Page 1 of 59
RNSG 1301 FINAL STUDY GUIDE EXAM LATEST
VERSION THIS YEAR ALL WITH COMPLETE 300
QUESTIONS AND CORRECT ANSWERS WITH
RATIONALES JUST RELEASED ALREADY
GRADED!!!
RNSG 1301 PRACTICE QUESTIONS FOR FINAL EXAM
Question: A client has been prescribed losartan for hypertension. What client teaching points
should the nurse include about this drug?
A. "Report onset of a fever or persistent cough to your health care provider."
B. "Limit your fluid intake to decrease urinary output, if this becomes problematic for you."
C. Monitor your blood pressure once a week and make sure to record the results."
D. "Take the drug late in the day to prevent sleepiness." - CORRECT ANSWER✔✔A: Losartan is
an angiotensin II-receptor blocker (ARB) that is associated with a cough, back pain, fever, muscle
weakness, and upper respiratory tract infections, so the client should be taught to report a fever
or cough to the health care provider. Fluid intake should be normal. The drug is best taken in the
morning. Blood pressure should be monitored daily, especially when first starting the drug,
when adverse effects are not yet known. (Page 743).
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Question: What is the priority nursing assessment for a client who is about to begin digoxin
therapy?
A. Blood glucose levels
B. Neurological function
C. Kidney function
D. Liver function - CORRECT ANSWER✔✔C: Digoxin is primarily excreted unchanged in the urine,
so caution should be exercised if renal impairment is present. Blood glucose levels and
neurological and liver function would not be a priority assessment related to digoxin therapy.
(page 768)
Question: The nurse is educating a client who has been prescribed digoxin. The nurse knows
that the client occasionally uses herbal supplements and other alternative therapies. What herb
would the nurse warn the client to avoid taking with digoxin?
A. Black cohost
B. Ginseng
C. Saw palmetto
D. Valerian - CORRECT ANSWER✔✔B: Digoxin toxicity can occur if the drug is taken concurrently
with licorice, ginseng, or hawthorn. St. John's wort and psyllium have been shown to decrease
the effectiveness of digoxin, so that combination should be avoided. There is not drug-to-drug
interaction with black cohosh, saw palmetto, or valerian. (page 764)
Question: The nurse is providing drug teaching about quinidine in preparation for the client's
discharge. What dietary guidelines should the nurse provide to the client?
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A. "Avoid citrus juices and dairy products."
B. "If possible, drink 2 to 3 quarts of fluids per day."
C. "Avoid any processed food that contains added sodium."
D. "In general, avoid any food that has been fermented, pickled, or aged." - CORRECT
ANSWER✔✔D: Verapamil should be avoided in children and, if ordered, would require the
nurse to question the drug. Adenosine, propranolol, procainamide, and digoxin have been
successfully used to treat supraventricular arrhythmias, with propranolol and digoxin being the
drugs of choice for long-term management. (page 780)
Question: A 49-year-old client is admitted with uncontrolled chest pain. The client is currently
taking nitroglycerin. The health care provider adds nifedipine to the client's regimen. The nurse
should observe the client for what adverse effects?
A. Hypokalemia
B. Renal insufficiency
C. Hypotension
D. Hypoglycemia - CORRECT ANSWER✔✔D: Verapamil should be avoided in children and, if
ordered, would require the nurse to question the drug. Adenosine, propranolol, procainamide,
and digoxin have been successfully used to treat supraventricular arrhythmias, with propranolol
and digoxin being the drugs of choice for long-term management. (page 780)
Question: A 49-year-old client is admitted with uncontrolled chest pain. The client is currently
taking nitroglycerin. The health care provider adds nifedipine to the client's regimen. The nurse
should observe the client for what adverse effects?
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A. Hypokalemia
B. Renal insufficiency
C. Hypotension
D. Hypoglycemia - CORRECT ANSWER✔✔C: Both nitroglycerin and nifedipine have hypotension
as a potential adverse effect, so frequent assessment of blood pressure is important. Other
cardiovascular effects include bradycardia, peripheral edema, and heart block. Skin effects
include flushing and rash. Adverse effects do not include renal insufficiency, hypokalemia, or
hypoglycemia. (page 799)
Question: When providing client education about nitroglycerin to the client, what should the
nurse include in the teaching plan about a nitroglycerin patch? - CORRECT ANSWER✔✔C:
Transdermal nitroglycerin has a long 24-hour duration of action compared with the sublingual
form that lasts 30 to 60 minutes or oral tablets that last 8 to 12 hours. Transdermal patches are
neither more nor less effective, but rather it is the speed of onset and duration of action that
differ. (page 799)
Question: The nurse is preparing a client for discharge who will receive a prescription for a
hydroxymethylglutaryl-coenzume A (HMG-CoA) inhibitor. What statement by the client
demonstrates a clear understanding of the teaching provided by the nurse?
A. "I will not need to follow that low-fat diet anymore because this drug will take care of my
lipids."
B. "I should plan to take this drug before bedtime, because my body makes lipids mostly at
night."
C. "After I start taking this drug, I can scale back the exercise routine the doctor prescribed."
4
SUCCESS!
RNSG 1301 FINAL STUDY GUIDE EXAM LATEST
VERSION THIS YEAR ALL WITH COMPLETE 300
QUESTIONS AND CORRECT ANSWERS WITH
RATIONALES JUST RELEASED ALREADY
GRADED!!!
RNSG 1301 PRACTICE QUESTIONS FOR FINAL EXAM
Question: A client has been prescribed losartan for hypertension. What client teaching points
should the nurse include about this drug?
A. "Report onset of a fever or persistent cough to your health care provider."
B. "Limit your fluid intake to decrease urinary output, if this becomes problematic for you."
C. Monitor your blood pressure once a week and make sure to record the results."
D. "Take the drug late in the day to prevent sleepiness." - CORRECT ANSWER✔✔A: Losartan is
an angiotensin II-receptor blocker (ARB) that is associated with a cough, back pain, fever, muscle
weakness, and upper respiratory tract infections, so the client should be taught to report a fever
or cough to the health care provider. Fluid intake should be normal. The drug is best taken in the
morning. Blood pressure should be monitored daily, especially when first starting the drug,
when adverse effects are not yet known. (Page 743).
1
SUCCESS!
,Page 2 of 59
Question: What is the priority nursing assessment for a client who is about to begin digoxin
therapy?
A. Blood glucose levels
B. Neurological function
C. Kidney function
D. Liver function - CORRECT ANSWER✔✔C: Digoxin is primarily excreted unchanged in the urine,
so caution should be exercised if renal impairment is present. Blood glucose levels and
neurological and liver function would not be a priority assessment related to digoxin therapy.
(page 768)
Question: The nurse is educating a client who has been prescribed digoxin. The nurse knows
that the client occasionally uses herbal supplements and other alternative therapies. What herb
would the nurse warn the client to avoid taking with digoxin?
A. Black cohost
B. Ginseng
C. Saw palmetto
D. Valerian - CORRECT ANSWER✔✔B: Digoxin toxicity can occur if the drug is taken concurrently
with licorice, ginseng, or hawthorn. St. John's wort and psyllium have been shown to decrease
the effectiveness of digoxin, so that combination should be avoided. There is not drug-to-drug
interaction with black cohosh, saw palmetto, or valerian. (page 764)
Question: The nurse is providing drug teaching about quinidine in preparation for the client's
discharge. What dietary guidelines should the nurse provide to the client?
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A. "Avoid citrus juices and dairy products."
B. "If possible, drink 2 to 3 quarts of fluids per day."
C. "Avoid any processed food that contains added sodium."
D. "In general, avoid any food that has been fermented, pickled, or aged." - CORRECT
ANSWER✔✔D: Verapamil should be avoided in children and, if ordered, would require the
nurse to question the drug. Adenosine, propranolol, procainamide, and digoxin have been
successfully used to treat supraventricular arrhythmias, with propranolol and digoxin being the
drugs of choice for long-term management. (page 780)
Question: A 49-year-old client is admitted with uncontrolled chest pain. The client is currently
taking nitroglycerin. The health care provider adds nifedipine to the client's regimen. The nurse
should observe the client for what adverse effects?
A. Hypokalemia
B. Renal insufficiency
C. Hypotension
D. Hypoglycemia - CORRECT ANSWER✔✔D: Verapamil should be avoided in children and, if
ordered, would require the nurse to question the drug. Adenosine, propranolol, procainamide,
and digoxin have been successfully used to treat supraventricular arrhythmias, with propranolol
and digoxin being the drugs of choice for long-term management. (page 780)
Question: A 49-year-old client is admitted with uncontrolled chest pain. The client is currently
taking nitroglycerin. The health care provider adds nifedipine to the client's regimen. The nurse
should observe the client for what adverse effects?
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A. Hypokalemia
B. Renal insufficiency
C. Hypotension
D. Hypoglycemia - CORRECT ANSWER✔✔C: Both nitroglycerin and nifedipine have hypotension
as a potential adverse effect, so frequent assessment of blood pressure is important. Other
cardiovascular effects include bradycardia, peripheral edema, and heart block. Skin effects
include flushing and rash. Adverse effects do not include renal insufficiency, hypokalemia, or
hypoglycemia. (page 799)
Question: When providing client education about nitroglycerin to the client, what should the
nurse include in the teaching plan about a nitroglycerin patch? - CORRECT ANSWER✔✔C:
Transdermal nitroglycerin has a long 24-hour duration of action compared with the sublingual
form that lasts 30 to 60 minutes or oral tablets that last 8 to 12 hours. Transdermal patches are
neither more nor less effective, but rather it is the speed of onset and duration of action that
differ. (page 799)
Question: The nurse is preparing a client for discharge who will receive a prescription for a
hydroxymethylglutaryl-coenzume A (HMG-CoA) inhibitor. What statement by the client
demonstrates a clear understanding of the teaching provided by the nurse?
A. "I will not need to follow that low-fat diet anymore because this drug will take care of my
lipids."
B. "I should plan to take this drug before bedtime, because my body makes lipids mostly at
night."
C. "After I start taking this drug, I can scale back the exercise routine the doctor prescribed."
4
SUCCESS!
