Week 3 quiz
Question 1
A normal maintenance dose for digoxin is 0.125 to 0.5
mg/day. In which of the following patients would the nurse most likely
administer a lower-than-normal maintenance dose of digoxin?
Question 2
A 55-year-old man’s hypertension has not responded
adequately to his current medication regimen consisting or an ACE inhibitor, a
beta-blocker and a thiazide diuretic. As a result, he will soon begin taking
hydralazine (Apresoline) in addition to his existing antihypertensives. The
addition of this medication to his regimen means that the nurse must prioritize
which of the following nursing actions?
Question 3
A nurse is caring for a patient with chronic angina. The
patient is receiving ranolazine (Ranexa) 500 mg PO bid. Which of the following
signs or symptoms would the nurse attribute to being a common adverse effect of
this medication?
Question 4
The nurse is performing patient education for a woman who
will soon begin treatment of hyperlipidemia with simvastatin (Zocor). The
patient has asked the nurse if there are any “bad side effects” that she should
be aware of. Which of the following statements should underlie the nurse’s
response?
Question 5
0 out of 1 points
A nurse is caring for a male patient who has a diagnosis of
coronary artery disease (CAD). His drug therapy includes lovastatin. Because
the patient has a history of severe renal disease, the nurse will assess for
which of the following?
Question 6
A 77-year-old man’s chronic heart failure is being treated
with a regimen of quinapril (Accupril) and furosemide (Lasix). Which of the
following assessment findings would suggest that the loop diuretic is contributing
to a therapeutic effect?
Question 7
A 62-year-old man has been prescribed extended-release
lovastatin. The nurse will instruct the patient to take the medication
Question 8
A nurse is caring for a patient who is diabetic and has been
diagnosed with hypertension. An angiotensin-converting enzyme inhibitor,
captopril, has been prescribed for her. Which of the following should the nurse
assess before beginning drug therapy?
Question 9
A female patient is taking 0.125 mg of digoxin daily for heart
failure. At a recent clinic visit she reports that since she has been on the
drug, she can breathe better and her heart rate has been around 74 beats per
minute. The nurse weighs the patient and notices that she has gained 10 pounds
since the digoxin therapy was started. The patient is concerned that the
additional weight will necessitate an increase in the medication. Which of the
following is an appropriate response by the nurse?
Question 10
A patient has been prescribed lovastatin for a high cholesterol
level. The nurse’s teaching plan will include a basic explanation of how the
drug produces its therapeutic effect. The nurse will explain that lovastatin
lowers cholesterol levels because it
Question 11
A patient is diagnosed with heart failure and is started on
digoxin. On the second day of therapy, lab values, the ECG results, and the
patient’s symptoms indicate that the medication is not producing a therapeutic
effect. An appropriate nursing action would be to
Question 12
A 70-year-old woman with a history of atrial fibrillation
takes digoxin and verapamil to control her health problem. Verapamil achieves a
therapeutic effect by
Question 13
A nurse who provides care in a busy clinic is aware of the
high incidence and prevalence of hyperlipidemia and the consequent need for
antihyperlipidemics in many patients. Treatment of high cholesterol using
statins would be contraindicated in which of the following patients?
Question 14
A nurse is caring for a patient who is admitted into the
cardiac care unit with acute, decompensated heart failure. Nesiritide
(Natrecor) has been ordered. When preparing for administration of the drug, the
nurse will
Question 15
A nurse is providing patient education to a 35-year-old man
who has been prescribed clonidine (Catapres) as part of step 2 antihypertensive
therapy. The nurse should anticipate that the drug will be administered
Question 16
A patient is admitted to the emergency department with
severe chest pain. The emergency department physician orders intravenous
nitroglycerin 5 mcg/min, titrate dose by 5 mcg/min every 3 to 5 minutes per
infusion pump as needed. Before administering the nitroglycerin, the nurse
should prioritize which of the following assessments?
Question 17
A nurse is caring for a patient who is taking digoxin and a
loop diuretic. Which of the following would be most important for the nurse to
monitor?
Question 18
A 45-year-old man who is a construction worker has been
diagnosed with hyperlipidemia and has been prescribed lovastatin. The nurse
will advise the patient to
Question 19
A nurse is responsible for patient education for a
48-year-old woman who has been prescribed colestipol. The nurse will instruct
the patient to take the medication
Question 20
Several months of treatment with a statin accompanied by
lifestyle modifications have failed to appreciably improve a patient’s
cholesterol levels. Consequently, the patient has been prescribed
cholestyramine. The nurse should recognize that this drugs achieves its
therapeutic effect by
Question 21
A 58-year-old man is admitted to the emergency department. A
diagnosis of severe digoxin toxicity is made. Bradycardia is present, and an
electrocardiogram (ECG) confirms toxicity. The nurse will administer which of
the following drugs?
Question 22
A 39-year-old African-American male is 25 pounds overweight
and has been diagnosed with hypertension after three consecutive above-normal
blood pressure readings. The most likely initial drug therapy for this patient
will be
Question 23
Which of the following patients is most likely to benefit
from the administration of an adrenergic agonist?
Question 24
A nurse is the cardiac care unit is preparing to hang an
intravenous dose of dofetilide (Tikosyn) for a patient who has just been
admitted. What is the most likely goal of this intervention?
Question 25
A nurse has administered a medication to a patient with
hypertension. The prescribed drug is supposed to decrease cardiac output. A
decrease in cardiac output would most likely
