NEW MODIFIED CARDIAC EXAM 1 PRACTICE
QUESTIONS AND VERIFIED SOLUTIONS TESTED
AND APPROVED!!!
Sublingual nitroglycerin is given to a client who experiences chest pain. Which symptom can
occur with nitroglycerin?
A. tachycardia
B. tinnitus
C. diarrhea
D. Diplopia --CORRECT ANSWER--A
An elderly client receives instructions regarding the use of warfarin sodium (Coumadin).
Which statement indicates the client understands the possible food interactions which may
occur with this medication?
A. I'm going to miss having my evening glass of wine now
B. I told my daughter to buy bananas for me. I'll have to eat more of those now
C. I will have to watch my intake of salads, something that I really love
D. I am going to begin eating more fish and pork and leave beef alone now --CORRECT
ANSWER--C
An elderly pt is prescribed spironolactone (Aldactone) with the addition of potassium
chloride (Kaochlor). Which statement is a true statement regarding the use of these two meds
together?
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A. spironolactone should not have potassium chloride added to the regimen b/c it is a
potassium-sparing diuretic
B. potassium is necessary when clients are placed on spironlocatone b/c it is a loop diuretic
C. spironolactone and potassium chloride have no additive or antagonistic effects with each
other
D. potassium chloride added to spironolactone causes renal failure --CORRECT ANSWER-A
A 62 y/o male pt has nitroglycerin (Nitrostat) added to his med regimen. Which statement
made by this pt indicates that further education is needed?
A. I will take this med if I have an episode of chest pain
B. I will wait at least 1 hour after I take my sildanefil (Viagra) before using Nitrostat
C. I can take up to 3 tablets every 5 minutes if my angina occurs
D. I know that I must put this tablet under my tongue for it to work --CORRECT ANSWER-
B
which dietary change must a pt make when starting treatment with the med spironolactone?
A. eat extra helpings of bananas
B. increase intake of water
C. avoid salt substitutes
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D. increase intake of green leafy veggies --CORRECT ANSWER--C
a 68 y/o male is experiencing severe hypotension after receiving IV nitroglycerin. What is the
most probable cause for this reaction?
A. pt is having a MI
B. the pt has a high potassium level
C. the pt routinely exercises, but has not be active in over a week
D. the pt failed to report that he is on Viagra --CORRECT ANSWER--D
A healthcare provider orders NTG to be administered by IV drip. The nurse carrying out the
order would monitor for which of the following as a priority specific to medication?
A. shortness of breath when raising head of bed
B. urine output
C. blood pressure and heart rate
D. facial flushing and headache --CORRECT ANSWER--C
Before a pt receives metoprolol (Lopressor) for hypertension, the nurse should ask the pt
about a history of which of the following?
A. bronchospasms
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B. seizures
C. peripheral vascular disease
D. myasthenia gravis --CORRECT ANSWER--A
The nurse provides discharge instructions to a pt about the use of amiodarone. Which of the
following statements indicates that the pt has the knowledge necessary to safely administer
the drug?
A. as soon as the physician says I can stop taking this medication, I will be able to enjoy the
sun again
B. the side effects of this med may not begin to show up for several weeks or even months
after I start taking it
C. If my pulse drops below 100 beats/minute, I should call the physician right away
D. If I miss a dose of me, I should take it as soon as I remember it --CORRECT ANSWER-B
which of the following is NOT a nursing intervention relevant to administration of
nitroglycerin?
A. inform the pt there may be a burning sensation under their tongue upon ingestion
B. inform the pt that this med must be kept in its original bottle
C. inform the pt that a headache is the most common side effect associated with this drug --
CORRECT ANSWER--C
Which group of drugs can be either selective or non-selective?