RNSG 1301 Mid-Term Review 2025

QUESTION 1 RNSG 1301 Mid-Term Review 2025 A man asks a nurse why he cannot use digoxin (Lanoxin) for his heart failure, because both of his parents used it for HF. The nurse will explain that digoxin is not first-line therapy for which reason? a. It causes tachycardia and increases the cardiac workload. ts used it for HF. b. It does not correct the underlying pathology of heart failure. ed it for HF. c. It has a wide therapeutic range that makes dosing difficult. ed it for HF. d. It may actually shorten the patient’s life expectancy. l ed it for HF. 1 points Saved QUESTION 2 A patient with atrial fibrillation is taking verapamil (Calan). The patient has read about the drug on the Internet and wants to know why a drug that affects the rate of ventricular contraction is used to treat an abnormal atrial contraction. What will the nurse tell the patient? nds that the patient? a. “Drugs that treat ventricular dysrhythmias help to restore normal sinus rhythm.” b. “Atrial dysrhythmias can have life-threatening effects on ventricular function.” c. “Treating ventricular dysrhythmias helps prevent the likelihood of stroke.” d. “When ventricular contraction slows, atrial contraction is also slowed.” 1 points Saved QUESTION 3 A patient is taking enalapril (Vasotec). The nurse understands that patients taking this type of drug for heart failure need to be monitored carefully for: a. hypernatremia. b. hypertension. c. hyperkalemia. d. hypokalemia. 1 points Saved QUESTION 4 A nu A nurse provides teaching to a patient with angina who also has type 2 diabetes mellitus, asthma, and hypertension. Which statement by the patient indicates a need for further teaching? a. “An ACE inhibitor, in addition to nitroglycerin, will lower my risk of cardiovascular death.” b. “Beta blockers can help control hypertension.” c. “I should begin regular aerobic exercise.” d. “Long-acting, slow-release calcium channel blockers can help with anginal pain.” 1 points Saved QUESTION 5 A patient A patient with hypertension is admitted to the hospital. On admission the patient’s heart rate is 72 beats per minute, and the blood pressure is 140/95 mm Hg. After administering an antihypertensive medication, the nurse notes a heart rate of 85 beats per minute and a blood pressure of 130/80 mm Hg. What does the nurse expect to occur? a. A decrease in the heart rate back to baseline in 1 to 2 days b. An increase in the blood pressure within a few days c. An increase in potassium retention in 1 to 2 days d. A decrease in fluid retention within a week 1 points Saved QUESTION 6 A hospitalized patient complains of acute chest pain. The nurse administers a 0.3 mg sublingual nitroglycerin tablet, but the patient continues to complain of pain. Vital signs remain stable. What is the nurse’s next step? a. Apply a nitroglycerin transdermal patch. b. Continue dosing at 10-minute intervals. c. Give a second dose of nitroglycerin in 5 minutes. d. Request an order for intravenous nitroglycerin. 1 points Saved QUESTION 7 A patient newly diagnosed with heart failure is admitted to the hospital. The nurse notes a pulse of 90 beats per minute. The nurse will observe this patient closely for: a. shortness of breath. b. increased blood pressure. c. decreased urine output. d. jugular vein distension. 1 points Saved QUESTION 8 Which two classes of antidysrhythmic drugs have nearly identical cardiac effects? a. Beta blockers and calcium channel blockers b. Beta blockers and potassium channel blockers c. Calcium channel blockers and sodium channel blockers d. Sodium channel blockers and potassium channel blockers 1 points Saved QUESTION 9 A nurse is obtaining a medication history on a newly admitted patient, who reports taking minoxidil for hypertension. Admission vital signs reveal a heart rate of 78 beats per minute and a blood pressure of 120/80 mm Hg. What is an important part of the initial assessment for this patient? a. Evaluating ankle edema b. Monitoring for nausea and vomiting c. Noting the presence of hypertrichosis d. Obtaining a blood glucose 1 points Saved QUESTION 10 A 5-year-old patient seen in an outpatient clinic is noted to have hypertension on three separate visits. Ambulatory blood pressure monitoring confirms that the child has hypertension. As an initial intervention with the child’s parents, the nurse will expect to: a. perform a detailed health history on the child. b. provide teaching about antihypertensive medications. c. reassure the parents that their child may outgrow this condition. d. teach the parents about lifestyle changes and a special diet. 1 points Saved QUESTION 11 A nurse is reviewing a patient’s medications and realizes that gemfibrozil (Lopid) and warfarin (Coumadin) are to be administered concomitantly. This finding concerns the nurse, who is aware that the will be . a. level of gemfibrozil; increased b. level of gemfibrozil; reduced c. anticoagulant effects; increased d. anticoagulant effects; reduced 1 points Saved QUESTION 12 A patient who is taking furosemide (Lasix) and digoxin will begin taking captopril (Capoten). The nurse is providing information about the drug. Which statement by the patient indicates a need for further teaching? a. “I can use acetaminophen for analgesia if needed.” b. “I should stop taking the Lasix about a week before starting the Capoten.” c. “I should take this medication on a full stomach.” d. “I will need to have blood tests done every 2 weeks for a few months.” 1 points Saved QUESTION 13 A nurse is A nurse of teaching a nursing student how blood can return to the heart when pressure in the venous capillary beds is very low. Which statement by the student indicates a need for further teaching? a. “Constriction of small muscles in the venous wall increases venous pressure.” b. “Negative pressure in the left atrium draws blood toward the heart.” c. “Skeletal muscles relax to allow the free flow of blood.” d. “Venous valves help prevent the backflow of blood.” 1 points Saved QUESTION 14 A patient has been taking warfarin (Coumadin) for atrial fibrillation. The provider has ordered dabigatran etexilate (Pradaxa) to replace the warfarin. The nurse teaches the patient about the change in drug regimen. Which statement by the patient indicates understanding of the teaching? a. “I may need to adjust the dose of dabigatran after weaning off the warfarin.” b. “I should continue to take the warfarin after beginning the dabigatran until my INR is greater than 3.” c. “I should stop taking the warfarin 3 days before starting the dabigatran.” d. “I will stop taking the warfarin and will start taking the dabigatran when my INR is less than 2.” 1 points Saved QUESTION 15 A nursing student asks a nurse why patients with chronic renal failure (CRF) have low erythrocyte counts. Which response by the nurse is correct? a. “Damage to the renal tubules increases serum blood loss.” b. “Dialysis accelerates the breakdown of red blood cells.” c. “Erythropoietin is no longer produced by cells in the kidneys.” d. “Patients with CRF are deficient in iron, folic acid, and vitamin B12.” 1 points Saved QUESTION 16 A patient asks a nurse how nitroglycerin works to relieve anginal pain. The nurse correctly states, “Nitroglycerin: a. dilates coronary arteries to increase blood flow to the heart.” b. increases the oxygen supply to the cardiac muscle.” c. increases ventricular filling to improve cardiac output.” d. promotes vasodilation, which reduces preload and oxygen demand.” 1 points Saved QUESTION 17 The nurse is caring for a patient who begins to complain of shortness of breath. The nurse assesses the patient and notes 3+ pitting edema bilaterally in the lower extremities. Which medication taken by the patient causes the most concern? a. Epoetin alfa b. Filgrastim (granulocyte colony–stimulating factor) c. Oprelvekin (interleukin-11) d. Sargramostim (granulocyte-macrophage colony–stimulating factor) 1 points Saved QUESTION 18 A nurse has provided education for a patient newly diagnosed with hypertension who is just beginning therapy with antihypertensive medications. Which statement by the patient indicates a need for further teaching? a. “I may experience serious long-term problems even if I am not having symptoms.” b. “I should report side effects to the provider since other drugs may be substituted.” c. “I will need to take medications on a long-term basis.” d. “When my symptoms subside, I may discontinue the medications.” 1 points Saved QUESTION 19 A nurse is providing discharge teaching instructions for a patient taking cholestyramine (Questran). Which statement made by the patient demonstrates a need for further teaching? a. “I will take warfarin (Coumadin) 1 hour before my medicine.” b. “I will increase the fluids and fiber in my diet.” c. “I can take cholestyramine with my hydrochlorothiazide.” d. “I will take digoxin 4 hours after taking the cholestyramine.” 1 points Saved QUESTION 20 A nurse is discussing how beta blockers work to decrease blood pressure with a nursing student. Which statement by the student indicates a need for further teaching? “Beta blockers block the actions of angiotensin II.” “Beta blockers decrease heart rate and contractility.” “Beta blockers decrease peripheral vascular resistance.” “Beta blockers decrease the release of renin.” 1 points Saved QUESTION 21 A patient in the emergency department has severe chest pain. The nurse administers morphine intravenously. The patient asks the nurse why morphine is given. Which response by the nurse is correct? a. “Morphine helps by reducing anxiety and relieving pain.” b. “Morphine helps by reducing pain and dissolving clots.” c. “Morphine helps by relieving pain and lowering blood pressure.” d. “Morphine helps by relieving pain and reducing the cardiac oxygen demand.” 1 points Saved QUESTION 22 A prescriber is considering prescribing the amiodarone derivative dronedarone (Multaq) for a patient with atrial flutter. The nurse should be concerned about which of the following? a. History of asthma b. History of hypothyroidism c. PR interval of 260 msec d. QT interval of 520 msec 1 points Saved