NUR 600 EXAM 3-1 QUESTIONS AND
ANSWERS WITH COMPLETE
SOLUTIONS 100% CORRECT (GRADED
A+)
Question 1
What are the most common adverse effects associated with the administration of
organic nitrates?
✔✔ Orthostatic (postural) hypotension, cutaneous flushing, severe headache,
and syncope (fainting).
Question 2
What is the proper protocol for administering sublingual nitroglycerin tablets to a
patient experiencing acute chest pain (angina)?
✔✔ Place a single tablet underneath the patient's tongue. If the discomfort
persists, the dose can be repeated every 5 minutes for a maximum sequence of
three total tablets or until the chest pain resolves.
Question 3
Which administration practices are strictly contraindicated or incorrect when
managing a patient's care with nitroglycerin?
✔✔ It is incorrect to assume transdermal routes are universally inappropriate
for all indications, to swallow sublingual preparations, or to administer two
individual tablets concurrently at the exact same time.
Question 4
In which distinct pathological processes and disease states is the renin-angiotensin-
aldosterone system (RAAS) heavily implicated?
✔✔ The RAAS plays a major regulatory role in both cardiovascular and
renal disease pathways. Key examples include systemic hypertension, chronic
heart failure, left ventricular hypertrophy, valvular heart disorders, and
progressive renal failure.
, CHF (class I) -ANSWER.......Cardiac disease. No limitation of physical activity.
CHF (class II) -ANSWER.......Slight limitation of physical activity
CHF (class III) -ANSWER.......Marked limitation of physical activity
Class IV -ANSWER.......Unable to carry on physical activity without discomfort
CHF class A -ANSWER.......No need to restrict physical activity
CHF class B -ANSWER.......Advise against unusual, severe or competitive efforts
CHF class 3 -ANSWER.......Ordinary physical activity, moderate restricted and
more strenuous habits arr discontinue.
CHF class D -ANSWER.......Ordinary activities, Markley restricted
CHF class E -ANSWER.......Complete rest, in bed or chair
What are the symptoms of heart failure? -ANSWER.......Accumulation of fluids in
the lungs due to L side heart failure. Dyspnea, tachypnea, orthopnea, increased
jugular venous pressure, liver enlargement.
First line treatment of HF -ANSWER.......ACEI/ARB
Beta-blocker
ANSWERS WITH COMPLETE
SOLUTIONS 100% CORRECT (GRADED
A+)
Question 1
What are the most common adverse effects associated with the administration of
organic nitrates?
✔✔ Orthostatic (postural) hypotension, cutaneous flushing, severe headache,
and syncope (fainting).
Question 2
What is the proper protocol for administering sublingual nitroglycerin tablets to a
patient experiencing acute chest pain (angina)?
✔✔ Place a single tablet underneath the patient's tongue. If the discomfort
persists, the dose can be repeated every 5 minutes for a maximum sequence of
three total tablets or until the chest pain resolves.
Question 3
Which administration practices are strictly contraindicated or incorrect when
managing a patient's care with nitroglycerin?
✔✔ It is incorrect to assume transdermal routes are universally inappropriate
for all indications, to swallow sublingual preparations, or to administer two
individual tablets concurrently at the exact same time.
Question 4
In which distinct pathological processes and disease states is the renin-angiotensin-
aldosterone system (RAAS) heavily implicated?
✔✔ The RAAS plays a major regulatory role in both cardiovascular and
renal disease pathways. Key examples include systemic hypertension, chronic
heart failure, left ventricular hypertrophy, valvular heart disorders, and
progressive renal failure.
, CHF (class I) -ANSWER.......Cardiac disease. No limitation of physical activity.
CHF (class II) -ANSWER.......Slight limitation of physical activity
CHF (class III) -ANSWER.......Marked limitation of physical activity
Class IV -ANSWER.......Unable to carry on physical activity without discomfort
CHF class A -ANSWER.......No need to restrict physical activity
CHF class B -ANSWER.......Advise against unusual, severe or competitive efforts
CHF class 3 -ANSWER.......Ordinary physical activity, moderate restricted and
more strenuous habits arr discontinue.
CHF class D -ANSWER.......Ordinary activities, Markley restricted
CHF class E -ANSWER.......Complete rest, in bed or chair
What are the symptoms of heart failure? -ANSWER.......Accumulation of fluids in
the lungs due to L side heart failure. Dyspnea, tachypnea, orthopnea, increased
jugular venous pressure, liver enlargement.
First line treatment of HF -ANSWER.......ACEI/ARB
Beta-blocker
