NR 293 Exam 2 Actual Exam 100 Multiple-
Choice Questions With Answers (Updated
2026) Chamberlain University
Question 1
A patient has a new prescription for a beta-blocker after a myocardial infarction (MI). What is
the primary rationale for this prescription?
A. To increase cardiac output by increasing the heart rate
B. To provide cardioprotection by blocking the effects of the sympathetic nervous system
(SNS) and catecholamines
C. To act as a vasodilator, reducing preload on the heart
D. To dissolve any clots that may have formed in the coronary arteries
Answer: B
Question 2
The nurse is providing discharge teaching to a patient prescribed clonidine (Catapres) for
hypertension. Which statement by the patient indicates a correct understanding of the
teaching?
A. "I can stop taking this medication if I start to feel dizzy."
B. "I should take this medication first thing in the morning on an empty stomach."
C. "I should not stop taking this drug abruptly because of the risk of rebound hypertension."
D. "This medication will work better if I take it with a high-potassium banana."
Answer: C
,Question 3
The healthcare provider prescribes an IV heparin infusion for a patient with a pulmonary
embolism. Which laboratory value will the nurse primarily monitor to determine the
therapeutic effect of this medication?
A. International normalized ratio (INR)
B. Platelet count
C. Activated partial thromboplastin time (aPTT)
D. Prothrombin time (PT)
Answer: C
Question 4
A patient is prescribed digoxin for heart failure. Before administering the morning dose, the
nurse assesses an apical pulse of 54 beats per minute. What is the priority nursing action?
A. Administer the medication as ordered.
B. Withhold the medication and recheck the pulse in 30 minutes.
C. Withhold the medication and contact the healthcare provider.
D. Administer the medication with a full glass of orange juice to increase absorption.
Answer: C
Question 5
A patient with stable angina is being started on a nitroglycerin transdermal patch. Which
instruction should the nurse include in the patient's teaching plan?
A. "Apply the patch to the same site on your chest every day to ensure consistent
absorption."
B. "Leave the patch on for 24 hours, then remove it and apply a new one."
C. "Apply a new patch each morning to a hairless area, rotate sites, and remove the patch at
night for 8 hours."
D. "If you get a headache, remove the patch immediately and throw it away."
Answer: C
Question 6
The nurse is educating a patient who is starting warfarin (Coumadin) therapy. The nurse
should instruct the patient to maintain consistency in the intake of which foods?
, A. Foods high in potassium, such as bananas and potatoes
B. Foods high in vitamin K, such as green leafy vegetables
C. Foods high in tyramine, such as aged cheese and red wine
D. Foods high in magnesium, such as nuts and whole grains
Answer: B
Question 7
A patient is being treated for a hypertensive emergency and receives a dose of hydralazine
intravenously. The nurse understands that hydralazine is classified as which type of
medication?
A. Beta-blocker
B. ACE inhibitor
C. Vasodilator
D. Calcium channel blocker
Answer: C
Question 8
Which of the following is a common side effect of beta-blocker therapy that the nurse should
include in patient teaching?
A. Tachycardia and hyperglycemia
B. Diarrhea and wheezing
C. Insomnia and weight gain
D. Bradycardia and sexual dysfunction
Answer: D
Question 9
A patient asks the nurse why they must take a "statin" medication at bedtime. The nurse's
best response is based on the fact that:
A. Statins are more effective when taken with a full meal.
B. Taking statins at bedtime reduces the risk of rhabdomyolysis.
C. The body synthesizes the most cholesterol during the night.
D. Bedtime dosing helps prevent the common side effect of insomnia.
Choice Questions With Answers (Updated
2026) Chamberlain University
Question 1
A patient has a new prescription for a beta-blocker after a myocardial infarction (MI). What is
the primary rationale for this prescription?
A. To increase cardiac output by increasing the heart rate
B. To provide cardioprotection by blocking the effects of the sympathetic nervous system
(SNS) and catecholamines
C. To act as a vasodilator, reducing preload on the heart
D. To dissolve any clots that may have formed in the coronary arteries
Answer: B
Question 2
The nurse is providing discharge teaching to a patient prescribed clonidine (Catapres) for
hypertension. Which statement by the patient indicates a correct understanding of the
teaching?
A. "I can stop taking this medication if I start to feel dizzy."
B. "I should take this medication first thing in the morning on an empty stomach."
C. "I should not stop taking this drug abruptly because of the risk of rebound hypertension."
D. "This medication will work better if I take it with a high-potassium banana."
Answer: C
,Question 3
The healthcare provider prescribes an IV heparin infusion for a patient with a pulmonary
embolism. Which laboratory value will the nurse primarily monitor to determine the
therapeutic effect of this medication?
A. International normalized ratio (INR)
B. Platelet count
C. Activated partial thromboplastin time (aPTT)
D. Prothrombin time (PT)
Answer: C
Question 4
A patient is prescribed digoxin for heart failure. Before administering the morning dose, the
nurse assesses an apical pulse of 54 beats per minute. What is the priority nursing action?
A. Administer the medication as ordered.
B. Withhold the medication and recheck the pulse in 30 minutes.
C. Withhold the medication and contact the healthcare provider.
D. Administer the medication with a full glass of orange juice to increase absorption.
Answer: C
Question 5
A patient with stable angina is being started on a nitroglycerin transdermal patch. Which
instruction should the nurse include in the patient's teaching plan?
A. "Apply the patch to the same site on your chest every day to ensure consistent
absorption."
B. "Leave the patch on for 24 hours, then remove it and apply a new one."
C. "Apply a new patch each morning to a hairless area, rotate sites, and remove the patch at
night for 8 hours."
D. "If you get a headache, remove the patch immediately and throw it away."
Answer: C
Question 6
The nurse is educating a patient who is starting warfarin (Coumadin) therapy. The nurse
should instruct the patient to maintain consistency in the intake of which foods?
, A. Foods high in potassium, such as bananas and potatoes
B. Foods high in vitamin K, such as green leafy vegetables
C. Foods high in tyramine, such as aged cheese and red wine
D. Foods high in magnesium, such as nuts and whole grains
Answer: B
Question 7
A patient is being treated for a hypertensive emergency and receives a dose of hydralazine
intravenously. The nurse understands that hydralazine is classified as which type of
medication?
A. Beta-blocker
B. ACE inhibitor
C. Vasodilator
D. Calcium channel blocker
Answer: C
Question 8
Which of the following is a common side effect of beta-blocker therapy that the nurse should
include in patient teaching?
A. Tachycardia and hyperglycemia
B. Diarrhea and wheezing
C. Insomnia and weight gain
D. Bradycardia and sexual dysfunction
Answer: D
Question 9
A patient asks the nurse why they must take a "statin" medication at bedtime. The nurse's
best response is based on the fact that:
A. Statins are more effective when taken with a full meal.
B. Taking statins at bedtime reduces the risk of rhabdomyolysis.
C. The body synthesizes the most cholesterol during the night.
D. Bedtime dosing helps prevent the common side effect of insomnia.
