Latest Med Surg Exam 2 Pharmacology Unit 3 NCLEX Questions and Answers
Med Surg Exam 2 Pharmacology Unit 3 NCLEX Questions
Study online at https://quizlet.com/_j4ayj8
1. A newly admitted client takes digoxin 0.25 mg/day. b. 0.5 to 2.0 ng/mL
The nurse knows that which is the serum therapeutic
range for digoxin?
a. 0.1 to 1.5 ng/mL
b. 0.5 to 2.0 ng/mL
c. 1.0 to 2.5 ng/mL
d. 2.0 to 4.0 ng/mL
2. The client's serum digoxin level is 3.0 ng/mL. What a. It is in the high (elevat-
does the nurse know about this serum digoxin level? ed) range.
a. It is in the high (elevated) range.
b. It is in the low (decreased) range.
c. It is within the normal range.
d. It is in the low average range.
3. The nurse is assessing the client for possible evi- d. Pulse below 60
dence of digitalis toxicity. The nurse acknowledges beats/min and irregular
that which is included in the signs and symptoms for rate
digitalis toxicity?
a. Pulse (heart) rate of 100 beats/min
b. Pulse of 72 with an irregular rate
c. Pulse greater than 60 beats/min and irregular rate
d. Pulse below 60 beats/min and irregular rate
4. The client is also taking a diuretic that decreases her a. Increase the serum
potassium level. The nurse expects that a low potassi- digoxin sensitivity level
um level (hypokalemia) could have what effect on the
digoxin?
a. Increase the serum digoxin sensitivity level
1 4/16/2026
, Latest Med Surg Exam 2 Pharmacology Unit 3 NCLEX Questions and Answers
Med Surg Exam 2 Pharmacology Unit 3 NCLEX Questions
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b. Decrease the serum digoxin sensitivity level
c. Not have any effect on the serum digoxin sensitivity
level
d. Cause a low average serum digoxin sensitivity level
5. When a client first takes a nitrate, the nurse expects b. Headaches
which symptom that often occurs?
a. Nausea and vomiting
b. Headaches
c. Stomach cramps
d. Irregular pulse rate
6. The nurse acknowledges that beta blockers are as c. Decrease heart rate and
effective as antianginals because they do what? decrease myocardial con-
tractility.
a. Increase oxygen to the systemic circulation.
b. Maintain heart rate and blood pressure.
c. Decrease heart rate and decrease myocardial con-
tractility.
d. Decrease heart rate and increase myocardial con-
tractility.
7. The health care provider is planning to discontinue b. The beta blocker should
a client's beta blocker. What instruction should the NOT be abruptly stopped;
nurse give the client regarding the beta blocker? the dose should be ta-
pered down.
a. The beta blocker should be abruptly stopped when
another cardiac drug is prescribed.
b. The beta blocker should NOT be abruptly stopped;
the dose should be tapered down.
c. The beta blocker dose should be maintained while
taking another antianginal drug.
2 4/16/2026
, Latest Med Surg Exam 2 Pharmacology Unit 3 NCLEX Questions and Answers
Med Surg Exam 2 Pharmacology Unit 3 NCLEX Questions
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d. Half the beta blocker dose should be taken for the
next several weeks.
8. The beta blocker acebutolol (Sectral) is prescribed for c. To block the
dysrhythmias. The nurse knows that what is the pri- beta1-adrenergic recep-
mary purpose of the drug? tors in the cardiac tissues
a. To increase the beta1 and beta2 receptors in the
cardiac tissues
b. To increase the flow of oxygen to the cardiac tissues
c. To block the beta1-adrenergic receptors in the car-
diac tissues
d. To block the beta2-adrenergic receptors in the car-
diac tissues
9. A client is to be discharged home with a transdermal a. "Apply the patch to a
nitroglycerin patch. Which instruction will the nurse nonhairy area of the up-
include in the client's teaching plan? per torso or arm."
a. "Apply the patch to a nonhairy area of the upper
torso or arm."
b. "Apply the patch to the same site each day."
c. "If you have a headache, remove the patch for 4
hours and then reapply."
d. "If you have chest pain, apply a second patch next
to the first patch."
10. A nurse is monitoring a client with angina for thera- d. Client stating that pain
peutic effects of nitroglycerin. Which assessment find- is 0 out of 10
ing indicates that the nitroglycerin has been effec-
tive?
a. Blood pressure 120/80 mm Hg
3 4/16/2026
, Latest Med Surg Exam 2 Pharmacology Unit 3 NCLEX Questions and Answers
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b. Heart rate 70 beats per minute
c. ECG without evidence of ST changes
d. Client stating that pain is 0 out of 10
11. The nurse is monitoring a client during IV nitroglyc- d. Chest pain
erin infusion. Which assessment finding will cause the
nurse to take action?
a. Blood pressure 110/90 mm Hg
b. Flushing
c. Headache
d. Chest pain
12. Which statement made by the client demonstrates d. "I can take up to five
a need for further instruction regarding the use of tablets at 3-minute inter-
nitroglycerin? vals for chest pain if nec-
essary."
a. "If I get a headache, I should keep taking nitroglyc-
erin and use Tylenol for pain relief."
b. "I should keep my nitroglycerin in a cool, dry place."
c. "I should change positions slowly to avoid getting
dizzy."
d. "I can take up to five tablets at 3-minute intervals
for chest pain if necessary."
13. Which client assessment would assist the nurse in a. Client states that she has
evaluating therapeutic effects of a calcium channel no chest pain.
blocker?
a. Client states that she has no chest pain.
b. Client states that the swelling in her feet is reduced.
c. Client states the she does not feel dizzy.
d. Client states that she feels stronger.
4 4/16/2026
Med Surg Exam 2 Pharmacology Unit 3 NCLEX Questions
Study online at https://quizlet.com/_j4ayj8
1. A newly admitted client takes digoxin 0.25 mg/day. b. 0.5 to 2.0 ng/mL
The nurse knows that which is the serum therapeutic
range for digoxin?
a. 0.1 to 1.5 ng/mL
b. 0.5 to 2.0 ng/mL
c. 1.0 to 2.5 ng/mL
d. 2.0 to 4.0 ng/mL
2. The client's serum digoxin level is 3.0 ng/mL. What a. It is in the high (elevat-
does the nurse know about this serum digoxin level? ed) range.
a. It is in the high (elevated) range.
b. It is in the low (decreased) range.
c. It is within the normal range.
d. It is in the low average range.
3. The nurse is assessing the client for possible evi- d. Pulse below 60
dence of digitalis toxicity. The nurse acknowledges beats/min and irregular
that which is included in the signs and symptoms for rate
digitalis toxicity?
a. Pulse (heart) rate of 100 beats/min
b. Pulse of 72 with an irregular rate
c. Pulse greater than 60 beats/min and irregular rate
d. Pulse below 60 beats/min and irregular rate
4. The client is also taking a diuretic that decreases her a. Increase the serum
potassium level. The nurse expects that a low potassi- digoxin sensitivity level
um level (hypokalemia) could have what effect on the
digoxin?
a. Increase the serum digoxin sensitivity level
1 4/16/2026
, Latest Med Surg Exam 2 Pharmacology Unit 3 NCLEX Questions and Answers
Med Surg Exam 2 Pharmacology Unit 3 NCLEX Questions
Study online at https://quizlet.com/_j4ayj8
b. Decrease the serum digoxin sensitivity level
c. Not have any effect on the serum digoxin sensitivity
level
d. Cause a low average serum digoxin sensitivity level
5. When a client first takes a nitrate, the nurse expects b. Headaches
which symptom that often occurs?
a. Nausea and vomiting
b. Headaches
c. Stomach cramps
d. Irregular pulse rate
6. The nurse acknowledges that beta blockers are as c. Decrease heart rate and
effective as antianginals because they do what? decrease myocardial con-
tractility.
a. Increase oxygen to the systemic circulation.
b. Maintain heart rate and blood pressure.
c. Decrease heart rate and decrease myocardial con-
tractility.
d. Decrease heart rate and increase myocardial con-
tractility.
7. The health care provider is planning to discontinue b. The beta blocker should
a client's beta blocker. What instruction should the NOT be abruptly stopped;
nurse give the client regarding the beta blocker? the dose should be ta-
pered down.
a. The beta blocker should be abruptly stopped when
another cardiac drug is prescribed.
b. The beta blocker should NOT be abruptly stopped;
the dose should be tapered down.
c. The beta blocker dose should be maintained while
taking another antianginal drug.
2 4/16/2026
, Latest Med Surg Exam 2 Pharmacology Unit 3 NCLEX Questions and Answers
Med Surg Exam 2 Pharmacology Unit 3 NCLEX Questions
Study online at https://quizlet.com/_j4ayj8
d. Half the beta blocker dose should be taken for the
next several weeks.
8. The beta blocker acebutolol (Sectral) is prescribed for c. To block the
dysrhythmias. The nurse knows that what is the pri- beta1-adrenergic recep-
mary purpose of the drug? tors in the cardiac tissues
a. To increase the beta1 and beta2 receptors in the
cardiac tissues
b. To increase the flow of oxygen to the cardiac tissues
c. To block the beta1-adrenergic receptors in the car-
diac tissues
d. To block the beta2-adrenergic receptors in the car-
diac tissues
9. A client is to be discharged home with a transdermal a. "Apply the patch to a
nitroglycerin patch. Which instruction will the nurse nonhairy area of the up-
include in the client's teaching plan? per torso or arm."
a. "Apply the patch to a nonhairy area of the upper
torso or arm."
b. "Apply the patch to the same site each day."
c. "If you have a headache, remove the patch for 4
hours and then reapply."
d. "If you have chest pain, apply a second patch next
to the first patch."
10. A nurse is monitoring a client with angina for thera- d. Client stating that pain
peutic effects of nitroglycerin. Which assessment find- is 0 out of 10
ing indicates that the nitroglycerin has been effec-
tive?
a. Blood pressure 120/80 mm Hg
3 4/16/2026
, Latest Med Surg Exam 2 Pharmacology Unit 3 NCLEX Questions and Answers
Med Surg Exam 2 Pharmacology Unit 3 NCLEX Questions
Study online at https://quizlet.com/_j4ayj8
b. Heart rate 70 beats per minute
c. ECG without evidence of ST changes
d. Client stating that pain is 0 out of 10
11. The nurse is monitoring a client during IV nitroglyc- d. Chest pain
erin infusion. Which assessment finding will cause the
nurse to take action?
a. Blood pressure 110/90 mm Hg
b. Flushing
c. Headache
d. Chest pain
12. Which statement made by the client demonstrates d. "I can take up to five
a need for further instruction regarding the use of tablets at 3-minute inter-
nitroglycerin? vals for chest pain if nec-
essary."
a. "If I get a headache, I should keep taking nitroglyc-
erin and use Tylenol for pain relief."
b. "I should keep my nitroglycerin in a cool, dry place."
c. "I should change positions slowly to avoid getting
dizzy."
d. "I can take up to five tablets at 3-minute intervals
for chest pain if necessary."
13. Which client assessment would assist the nurse in a. Client states that she has
evaluating therapeutic effects of a calcium channel no chest pain.
blocker?
a. Client states that she has no chest pain.
b. Client states that the swelling in her feet is reduced.
c. Client states the she does not feel dizzy.
d. Client states that she feels stronger.
4 4/16/2026
