NCLEX Pharmacology Quiz 48 Cardiovascular Medications
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All questions are shown, but the results will only be given after you’ve finished the quiz. You are given 1 minute per question, a total of 10 minutes in this quiz.
- 1.A nurse is caring 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.
- 2.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.
- 3.A nurse is interviewing a client who is about to receive metoprolol. Upon the history taking. the client is also taking insulin. Which of the following statements made by the nurse will correctly explain the possible interaction of these medications?
- A.
“This medication will maintain the blood sugar level on a normal range”.
- B.
“This medication will have no effect in the blood sugar level”.
- C.
“This medication may mask some of the symptoms of hypoglycemia such as tremor. palpitation. and rapid heartbeat.
- D.
“This medication may mask some of the symptoms of hyperglycemia such as headache. increased thirst. and blurred vision”.
- 4.A client is about to receive Metolazone (Zaroxolyn). The nurse in charge understands that which of the following laboratory results are related to the administration of the medication?
- A.
Hyperkalemia and hypocalcemia.
- B.
Hyperkalemia and hypoglycemia.
- C.
Hypouricemia and hypoglycemia.
- D.
Hypokalemia and hyperglycemia.
- 5.A client with congestive heart failure is being treated with Torsemide (Demadex). The nurse obtains the following vital signs: Blood pressure of 100/65 mm hg; pulse rate of 91 beats per minute; and respiration of 25 breaths per minute? Which of the following will be the priority assessment of the nurse after the initiation of the dose?
- A.
Urine output.
- B.
Serum potassium and calcium.
- C.
Blood pressure.
- D.
Weight.
- 6.A nurse is giving instruction to a client who is receiving Cholestyramine (Questran) for the treatment of hyperlipidemia. Which of the following statements made by the client indicates the need for further instructions?
- A.
“This medication comes in a powder that must be mixed with juice or water before administration”.
- B.
“I will avoid eating foods rich in saturated fats”.
- C.
“I will continue taking nicotinic acid as part of the treatment”.
- D.
“Constipation. belching and heartburn are some of the side effects”.
- 7.A nurse is providing instructions to a client who is on nicotinic acid for the treatment of hyperlipidemia. Which statement made by the nurse indicates a comprehension of the instructions?
- A.
“I should take aspirin 30 minutes before nicotinic acid”.
- B.
“I will drink alcohol in moderation”.
- C.
“Yellowing of the skin is a common side effect”.
- D.
“This medication is taken on an empty stomach”.
- 8.A nurse is monitoring a client who is taking Digoxin (Lanoxin). All of which are the side effects associated with the medication. except?
- A.
Anorexia.
- B.
Blurred vision.
- C.
Diarrhea.
- D.
Tremors.
- 9.A nurse is interviewing a patient who is about to receive bumetanide (Bumex). Which of the following is a concern related to the administration of the medication?
- A.
Penicillin allergy.
- B.
Sulfa allergy.
- C.
Soy containing allergy.
- D.
Cephalosporin allergy.
- 10.A client arrives in the emergency with complaints of chest pain and is diagnosed with acute MI. A morphine 4mg IV was given 5 minutes ago. Which of the following assessment made by the nurse indicates a further immediate action?
- A.
Respiratory rate from 20 bpm to 12 bpm.
- B.
Blood pressure from 120/70 to 100/60 mmHg.
- C.
The client still complains of chest pain with a pain scale of 2/10.
- D.
Cardiac rate of 103 bpm and a normal sinus rhythm of the ECG.
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