the excretion of water,
sodium, and potassium. Hypokalemia is a significant risk and can lead to dangerous cardiac
arrhythmias. The nurse must monitor serum potassium levels and encourage the intake of
potassium-rich foods or supplements.
, 4. Which medication should the nurse have available as an antidote for a patient receiving a
Heparin infusion?
A. Vitamin K
B. Calcium gluconate
C. Protamine sulfate
D. Acetylcysteine
Correct Answer: C
Expert Explanation: Protamine sulfate is the specific antagonist used to reverse the
anticoagulant effects of Heparin. It works by binding to heparin to form a stable salt,
neutralizing its activity. Vitamin K is used for Warfarin reversal, while Heparin requires
Protamine sulfate in cases of overdose or severe bleeding.
5. A patient is being discharged on Warfarin. What lab value will the nurse expect the
provider to monitor regularly?
A. International Normalized Ratio (INR)
B. Partial Thromboplastin Time (PTT)
C. Complete Blood Count (CBC)
D. Basic Metabolic Panel (BMP)
Correct Answer: A
NR293 Exam 2 Actual Exam Style V3
1. A patient is prescribed Lisinopril for hypertension. Which assessment finding should the
nurse prioritize as a potentially life-threatening adverse effect?
A. Dry, persistent nonproductive cough
B. Increased serum potassium levels
C. Swelling of the tongue and lips
D. Orthostatic hypotension upon standing
Correct Answer: C
Expert Explanation: Lisinopril is an ACE inhibitor that can cause angioedema, which is a
medical emergency involving swelling of the face, lips, and airway. While a dry cough is a
common side effect, it is not life-threatening like airway compromise. The nurse must
monitor for this hypersensitivity reaction to ensure patient safety and immediate
intervention.
2. The nurse is preparing to administer Digoxin to a patient with heart failure. Which action
should the nurse take first?
A. Check the patient’s blood pressure in both arms
B. Review the most recent serum potassium level
,C. Assess the apical pulse for one full minute
D. Monitor the patient’s respiratory rate
Correct Answer: C
Expert Explanation: Assessing the apical pulse for a full minute is the priority action
before administering Digoxin to ensure the heart rate is above 60 beats per minute. If the
heart rate is below 60, the medication should be withheld and the provider notified. This
drug has a narrow therapeutic index and can significantly slow the heart rate.
3. A patient is receiving Furosemide intravenously. Which electrolyte imbalance is the patient
at highest risk for developing?
A. Hyperkalemia
B. Hypokalemia
C. Hypercalcemia
D. Hypernatremia
Correct Answer: B
Expert Explanation: Furosemide is a loop diuretic that causes the excretion of water,
sodium, and potassium. Hypokalemia is a significant risk and can lead to dangerous cardiac
arrhythmias. The nurse must monitor serum potassium levels and encourage the intake of
potassium-rich foods or supplements.
, 4. Which medication should the nurse have available as an antidote for a patient receiving a
Heparin infusion?
A. Vitamin K
B. Calcium gluconate
C. Protamine sulfate
D. Acetylcysteine
Correct Answer: C
Expert Explanation: Protamine sulfate is the specific antagonist used to reverse the
anticoagulant effects of Heparin. It works by binding to heparin to form a stable salt,
neutralizing its activity. Vitamin K is used for Warfarin reversal, while Heparin requires
Protamine sulfate in cases of overdose or severe bleeding.
5. A patient is being discharged on Warfarin. What lab value will the nurse expect the
provider to monitor regularly?
A. International Normalized Ratio (INR)
B. Partial Thromboplastin Time (PTT)
C. Complete Blood Count (CBC)
D. Basic Metabolic Panel (BMP)
Correct Answer: A
