Cardiovascular Medications NCLEX
The nurse reinforces instructions to a client who is prescribed warfarin. What statement made by the
client indicates a need for further teaching?
A) I will take my pills everyday at the same time
B) I will be certain to avoid alcohol consumption
C) My family has already been notified to pick up a medic-alert bracelet
D) I will take ecotrin (enteric-coated) aspirin since it is coated
D.
A client is receiving digoxin daily. The nurse suspects digoxin toxicity after collecting data, noting which
signs and symptoms? Select All that Apply
A) Visual Disturbances
B) Nausea and Vomiting
C) Serum digoxin level of 2.3ng/mL
D) Serum potassium level of 3.9
E) Apical pulse rate of 63 beats per minute
A, B, and C
Heparin sodium is prescribed for the client. Which labroratory result indicates that the heparin is
prescribed at a therapeutic level?
A) PT of 21 seconds
B) Thrombocyte count of 100,000 cells/mm3
C) INR of 2.3
,D) aPTT of 55 seconds
C
The nurse is monitoring a client who is taking propranolol. Which data collection finding would indicate
a potential serious complication associated with propranolol?
The development of audible expiratory wheezes
Isosorbide mononitrate (Imdur) is prescribed for a client with angina pectoris. The client tells the nurse
that the medication is causing a chronic headache. Which action should the nurse suggest to the client?
Take the medication with food
A client is diagnosed with an acute myocardial infarction and is receiving tissue plasminogen activator,
alteplase. Which action is a priority nursing intervention?
Monitor for signs of bleeding
A client with coronary artery disease complains of substernal chest pain. After checking the client's heart
rate and blood pressure, the nurse administers nitroglycerin, 0.4 mg, sublingually. After 5 minutes, the
client states, "My chest still hurts." Which appropriate actions should the nurse take? Select all that
apply
Contact the RN
Collect more data on the client's pain level
Check the client's blood pressure
Administer a second nitroglycerin, 0.4 mg, sublingually
,The home health care nurse is visiting a client with elevated triglyceride levels and a serum cholesterol
level of 398 mg/dL. the client is taking cholestyramine (Questran). Which statement made by the client
indicates the need for further teaching?
I will continue my nicotinic acid from the health food store
A client is on nicotinic acid for hyperlipidemia, and the nurse reinforces instructions to the client about
the medication. Which statement by the client indicates an understanding of the instructions?
Ibuprofen taken 30 minutes before the nicotinic acid should decrease the flushing
The nurse is planning to administer hydrochlorothiazide to a client. Which are concerns related to the
administration of the medication?
Hypokalemia
Hyperglycemia
Sulfa Allergy
A client with diabetes mellitus who has been controlled with daily insulin has been placed on atenolol
(Tenormin) for the control of angina pectoris. Because of the effects of atenolol, the nurse determines
that which is the most reliable indicator of hypoglycemia?
Low Blood Glucose Level
A client who is taking hydrochlorothiazide has been started on triamterene as well. The client asks the
nurse why both medications are required. Which response by the nurse is the most accurate to give to
the client?
A) Both are weak potassium excreting diuretics
, B) The combination of these medications prevents renal toxicity
C) Hydrochlorothiazide is an expensive medication, so using combination of diuretics is cost-effective
D) Triamterene is a potassium-retaining diuretic, whereas hydrochlorothiazide is a potassium excreting
diuretic
D
A client who has begun taking fosinopril is very distressed, telling the nurse that he cannot taste food
normally since beginning the medication 2 weeks ago. Which suggestion would provide the best support
for the client?
A) Tell the client not to take the medication with food
B) Suggest that the client taper the dose until taste returns to normal
C) Inform the client that impaired taste is expected and generally goes away in 2-3 months
D) Tell the client that a request will be made to the HCP to change the prescription
C
The nurse is planning to administer amlodipine to a client. The nurse should plan to check which before
giving the medication?
A) Respiratory Rate
B) Blood Pressure and Heart Rate
C) Heart Rate and Respiratory Rate
D) Level of Consciousness and Blood Pressure
B
The nurse is preparing to administer digoxin 0.125 mg orally, to a client with heart failure. Which vital
The nurse reinforces instructions to a client who is prescribed warfarin. What statement made by the
client indicates a need for further teaching?
A) I will take my pills everyday at the same time
B) I will be certain to avoid alcohol consumption
C) My family has already been notified to pick up a medic-alert bracelet
D) I will take ecotrin (enteric-coated) aspirin since it is coated
D.
A client is receiving digoxin daily. The nurse suspects digoxin toxicity after collecting data, noting which
signs and symptoms? Select All that Apply
A) Visual Disturbances
B) Nausea and Vomiting
C) Serum digoxin level of 2.3ng/mL
D) Serum potassium level of 3.9
E) Apical pulse rate of 63 beats per minute
A, B, and C
Heparin sodium is prescribed for the client. Which labroratory result indicates that the heparin is
prescribed at a therapeutic level?
A) PT of 21 seconds
B) Thrombocyte count of 100,000 cells/mm3
C) INR of 2.3
,D) aPTT of 55 seconds
C
The nurse is monitoring a client who is taking propranolol. Which data collection finding would indicate
a potential serious complication associated with propranolol?
The development of audible expiratory wheezes
Isosorbide mononitrate (Imdur) is prescribed for a client with angina pectoris. The client tells the nurse
that the medication is causing a chronic headache. Which action should the nurse suggest to the client?
Take the medication with food
A client is diagnosed with an acute myocardial infarction and is receiving tissue plasminogen activator,
alteplase. Which action is a priority nursing intervention?
Monitor for signs of bleeding
A client with coronary artery disease complains of substernal chest pain. After checking the client's heart
rate and blood pressure, the nurse administers nitroglycerin, 0.4 mg, sublingually. After 5 minutes, the
client states, "My chest still hurts." Which appropriate actions should the nurse take? Select all that
apply
Contact the RN
Collect more data on the client's pain level
Check the client's blood pressure
Administer a second nitroglycerin, 0.4 mg, sublingually
,The home health care nurse is visiting a client with elevated triglyceride levels and a serum cholesterol
level of 398 mg/dL. the client is taking cholestyramine (Questran). Which statement made by the client
indicates the need for further teaching?
I will continue my nicotinic acid from the health food store
A client is on nicotinic acid for hyperlipidemia, and the nurse reinforces instructions to the client about
the medication. Which statement by the client indicates an understanding of the instructions?
Ibuprofen taken 30 minutes before the nicotinic acid should decrease the flushing
The nurse is planning to administer hydrochlorothiazide to a client. Which are concerns related to the
administration of the medication?
Hypokalemia
Hyperglycemia
Sulfa Allergy
A client with diabetes mellitus who has been controlled with daily insulin has been placed on atenolol
(Tenormin) for the control of angina pectoris. Because of the effects of atenolol, the nurse determines
that which is the most reliable indicator of hypoglycemia?
Low Blood Glucose Level
A client who is taking hydrochlorothiazide has been started on triamterene as well. The client asks the
nurse why both medications are required. Which response by the nurse is the most accurate to give to
the client?
A) Both are weak potassium excreting diuretics
, B) The combination of these medications prevents renal toxicity
C) Hydrochlorothiazide is an expensive medication, so using combination of diuretics is cost-effective
D) Triamterene is a potassium-retaining diuretic, whereas hydrochlorothiazide is a potassium excreting
diuretic
D
A client who has begun taking fosinopril is very distressed, telling the nurse that he cannot taste food
normally since beginning the medication 2 weeks ago. Which suggestion would provide the best support
for the client?
A) Tell the client not to take the medication with food
B) Suggest that the client taper the dose until taste returns to normal
C) Inform the client that impaired taste is expected and generally goes away in 2-3 months
D) Tell the client that a request will be made to the HCP to change the prescription
C
The nurse is planning to administer amlodipine to a client. The nurse should plan to check which before
giving the medication?
A) Respiratory Rate
B) Blood Pressure and Heart Rate
C) Heart Rate and Respiratory Rate
D) Level of Consciousness and Blood Pressure
B
The nurse is preparing to administer digoxin 0.125 mg orally, to a client with heart failure. Which vital
