Cardiovascular Medications NCLEX Exam
Questions And Answers 100%
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 sign is most important for the nurse to check before
administering the medication?
A) Heart Rate
B) Temperature
C) Respirations
D) Blood Pressure
A
The nurse is caring for a client who has been prescribed furosemide and is
monitoring for adverse effects associated with this medication. Which should the
nurse recognize as potential adverse effects? Select All That Apply
A) Nausea
B) Tinnitus
C) Hypotension
D) Hypokalemia
E) Photosensitivity
F) Increased Urinary Frequency
B, C, D
The nurse provides medication instructions to an older hypertension client who
is taking 20 mg of lisinopril orally daily. The nurse evaluates the need for further
teaching when the client makes which statement?
A) I can skip a dose once a week
B) I need to change my position slowly
C) I take the pill after breakfast each day
D) If I get a bad headache, I should call my HCP immediately
A
A client complaining of not feeling well is seen in a clinic. The client is taking
several medications for the control of heart disease and hypertension. These
medications include a beta blocker, digoxin, and a diuretic. A tentative diagnosis
of digoxin toxicity is made. Which assessment data supports this diagnosis?
A) Dyspnea, Edema, and Palpitations
B) Chest Pain, Hypotension, and Paresthesia
C) Double Vision, Loss of Appetite, and Nausea
D) Constipation, Dry Mouth, and Sleep Disorder
C
A client is being treated for acute heart failure with intravenously administered
bumetanide. The vital signs are as follows: Blood Pressure, 100/60 mm Hg; pulse,
96 beats per minute; and respirations, 24 breaths per minute. After the initial
dose, which is the priority assessment?
A) Monitoring Weight Loss
B) Monitoring Temperature
C) Monitoring Blood Pressure
D) Monitoring Potassium Level
C
A client is diagnosed with pulmonary embolism and is to be treated with
thrombolytic therapy. The nurse should report which priority data collection
Questions And Answers 100%
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 sign is most important for the nurse to check before
administering the medication?
A) Heart Rate
B) Temperature
C) Respirations
D) Blood Pressure
A
The nurse is caring for a client who has been prescribed furosemide and is
monitoring for adverse effects associated with this medication. Which should the
nurse recognize as potential adverse effects? Select All That Apply
A) Nausea
B) Tinnitus
C) Hypotension
D) Hypokalemia
E) Photosensitivity
F) Increased Urinary Frequency
B, C, D
The nurse provides medication instructions to an older hypertension client who
is taking 20 mg of lisinopril orally daily. The nurse evaluates the need for further
teaching when the client makes which statement?
A) I can skip a dose once a week
B) I need to change my position slowly
C) I take the pill after breakfast each day
D) If I get a bad headache, I should call my HCP immediately
A
A client complaining of not feeling well is seen in a clinic. The client is taking
several medications for the control of heart disease and hypertension. These
medications include a beta blocker, digoxin, and a diuretic. A tentative diagnosis
of digoxin toxicity is made. Which assessment data supports this diagnosis?
A) Dyspnea, Edema, and Palpitations
B) Chest Pain, Hypotension, and Paresthesia
C) Double Vision, Loss of Appetite, and Nausea
D) Constipation, Dry Mouth, and Sleep Disorder
C
A client is being treated for acute heart failure with intravenously administered
bumetanide. The vital signs are as follows: Blood Pressure, 100/60 mm Hg; pulse,
96 beats per minute; and respirations, 24 breaths per minute. After the initial
dose, which is the priority assessment?
A) Monitoring Weight Loss
B) Monitoring Temperature
C) Monitoring Blood Pressure
D) Monitoring Potassium Level
C
A client is diagnosed with pulmonary embolism and is to be treated with
thrombolytic therapy. The nurse should report which priority data collection
