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NEW NMNC 4410
EXAM 1 PRACTICE EXAM Q&A TESTED AND
APPROVED NEWLY MODIFIED
A patient's morning lab work shows a potassium level of 6.3. The patient's potassium level
yesterday was 4.0 The patient was recently started on new medications for treatment of
myocardial infarction. What medication below can cause an increased potassium level?*
A. Losartan
B. Norvasc
C. Aspirin
D. Cardizem -- ANSWER--Losartan
Lisinopril has been recently prescribed for an anemic patient newly diagnosed with
hypertension. What should the nurse instruct the client about this medication?
A. Rise slowly from a reclining to a sitting position.
B. Discontinue the medication if nausea occurs.
C. Expect to note a full therapeutic effect immediately.
D. Take the medication with food only. -- ANSWER--Rise slowly from a reclining to a
sitting position.
A client taking an angiotensin-converting enzyme (ACE) inhibitor to treat hypertension calls
the clinic nurse and reports that he has a dry, nonproductive cough that is very bothersome.
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The nurse should respond by making which statement?
A. "The cough must be the start of a respiratory infection."
B. "When this happens typically your PCP will change your medication to an ARB".
C. "The medication needs to be taken with large amounts of water to prevent the cough."
D. "This sometimes happens, and you will need to take a cough medication with each
dose of medication." -- ANSWER--"When this happens typically your PCP will
change your medication to an ARB".
The provider orders an antihypertensive medication for a client whose blood pressure is
205/110 mm Hg. What assessment findings does the student nurse expect for this patient?
Select All That Apply.
A. Chest Pain
B. Diminished pulses
C. Pale Cool Skin
D. Blurred Vision
E. Severe Headache -- ANSWER--Chest Pain
F. Blurred Vision
G. Severe Headache
How do anti-hypertensive medications alter cardiac output?
A. Increase Heart Rate
B. Increase Stroke Volume
C. Decrease Ejection Fraction
D. Reduce Systemic Vascular Resistance -- ANSWER--Reduce Systemic Vascular
Resistance
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A patient recovering from a myocardial infarction is complaining of the taste of blood in their
mouth. On assessment, you note there is bleeding on the anterior gums. Which medication
can cause this?* A. Coreg
B. Cardizem
C. Lovenox
D. Lipitor -- ANSWER--Lovenox
In regards to the patient in the previous question, after administering the first dose of
Nitroglycerin sublingual the patient's blood pressure is now 68/48. The patient is still having
chest pain and T-wave inversion on the cardiac monitor. What is your next nursing
intervention?*
A. Hold further doses of Nitroglycerin and notify the doctor immediately for further orders.
B. Administer Morphine IV and place the patient in reverse Trendelenburg position.
C. Administer Nitroglycerin and monitor the patient's blood pressure.
D. All the options are incorrect. -- ANSWER--A. Hold further doses of Nitroglycerin and
notify the doctor immediately for further orders.
The nurse is assessing a client newly diagnosed with Stage 1 Hypertension. Which
assessment finding should the nurse expect?
A. Visual disturbances
B. Shortness of breath
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C. Frequent nosebleeds
D. Asymptomatic -- ANSWER--Asymptomatic
A patient is on a Heparin drip post myocardial infarction. The patient has been on the drip for
4 days. You are assessing the patient's morning lab work. Which of the following findings in
the patient's lab work is a potential life-threatening complication of Heparin therapy and
requires intervention?* A. K+ 3.7
B. PTT 65 seconds
C. Hgb 14.5
D. Platelets 135,000 -- ANSWER--Platelets 135,000
A patient is experiencing Heparin-Induced Thrombocytopenia from Heparin therapy. The
doctor orders Heparin to be discontinued. The patient will most likely be placed on what
other medication?*
A. Argatroban
B. Lovenox
C. Levophed
D. Tridil -- ANSWER--Argatroban
A patient taking Lovenox is having a severe reaction. What is the antidote for this
medication?*
A. Activated Charcoal
B. Acetylcysteine
NEW NMNC 4410
EXAM 1 PRACTICE EXAM Q&A TESTED AND
APPROVED NEWLY MODIFIED
A patient's morning lab work shows a potassium level of 6.3. The patient's potassium level
yesterday was 4.0 The patient was recently started on new medications for treatment of
myocardial infarction. What medication below can cause an increased potassium level?*
A. Losartan
B. Norvasc
C. Aspirin
D. Cardizem -- ANSWER--Losartan
Lisinopril has been recently prescribed for an anemic patient newly diagnosed with
hypertension. What should the nurse instruct the client about this medication?
A. Rise slowly from a reclining to a sitting position.
B. Discontinue the medication if nausea occurs.
C. Expect to note a full therapeutic effect immediately.
D. Take the medication with food only. -- ANSWER--Rise slowly from a reclining to a
sitting position.
A client taking an angiotensin-converting enzyme (ACE) inhibitor to treat hypertension calls
the clinic nurse and reports that he has a dry, nonproductive cough that is very bothersome.
, Page|2
The nurse should respond by making which statement?
A. "The cough must be the start of a respiratory infection."
B. "When this happens typically your PCP will change your medication to an ARB".
C. "The medication needs to be taken with large amounts of water to prevent the cough."
D. "This sometimes happens, and you will need to take a cough medication with each
dose of medication." -- ANSWER--"When this happens typically your PCP will
change your medication to an ARB".
The provider orders an antihypertensive medication for a client whose blood pressure is
205/110 mm Hg. What assessment findings does the student nurse expect for this patient?
Select All That Apply.
A. Chest Pain
B. Diminished pulses
C. Pale Cool Skin
D. Blurred Vision
E. Severe Headache -- ANSWER--Chest Pain
F. Blurred Vision
G. Severe Headache
How do anti-hypertensive medications alter cardiac output?
A. Increase Heart Rate
B. Increase Stroke Volume
C. Decrease Ejection Fraction
D. Reduce Systemic Vascular Resistance -- ANSWER--Reduce Systemic Vascular
Resistance
, Page|3
A patient recovering from a myocardial infarction is complaining of the taste of blood in their
mouth. On assessment, you note there is bleeding on the anterior gums. Which medication
can cause this?* A. Coreg
B. Cardizem
C. Lovenox
D. Lipitor -- ANSWER--Lovenox
In regards to the patient in the previous question, after administering the first dose of
Nitroglycerin sublingual the patient's blood pressure is now 68/48. The patient is still having
chest pain and T-wave inversion on the cardiac monitor. What is your next nursing
intervention?*
A. Hold further doses of Nitroglycerin and notify the doctor immediately for further orders.
B. Administer Morphine IV and place the patient in reverse Trendelenburg position.
C. Administer Nitroglycerin and monitor the patient's blood pressure.
D. All the options are incorrect. -- ANSWER--A. Hold further doses of Nitroglycerin and
notify the doctor immediately for further orders.
The nurse is assessing a client newly diagnosed with Stage 1 Hypertension. Which
assessment finding should the nurse expect?
A. Visual disturbances
B. Shortness of breath
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C. Frequent nosebleeds
D. Asymptomatic -- ANSWER--Asymptomatic
A patient is on a Heparin drip post myocardial infarction. The patient has been on the drip for
4 days. You are assessing the patient's morning lab work. Which of the following findings in
the patient's lab work is a potential life-threatening complication of Heparin therapy and
requires intervention?* A. K+ 3.7
B. PTT 65 seconds
C. Hgb 14.5
D. Platelets 135,000 -- ANSWER--Platelets 135,000
A patient is experiencing Heparin-Induced Thrombocytopenia from Heparin therapy. The
doctor orders Heparin to be discontinued. The patient will most likely be placed on what
other medication?*
A. Argatroban
B. Lovenox
C. Levophed
D. Tridil -- ANSWER--Argatroban
A patient taking Lovenox is having a severe reaction. What is the antidote for this
medication?*
A. Activated Charcoal
B. Acetylcysteine
