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RNSG 1301 FINAL TEST BANK EXAM ALL WITH 300
QUESTIONS AND CORRECT DETAILED SOLUTIONS
JUST RELEASED THIS YEAR LATEST UPDATE
RNSG 1301 FINAL EXAM A
Initial drug therapy for newly dx HTN for nonblacks, blacks, <18, CKD - CORRECT
ANSWER✔✔Non blacks including diabetics: Thiazide diuretics, the calcium channel blockers,
ACE, ARB
Blacks including diabetics: Thiazide siuretics or calcium channel blockers
Pt <18 or w/CKD: ACE OR ARB
Question: Adverse effects of diltiazem - CORRECT ANSWER✔✔Dizziness, flushing, headaches,
peripheral edema, bradycardia, heart blocks, light head, atrioventricular block, nausea
Question: What increases the risk of drug toxicity w/calcium channel blockers - CORRECT
ANSWER✔✔Cyclosporine if taken with/Dilitazem has a potentially serious effect to note is an
increased in serum levels and toxicity
Question: Pt edu that should be included when administering sustained-release
antihypertensive drugs? - CORRECT ANSWER✔✔Swallow the drug whole, do not cut, chew of
crush to avoid potential for excessive dosing if these drugs are inappropriately cut
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Question: Nursing priority action for digoxin toxicity - CORRECT ANSWER✔✔Administer digoxin
immune fab (Digifab) IV to reverse effects
Question: What should a pt avails when taking Digoxin - CORRECT ANSWER✔✔Ginseng,
Hawthorne, licorice reports increased risk of digoxin toxicity.
St. John's wort and psyllium have been shown to decrease effective of digoxin and should be
avoided
Question: Identify human b-type natriuretic peptides - CORRECT ANSWER✔✔Nesiritide
(Natrecor) is the only drug currently available in a class of drugs called human b-type natriuretic
peptides
Question: An allergy to what is contraindicated in pts taking milrinone - CORRECT
ANSWER✔✔Phosphodiesterase inhibitors and or bisulfites to avoid hypersensitivity
Question: Side effects of disopyramide (Norpace) - CORRECT ANSWER✔✔CNS: dizzy, drowsy,
fatigue, twitching, mouth numbness, slurred speech, vision change, tremors that can progress
to convulsions
GI: change in tase, NV
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Cardiovascular: arrhythmia a including heart block, hypotension, vasodilation, potential cardiac
arrest
Respiratory: depression progressing to respiratory arrests
Other: rash, hypersensitivity reactions, loss of hair, potential bone marrow depression, urinary
retention, dry mouth, constipation
Question: What to continuously monitor when administering an anti arrhythmic agent? -
CORRECT ANSWER✔✔Cardiac rate and rhythm
Question: Pt edu when administering quinidine - CORRECT ANSWER✔✔A avoid foods that
alkalinize the urine due to this drug needing slightly acidic urine for excretion. These foods
include: citrus juices, vegetables, antacids, milk products; these can lease to increased quinidine
levels
Grapefruit should also be avoided
Question: Class II antiarrhythmics are contraindicated in pts with what health hx - CORRECT
ANSWER✔✔Sinus Bradycardia (rate <45 bpm), AV block, cardiogenic shock, HF, asthma,
respiratory depression, pregnancy and lactation
Question: Pt edu when administering sublingual nitroglycerin - CORRECT ANSWER✔✔Place one
tab under tongue. DO NOT SWALLOW until tab has dissolved. The tab should burn/fizzle slightly
under tongue, if not the tab will not be effective and you should get a fresh supply. Usually
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relieves pain in 3-5min. If pain is not relieved in 5mins take another tab. A total of (typically) 3
tabs maybe used spaces 5mins apart. If pain still not relieved contact pcp/911.
Ideally take tabs before chest pain begins esp of know a certain activity causes this pain
Question: Onset action of metoprolol - CORRECT ANSWER✔✔Oral: 15mins
IV: Immediate
Question: Mechanism of action for beta blockers - CORRECT ANSWER✔✔Competitively block
beta-adrenergic receptors in the heart and juxtaglomerular apparatus. Decreasing the influence
of the sympathetic nervous system on the tissues. The result is a decrease in excitability of the
heart, decreased CO, decreased cardiac O2 consumption and decreased BP
Question: Pt edu to include when administering Atotvastatin (Lipitor) - CORRECT
ANSWER✔✔Avoid grapefruit juice it alters metabolism of the drug leading to increased serum
levels and increased risk for adverse effects such as rhabdomyolysis.
Can be taken anytime of day
Edu dietary changes to reduce weight and cholesterol such as low calorie low saturated fat diet
and exercise program
Inform women of childbearing age of potential harm to fetus should they become pregnant
Question: Adverse effects of lovastatin - CORRECT ANSWER✔✔GI: flatulance, abdominal
cramping/pain, NV, constipation.
RNSG 1301 FINAL TEST BANK EXAM ALL WITH 300
QUESTIONS AND CORRECT DETAILED SOLUTIONS
JUST RELEASED THIS YEAR LATEST UPDATE
RNSG 1301 FINAL EXAM A
Initial drug therapy for newly dx HTN for nonblacks, blacks, <18, CKD - CORRECT
ANSWER✔✔Non blacks including diabetics: Thiazide diuretics, the calcium channel blockers,
ACE, ARB
Blacks including diabetics: Thiazide siuretics or calcium channel blockers
Pt <18 or w/CKD: ACE OR ARB
Question: Adverse effects of diltiazem - CORRECT ANSWER✔✔Dizziness, flushing, headaches,
peripheral edema, bradycardia, heart blocks, light head, atrioventricular block, nausea
Question: What increases the risk of drug toxicity w/calcium channel blockers - CORRECT
ANSWER✔✔Cyclosporine if taken with/Dilitazem has a potentially serious effect to note is an
increased in serum levels and toxicity
Question: Pt edu that should be included when administering sustained-release
antihypertensive drugs? - CORRECT ANSWER✔✔Swallow the drug whole, do not cut, chew of
crush to avoid potential for excessive dosing if these drugs are inappropriately cut
, Page 2 of 58
Question: Nursing priority action for digoxin toxicity - CORRECT ANSWER✔✔Administer digoxin
immune fab (Digifab) IV to reverse effects
Question: What should a pt avails when taking Digoxin - CORRECT ANSWER✔✔Ginseng,
Hawthorne, licorice reports increased risk of digoxin toxicity.
St. John's wort and psyllium have been shown to decrease effective of digoxin and should be
avoided
Question: Identify human b-type natriuretic peptides - CORRECT ANSWER✔✔Nesiritide
(Natrecor) is the only drug currently available in a class of drugs called human b-type natriuretic
peptides
Question: An allergy to what is contraindicated in pts taking milrinone - CORRECT
ANSWER✔✔Phosphodiesterase inhibitors and or bisulfites to avoid hypersensitivity
Question: Side effects of disopyramide (Norpace) - CORRECT ANSWER✔✔CNS: dizzy, drowsy,
fatigue, twitching, mouth numbness, slurred speech, vision change, tremors that can progress
to convulsions
GI: change in tase, NV
, Page 3 of 58
Cardiovascular: arrhythmia a including heart block, hypotension, vasodilation, potential cardiac
arrest
Respiratory: depression progressing to respiratory arrests
Other: rash, hypersensitivity reactions, loss of hair, potential bone marrow depression, urinary
retention, dry mouth, constipation
Question: What to continuously monitor when administering an anti arrhythmic agent? -
CORRECT ANSWER✔✔Cardiac rate and rhythm
Question: Pt edu when administering quinidine - CORRECT ANSWER✔✔A avoid foods that
alkalinize the urine due to this drug needing slightly acidic urine for excretion. These foods
include: citrus juices, vegetables, antacids, milk products; these can lease to increased quinidine
levels
Grapefruit should also be avoided
Question: Class II antiarrhythmics are contraindicated in pts with what health hx - CORRECT
ANSWER✔✔Sinus Bradycardia (rate <45 bpm), AV block, cardiogenic shock, HF, asthma,
respiratory depression, pregnancy and lactation
Question: Pt edu when administering sublingual nitroglycerin - CORRECT ANSWER✔✔Place one
tab under tongue. DO NOT SWALLOW until tab has dissolved. The tab should burn/fizzle slightly
under tongue, if not the tab will not be effective and you should get a fresh supply. Usually
, Page 4 of 58
relieves pain in 3-5min. If pain is not relieved in 5mins take another tab. A total of (typically) 3
tabs maybe used spaces 5mins apart. If pain still not relieved contact pcp/911.
Ideally take tabs before chest pain begins esp of know a certain activity causes this pain
Question: Onset action of metoprolol - CORRECT ANSWER✔✔Oral: 15mins
IV: Immediate
Question: Mechanism of action for beta blockers - CORRECT ANSWER✔✔Competitively block
beta-adrenergic receptors in the heart and juxtaglomerular apparatus. Decreasing the influence
of the sympathetic nervous system on the tissues. The result is a decrease in excitability of the
heart, decreased CO, decreased cardiac O2 consumption and decreased BP
Question: Pt edu to include when administering Atotvastatin (Lipitor) - CORRECT
ANSWER✔✔Avoid grapefruit juice it alters metabolism of the drug leading to increased serum
levels and increased risk for adverse effects such as rhabdomyolysis.
Can be taken anytime of day
Edu dietary changes to reduce weight and cholesterol such as low calorie low saturated fat diet
and exercise program
Inform women of childbearing age of potential harm to fetus should they become pregnant
Question: Adverse effects of lovastatin - CORRECT ANSWER✔✔GI: flatulance, abdominal
cramping/pain, NV, constipation.
