RNSG 1301 EXAM 4 QUESTIONS AND
ANSWERS ALL CORRECT
What type of hypercholesterolemia is most commonly seen in children? - Answer-
Familial
What should the nurse monitor for in a client prescribed metoprolol and metformin? -
Answer- Blood glucose
What is the most common non-genetic reason for elevated cholesterol? - Answer- His
dietary intake of saturated fat
How often should the client be instructed to place a new nitroglycerin patch? - Answer-
Every day
What should the nurse tell the client taking sublingual nitroglycerin who complains of
headache? - Answer- "This is a common adverse effect of nitroglycerin; try taking
acetaminophen to treat your headache."
How should the nurse instruct the client to administer nitroglycerin spray? - Answer-
Administer the spray as soon as chest pain develops.
Which ongoing assessment should the nurse perform on a patient who is taking
ezetimibe? - Answer- Frequently monitor blood cholesterol.
Which lab values indicate the client's hyperlipidemia meds are effective? - Answer- HDL
58 LDL 96 Cholesterol 178
What should the nurse monitor for in a client who is taking atorvastatin and
anticoagulant therapy? - Answer- Bleeding
Which of the following is a side effect of beta-adrenergic blockers? - Answer-
Decreased contraction of the heart
What is a sign that the administration of nitroglycerin ointment was effective? - Answer-
no episodes of angina since ointment was initiated.
Which of the following does not contribute to the patient developing heart failure? -
Answer- renal failure
, A female client taking ACE inhibitors reports that she has found out she is pregnant.
What does the nurse anticipate the physician will do? - Answer- Discontinue the drug
Which of the following is a therapeutic effect of digoxin? - Answer- Increased force of
contraction
How do class II antiarrhythmic agents work? - Answer- They block the stimulation of the
adrenergic receptors
What assessment should the nurse make prior to administering a bolus of lidocaine IV?
- Answer- Determine if the client has had a reaction to local anesthesia.
Which adverse effect would the nurse caution the client taking fosinopril about? -
Answer- Cough
At what continuous rate should the nurse anticipate administering lidocaine? - Answer-
1-4 mg/min
A hypertensive client has become malnourished. Considering the client's nutritional
status, how should the dose of losartan be adjusted? - Answer- lowered
What adverse effect should the nurse warn the client who is taking verapamil for cardiac
arrhythmia to monitor for? - Answer- Peripheral edema
What is the most likely goal of administering dofetilide (Tikosyn)? - Answer- To convert
the client's atrial fibrillation to normal sinus rhythm
Which of the following is a key behavioral determinants of blood pressure? - Answer-
Dietary consumption of calories and salt
The nurse should educate the patient to hold their digoxin if their pulse is: - Answer- 52
beats/minute.
Which serum digoxin level is indicative of digoxin toxicity? - Answer- 2.3 ng/mL
Which of the following drugs inhibits the beta-adrenergic receptors of the heart and the
kidney? - Answer- Acebutolol
A client has recently been prescribed a thiazide diuretic and labetolol. What is the
nurse's priority assessment for this client? - Answer- monitor the client's blood pressure
What should the nurse assess on their patient prior to administering a cardiotonic
medication?? - Answer- Check for jugular vein distention.
ANSWERS ALL CORRECT
What type of hypercholesterolemia is most commonly seen in children? - Answer-
Familial
What should the nurse monitor for in a client prescribed metoprolol and metformin? -
Answer- Blood glucose
What is the most common non-genetic reason for elevated cholesterol? - Answer- His
dietary intake of saturated fat
How often should the client be instructed to place a new nitroglycerin patch? - Answer-
Every day
What should the nurse tell the client taking sublingual nitroglycerin who complains of
headache? - Answer- "This is a common adverse effect of nitroglycerin; try taking
acetaminophen to treat your headache."
How should the nurse instruct the client to administer nitroglycerin spray? - Answer-
Administer the spray as soon as chest pain develops.
Which ongoing assessment should the nurse perform on a patient who is taking
ezetimibe? - Answer- Frequently monitor blood cholesterol.
Which lab values indicate the client's hyperlipidemia meds are effective? - Answer- HDL
58 LDL 96 Cholesterol 178
What should the nurse monitor for in a client who is taking atorvastatin and
anticoagulant therapy? - Answer- Bleeding
Which of the following is a side effect of beta-adrenergic blockers? - Answer-
Decreased contraction of the heart
What is a sign that the administration of nitroglycerin ointment was effective? - Answer-
no episodes of angina since ointment was initiated.
Which of the following does not contribute to the patient developing heart failure? -
Answer- renal failure
, A female client taking ACE inhibitors reports that she has found out she is pregnant.
What does the nurse anticipate the physician will do? - Answer- Discontinue the drug
Which of the following is a therapeutic effect of digoxin? - Answer- Increased force of
contraction
How do class II antiarrhythmic agents work? - Answer- They block the stimulation of the
adrenergic receptors
What assessment should the nurse make prior to administering a bolus of lidocaine IV?
- Answer- Determine if the client has had a reaction to local anesthesia.
Which adverse effect would the nurse caution the client taking fosinopril about? -
Answer- Cough
At what continuous rate should the nurse anticipate administering lidocaine? - Answer-
1-4 mg/min
A hypertensive client has become malnourished. Considering the client's nutritional
status, how should the dose of losartan be adjusted? - Answer- lowered
What adverse effect should the nurse warn the client who is taking verapamil for cardiac
arrhythmia to monitor for? - Answer- Peripheral edema
What is the most likely goal of administering dofetilide (Tikosyn)? - Answer- To convert
the client's atrial fibrillation to normal sinus rhythm
Which of the following is a key behavioral determinants of blood pressure? - Answer-
Dietary consumption of calories and salt
The nurse should educate the patient to hold their digoxin if their pulse is: - Answer- 52
beats/minute.
Which serum digoxin level is indicative of digoxin toxicity? - Answer- 2.3 ng/mL
Which of the following drugs inhibits the beta-adrenergic receptors of the heart and the
kidney? - Answer- Acebutolol
A client has recently been prescribed a thiazide diuretic and labetolol. What is the
nurse's priority assessment for this client? - Answer- monitor the client's blood pressure
What should the nurse assess on their patient prior to administering a cardiotonic
medication?? - Answer- Check for jugular vein distention.
