NSG 318 FINAL EXAM WITH 100%
CORRECT ANSWERS 2025/2026
Which medication is in the cardiac glycoside drug class?
a. Nitroglycerin
b. Digoxin
c. Coumadin
d. Plavix - correct answers -b. Digoxin
What are the uses of Digoxin? - correct answers -Used to treat heart failure and
atrial fibrillation?
A patient's serum digoxin level is 1.1 ng/mL. What action should the nurse take?
a. Given the next dose
b. Retake the lab test
c. Split the dose in half
d. Inform the HCP - correct answers -D. The nurse should inform the HCP because
this results indicates toxicity.
What is the therapeutic serum level of digoxin? - correct answers -0.5 - 1 ng/ml
The nurse is caring for a patient on digoxin therapy. The student nurse asks the
nurse what are signs of digoxin toxicity. What should the nurse teach the student
nurse?
,a. Depression
b. Circulatory Collapse
c. Tachycardia
d. Green or yellow hallos - correct answers -D. Green or yellow halos, cardiac
dysrhythmias, bradycardia, vomiting, anorexia and diarrhea
A patient on digoxin therapy reports having blurred vision and yellow halos and
respirations are 5 per minute. What action should the nurse take next?
a. Administer protamine
b. Administer digoxin immune fab
c. Administer vitamin K
d. Nothing these are normal side effects - correct answers -B. Administer Digoxin
Immune Fab. This med reverses the side effect of bradycardia
Which CAMs increase the risk of digitalis toxicity? SATA
a. Gingko
b. Ginseng
c. Cinnamon
d. Licorice
e. Aloe
f. Parsley
g. Green tea
h. Ephedra - correct answers -Ginseng, Licorice, Aloe and Ephedra
,A patient on digoxin therapy frequently takes CAMs. Which CAMs should the
nurse educate the patient to avoid? - correct answers -Ginseng, St. John's Wort,
Psyllium, Hawthorn, Licorice, Aloe, and Ephedra
What are 3 important things a nurse needs to watch for during digoxin therapy? -
correct answers -Apical pulse >60
Toxicity: 0.5-1.0 ng/mL
Potassium: Increases risk of digitalis toxicity
Which medication is in the antianginal drug class?
a. Nitroglycerin
b. Digoxin
c. Coumadin
d. Plavix - correct answers -a. Nitroglycerin
How should a nurse instruct a patient to take nitroglycerin? - correct answers -The
most common route is sublingual.
Take 1 dose when the chest pain begins.
If still having chest pain in 5 mins call 911 and then take a 2nd dose.
If still having chest pain in 5 mins and EMT has not arrived, take a 3 and FINAL
dose
A patient asks a nurse why they can only have 3 doses of nitroglycerin. What
should the nurse tell the patient? - correct answers -The main side effect of this
med is that it decreases BP. With each dose the BP is decreasing. So with multiple
doses, you will eventually have no BP.
, A patient was prescribed a topical/transdermal nitroglycerin. What should the
nurse teach the patient about this route? - correct answers -The patient needs to
be nitrate free for 8-12 hours to avoid developing a tolerance. Typically, this
nitrate free period can occur at night.
A patient asks the nurse what side effects they should look out for while on
nitroglycerin. What information should the nurse give to the patient? - correct
answers -Blurred vision, palpitation to compensate for the low BP, tolerance, and
orthostatic hypotension. A life-threatening side effect is circulatory collapse which
is when there is no BP if you overdose
What intervention should the nurse take when administering nitroglycerin? -
correct answers -Monitor VS, position pt sitting or laying down when
administering, advise pt to NOT drink alcohol while taking med bc alcohol also
decreases BP and instruct pt on how to properly store the med (not childproof,
and temp sensitive)
A student nurse asks what are the used on Tenormin. What should the nurse
teach the student? - correct answers -It is used to treat HTN, angina and treat
acute MI
A doctor orders atenolol for a patient with a history of acute bronchospasms.
What action should the nurse take next?
a. Measure pts BP before administering
b. Give the next dose
c. Obtain a medical reconciliation
CORRECT ANSWERS 2025/2026
Which medication is in the cardiac glycoside drug class?
a. Nitroglycerin
b. Digoxin
c. Coumadin
d. Plavix - correct answers -b. Digoxin
What are the uses of Digoxin? - correct answers -Used to treat heart failure and
atrial fibrillation?
A patient's serum digoxin level is 1.1 ng/mL. What action should the nurse take?
a. Given the next dose
b. Retake the lab test
c. Split the dose in half
d. Inform the HCP - correct answers -D. The nurse should inform the HCP because
this results indicates toxicity.
What is the therapeutic serum level of digoxin? - correct answers -0.5 - 1 ng/ml
The nurse is caring for a patient on digoxin therapy. The student nurse asks the
nurse what are signs of digoxin toxicity. What should the nurse teach the student
nurse?
,a. Depression
b. Circulatory Collapse
c. Tachycardia
d. Green or yellow hallos - correct answers -D. Green or yellow halos, cardiac
dysrhythmias, bradycardia, vomiting, anorexia and diarrhea
A patient on digoxin therapy reports having blurred vision and yellow halos and
respirations are 5 per minute. What action should the nurse take next?
a. Administer protamine
b. Administer digoxin immune fab
c. Administer vitamin K
d. Nothing these are normal side effects - correct answers -B. Administer Digoxin
Immune Fab. This med reverses the side effect of bradycardia
Which CAMs increase the risk of digitalis toxicity? SATA
a. Gingko
b. Ginseng
c. Cinnamon
d. Licorice
e. Aloe
f. Parsley
g. Green tea
h. Ephedra - correct answers -Ginseng, Licorice, Aloe and Ephedra
,A patient on digoxin therapy frequently takes CAMs. Which CAMs should the
nurse educate the patient to avoid? - correct answers -Ginseng, St. John's Wort,
Psyllium, Hawthorn, Licorice, Aloe, and Ephedra
What are 3 important things a nurse needs to watch for during digoxin therapy? -
correct answers -Apical pulse >60
Toxicity: 0.5-1.0 ng/mL
Potassium: Increases risk of digitalis toxicity
Which medication is in the antianginal drug class?
a. Nitroglycerin
b. Digoxin
c. Coumadin
d. Plavix - correct answers -a. Nitroglycerin
How should a nurse instruct a patient to take nitroglycerin? - correct answers -The
most common route is sublingual.
Take 1 dose when the chest pain begins.
If still having chest pain in 5 mins call 911 and then take a 2nd dose.
If still having chest pain in 5 mins and EMT has not arrived, take a 3 and FINAL
dose
A patient asks a nurse why they can only have 3 doses of nitroglycerin. What
should the nurse tell the patient? - correct answers -The main side effect of this
med is that it decreases BP. With each dose the BP is decreasing. So with multiple
doses, you will eventually have no BP.
, A patient was prescribed a topical/transdermal nitroglycerin. What should the
nurse teach the patient about this route? - correct answers -The patient needs to
be nitrate free for 8-12 hours to avoid developing a tolerance. Typically, this
nitrate free period can occur at night.
A patient asks the nurse what side effects they should look out for while on
nitroglycerin. What information should the nurse give to the patient? - correct
answers -Blurred vision, palpitation to compensate for the low BP, tolerance, and
orthostatic hypotension. A life-threatening side effect is circulatory collapse which
is when there is no BP if you overdose
What intervention should the nurse take when administering nitroglycerin? -
correct answers -Monitor VS, position pt sitting or laying down when
administering, advise pt to NOT drink alcohol while taking med bc alcohol also
decreases BP and instruct pt on how to properly store the med (not childproof,
and temp sensitive)
A student nurse asks what are the used on Tenormin. What should the nurse
teach the student? - correct answers -It is used to treat HTN, angina and treat
acute MI
A doctor orders atenolol for a patient with a history of acute bronchospasms.
What action should the nurse take next?
a. Measure pts BP before administering
b. Give the next dose
c. Obtain a medical reconciliation
