Cardiovascular Meds Exam Questions
And Answers
/. A nurse is teaching a client who has a new prescription for transdermal nitroglycerin to
treat angina pectoris. Which of the following instructions should the nurse include in the
teaching? - Answer-✅Apply the transdermal patch in the morning
-The client should apply the patch every morning and leave it in place for a 12 to 14 hr,
then remove it in the evening.
/.A nurse is teaching a client who has angina pectoris about starting therapy with SL
nitroglycerin tablets. The nurse should include which of the following instructions
regarding how to take the medication? - Answer-✅Take one tablet at the first indication
of chest pain
- do not wait until chest pain is severe
/.A nurse is preparing to administer metoprolol 5 mg IV bolus to a client for heart rate
control. Available is metoprolol injection 1 mg/mL. How many mL should the nurse
administer per dose? - Answer-✅5
/.A nurse is assessing an older adult pt who is receiving digoxin. The nurse should
recognize that which of the following findings is a manifestation of digoxin toxicity? -
Answer-✅Anorexia
- vomiting, confusion, headache, and vision changes are also manifestations of digoxin
toxicity
/.A nurse is providing teaching for a pt who has hypertension and a prescription change
from metoprolol to metoprolol/hydrochlorothiazide. Which of the following statements by
the pt indicates an understanding of the teaching? - Answer-✅With the new medication,
I should experience fewer side effects.
- The client has stated an understanding of the purpose of the addition of the
hydrochlorothiazide (HCTZ) to the metoprolol dosage. When used in combination with
thiazide diuretics, a lower dose of the beta-blocker can be used. The benefit is there are
fewer side effects when beta-blockers (and other antihypertensives) are used in lower
dosages.
/.A nurse is caring for a pt who has heart failure and a prescription for digoxin. Which of
the following statements by the pt indicate an adverse effect of the medication? -
Answer-✅I feel nauseated and have no appetite
- Anorexia, nausea, vomiting, and abdominal discomfort are early signs of digoxin
toxicity.
, /.A nurse in a provider's clinic is assessing a pt who takes sublingual nitroglycerin for
stable angina. The pt reports getting a headache each time he takes the medication.
Which of the following statements should the nurse make? - Answer-✅Try taking a mild
analgesic to relieve the headache
/.A nurse is caring for a pt who is on warfarin therapy for atrial fibrillation. The pt's INR is
5.2. Which of the following medications should the nurse prepare to administer? -
Answer-✅Vitamin K
- reverses the effects of warfarin
/.A nurse in the emergency department is caring for a pt who took 3 nitroglycerin tablets
sublingually for chest pain. The pt reports relief from the chest pain but now he is
experiencing a headache. Which of the following statements should the nurse make? -
Answer-✅A headache is an expected adverse effect of the medication
- The vasodilation nitroglycerin induces increases blood flow to the head and typically
results in a headache.
/.A nurse is caring for a pt who has congestive heart failure and is taking digoxin daily.
The pt refused breakfast and is complaining of nausea and weakness. Which of the
following actions should the nurse take first? - Answer-✅Check the pt's vital signs
- It is possible that the client's nausea is secondary to digoxin toxicity. By obtaining vital
signs, the nurse can assess for bradycardia, which is a symptom of digoxin toxicity. The
nurse should withhold the medication and call the provider if the client's heart rate is
less than 60 bpm.
/.A nurse is preparing to administer digoxin 0.25 mg PO daily. The amount available is
digoxin 0.125 mg tablets. How many tablets should the nurse administer? - Answer-✅2
/.A nurse is reviewing the medication list for a pt who has a new prescription for
warfarin. The nurse should recognize that which of the following medications is
incompatible with warfarin? - Answer-✅Vitamin K
- These two medications are not compatible. Vitamin K antagonizes the action of
warfarin and is the antidote for warfarin toxicity.
/.A nurse is providing teaching to a pt who has hypertension and a new prescription for
verapamil. Which of the following beverages should the nurse tell the pt to avoid while
taking this medication? - Answer-✅Grapefruit juice
- Grapefruit juice increases blood levels of verapamil, a calcium channel blocker, by
inhibiting its metabolism. The excess amount of medication can intensify the
medication's hypotensive effects, putting the client at risk for syncope and dizziness.
/.A nurse is caring for a pt who is receiving heparin by continuous IV infusion. Which of
the following medications should the nurse plan to administer in the event of an
overdose? - Answer-✅Protamine
And Answers
/. A nurse is teaching a client who has a new prescription for transdermal nitroglycerin to
treat angina pectoris. Which of the following instructions should the nurse include in the
teaching? - Answer-✅Apply the transdermal patch in the morning
-The client should apply the patch every morning and leave it in place for a 12 to 14 hr,
then remove it in the evening.
/.A nurse is teaching a client who has angina pectoris about starting therapy with SL
nitroglycerin tablets. The nurse should include which of the following instructions
regarding how to take the medication? - Answer-✅Take one tablet at the first indication
of chest pain
- do not wait until chest pain is severe
/.A nurse is preparing to administer metoprolol 5 mg IV bolus to a client for heart rate
control. Available is metoprolol injection 1 mg/mL. How many mL should the nurse
administer per dose? - Answer-✅5
/.A nurse is assessing an older adult pt who is receiving digoxin. The nurse should
recognize that which of the following findings is a manifestation of digoxin toxicity? -
Answer-✅Anorexia
- vomiting, confusion, headache, and vision changes are also manifestations of digoxin
toxicity
/.A nurse is providing teaching for a pt who has hypertension and a prescription change
from metoprolol to metoprolol/hydrochlorothiazide. Which of the following statements by
the pt indicates an understanding of the teaching? - Answer-✅With the new medication,
I should experience fewer side effects.
- The client has stated an understanding of the purpose of the addition of the
hydrochlorothiazide (HCTZ) to the metoprolol dosage. When used in combination with
thiazide diuretics, a lower dose of the beta-blocker can be used. The benefit is there are
fewer side effects when beta-blockers (and other antihypertensives) are used in lower
dosages.
/.A nurse is caring for a pt who has heart failure and a prescription for digoxin. Which of
the following statements by the pt indicate an adverse effect of the medication? -
Answer-✅I feel nauseated and have no appetite
- Anorexia, nausea, vomiting, and abdominal discomfort are early signs of digoxin
toxicity.
, /.A nurse in a provider's clinic is assessing a pt who takes sublingual nitroglycerin for
stable angina. The pt reports getting a headache each time he takes the medication.
Which of the following statements should the nurse make? - Answer-✅Try taking a mild
analgesic to relieve the headache
/.A nurse is caring for a pt who is on warfarin therapy for atrial fibrillation. The pt's INR is
5.2. Which of the following medications should the nurse prepare to administer? -
Answer-✅Vitamin K
- reverses the effects of warfarin
/.A nurse in the emergency department is caring for a pt who took 3 nitroglycerin tablets
sublingually for chest pain. The pt reports relief from the chest pain but now he is
experiencing a headache. Which of the following statements should the nurse make? -
Answer-✅A headache is an expected adverse effect of the medication
- The vasodilation nitroglycerin induces increases blood flow to the head and typically
results in a headache.
/.A nurse is caring for a pt who has congestive heart failure and is taking digoxin daily.
The pt refused breakfast and is complaining of nausea and weakness. Which of the
following actions should the nurse take first? - Answer-✅Check the pt's vital signs
- It is possible that the client's nausea is secondary to digoxin toxicity. By obtaining vital
signs, the nurse can assess for bradycardia, which is a symptom of digoxin toxicity. The
nurse should withhold the medication and call the provider if the client's heart rate is
less than 60 bpm.
/.A nurse is preparing to administer digoxin 0.25 mg PO daily. The amount available is
digoxin 0.125 mg tablets. How many tablets should the nurse administer? - Answer-✅2
/.A nurse is reviewing the medication list for a pt who has a new prescription for
warfarin. The nurse should recognize that which of the following medications is
incompatible with warfarin? - Answer-✅Vitamin K
- These two medications are not compatible. Vitamin K antagonizes the action of
warfarin and is the antidote for warfarin toxicity.
/.A nurse is providing teaching to a pt who has hypertension and a new prescription for
verapamil. Which of the following beverages should the nurse tell the pt to avoid while
taking this medication? - Answer-✅Grapefruit juice
- Grapefruit juice increases blood levels of verapamil, a calcium channel blocker, by
inhibiting its metabolism. The excess amount of medication can intensify the
medication's hypotensive effects, putting the client at risk for syncope and dizziness.
/.A nurse is caring for a pt who is receiving heparin by continuous IV infusion. Which of
the following medications should the nurse plan to administer in the event of an
overdose? - Answer-✅Protamine
