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CARDIOVASCULAR DRUGS AND
MEDICATIONS EXAM 2025 QUESTIONS
AND ANSWERS.
A nurse is caring for a client receiving a heparin intravenous (IV) infusion.
The nurse expects that which of the following laboratory will be prescribed
to monitor the therapeutic effect of heparin?
A. Prothrombin time (PT).
B. Activated partial thromboplastin time (aPTT).
C. Hematocrit (Hgb).
D. Hemoglobin (Hct). - correct answer - B. Activated partial thromboplastin
time (aPTT).
Activated partial thromboplastin time assesses the therapeutic level of
heparin.
A client with atrial fibrillation is receiving a continuous heparin infusion at
1,000 units/hr. The nurse observes that the client is receiving the
therapeutic effect based on which of the following results?
A. Activated partial thromboplastin time of 30 seconds.
B. Activated partial thromboplastin time of 60 seconds.
C. Activated partial thromboplastin time of 120 seconds.
D. Activated partial thromboplastin time of 15 seconds. - correct answer -
B. Activated partial thromboplastin time of 60 seconds.
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The normal range for activated partial thromboplastin time is 20-36
seconds. The activated partial thromboplastin time must be 1.5 to 2.5 times
the normal value, the client's Appt would be considered therapeutic if it was
60 seconds.
A client is receiving intravenous heparin therapy. The nurse ensures the
availability of which of the following medication?
A. acetylcysteine (Mucomyst).
B. calcium gluconate (Calcium gluconate).
C. vitamin K (Mephyton).
D. protamine sulfate (Protamine). - correct answer - D. protamine sulfate
(Protamine)
A nurse is providing health teachings regarding antiplatelet medications.
Which of the following is not true regarding the use of this medication?
A. Antiplatelet medication inhibits the aggregation of platelets in the clotting
process, thereby prolonging bleeding time.
B. Antiplatelet medications cannot be used with anticoagulants.
C. Take the medication with food to prevent gastrointestinal upset.
D. A routine bleeding time is monitored during the therapy. - correct answer
- B. antiplatelet medications cannot be used with anticoagulants
A client with myocardial infarction is receiving tissue plasminogen activator,
alteplase (Activase, tPA). While on the therapy, the nurse plans to prioritize
which of the following?
A. Observe for neurological changes.
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B. Monitor for any signs of renal failure.
C. Check the food diary.
D. Observe for signs of bleeding. - correct answer - D. observe for signs of
bleeding
Bleeding is the priority concern for a client taking thrombolytic medication.
A nurse is caring for a client who is taking digoxin (Lanoxin) 0.25mcg tab
once a day. The client suddenly complaints of anorexia, nausea, vomiting,
and diarrhea. The physician is ruling a digoxin toxicity. As a nurse, you
know the therapeutic digoxin rate is?
A. 0.25-0.5 ng/ml.
B. 0.5-2 ng/ml.
C. 1.5-3 ng/ml.
D. 3.5-4.5 ng/ml. - correct answer - B. 0.5-2 ng/ml.
A nurse is monitoring a client who is taking carvedilol (Coreg CR). Which of
the following assessment made by the nurse would warrant a possible
complication with the use of this medication?
A. Baseline blood pressure of 160/100 mm hg followed by a blood pressure
of 120/70 mm hg after 3 doses.
B. Baseline heart rate of 97 bpm followed by a heart rate of 62 bpm after 3
doses.
C. Complaints of nightmares and insomnia.
D. Complaints of dyspnea. - correct answer - D. complaints of dyspnea
CARDIOVASCULAR DRUGS AND
MEDICATIONS EXAM 2025 QUESTIONS
AND ANSWERS.
A nurse is caring for a client receiving a heparin intravenous (IV) infusion.
The nurse expects that which of the following laboratory will be prescribed
to monitor the therapeutic effect of heparin?
A. Prothrombin time (PT).
B. Activated partial thromboplastin time (aPTT).
C. Hematocrit (Hgb).
D. Hemoglobin (Hct). - correct answer - B. Activated partial thromboplastin
time (aPTT).
Activated partial thromboplastin time assesses the therapeutic level of
heparin.
A client with atrial fibrillation is receiving a continuous heparin infusion at
1,000 units/hr. The nurse observes that the client is receiving the
therapeutic effect based on which of the following results?
A. Activated partial thromboplastin time of 30 seconds.
B. Activated partial thromboplastin time of 60 seconds.
C. Activated partial thromboplastin time of 120 seconds.
D. Activated partial thromboplastin time of 15 seconds. - correct answer -
B. Activated partial thromboplastin time of 60 seconds.
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The normal range for activated partial thromboplastin time is 20-36
seconds. The activated partial thromboplastin time must be 1.5 to 2.5 times
the normal value, the client's Appt would be considered therapeutic if it was
60 seconds.
A client is receiving intravenous heparin therapy. The nurse ensures the
availability of which of the following medication?
A. acetylcysteine (Mucomyst).
B. calcium gluconate (Calcium gluconate).
C. vitamin K (Mephyton).
D. protamine sulfate (Protamine). - correct answer - D. protamine sulfate
(Protamine)
A nurse is providing health teachings regarding antiplatelet medications.
Which of the following is not true regarding the use of this medication?
A. Antiplatelet medication inhibits the aggregation of platelets in the clotting
process, thereby prolonging bleeding time.
B. Antiplatelet medications cannot be used with anticoagulants.
C. Take the medication with food to prevent gastrointestinal upset.
D. A routine bleeding time is monitored during the therapy. - correct answer
- B. antiplatelet medications cannot be used with anticoagulants
A client with myocardial infarction is receiving tissue plasminogen activator,
alteplase (Activase, tPA). While on the therapy, the nurse plans to prioritize
which of the following?
A. Observe for neurological changes.
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B. Monitor for any signs of renal failure.
C. Check the food diary.
D. Observe for signs of bleeding. - correct answer - D. observe for signs of
bleeding
Bleeding is the priority concern for a client taking thrombolytic medication.
A nurse is caring for a client who is taking digoxin (Lanoxin) 0.25mcg tab
once a day. The client suddenly complaints of anorexia, nausea, vomiting,
and diarrhea. The physician is ruling a digoxin toxicity. As a nurse, you
know the therapeutic digoxin rate is?
A. 0.25-0.5 ng/ml.
B. 0.5-2 ng/ml.
C. 1.5-3 ng/ml.
D. 3.5-4.5 ng/ml. - correct answer - B. 0.5-2 ng/ml.
A nurse is monitoring a client who is taking carvedilol (Coreg CR). Which of
the following assessment made by the nurse would warrant a possible
complication with the use of this medication?
A. Baseline blood pressure of 160/100 mm hg followed by a blood pressure
of 120/70 mm hg after 3 doses.
B. Baseline heart rate of 97 bpm followed by a heart rate of 62 bpm after 3
doses.
C. Complaints of nightmares and insomnia.
D. Complaints of dyspnea. - correct answer - D. complaints of dyspnea
