NURS6521 Cardiovascular Midterm Exam With Answers (101 Solved Questions)

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Question 11 out of 1 pointsCorrectA 77-year-old man's chronic heart failure is being treated with a regimen of quinapril (Accupril) andfurosemide (Lasix). Which of the following assessment findings would suggest that the loop diuretic iscontributing to a therapeutic effect?Selected Answer:The man's chest sounds are clear and his ankle edema is lessened.Question 21 out of 1 pointsCorrectA Nurse Practitioner is caring for a patient who is taking digoxin and a loop diuretic. Which of thefollowing would be most important for the Nurse Practitioner to monitor?Selected Answer:Potassium levelsQuestion 31 out of 1 pointsCorrectAn expected outcome for a patient who has just taken sublingual nitroglycerin should beSelected Answer:increased heart rate and decreased blood pressure.Question 41 out of 1 pointsCorrect

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A patient taking Metformin (Glucophage) is scheduled for a cardiac cath. The patient asks why he can'ttake his metformin the day of the test. What is the most appropriate reply?Selected Answer:You can develop lactic acidosis if you take metformin and are given dye. You should have a serumcreatinine drawn before restarting the medication.Question 51 out of 1 pointsCorrectThe parents of a 7-year-old boy who has just been diagnosed with allergic asthma are being taught abouttheir son's medication regimen by the nurse. The nurse is currently teaching the parent's about theappropriate use of a "rescue drug" for acute exacerbations of their son's asthma. What drug should thenurse suggests the parents to use in these situations?Selected Answer:AlbuterolQuestion 61 out of 1 pointsCorrectA patient has recently been prescribed a drug that treats his hypertension by blocking the sympatheticreceptors in his sympathetic nervous system. This action is characteristic ofSelected Answer:an adrenergic antagonist.Question 71 out of 1 pointsCorrect

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A female patient, age 36, is prescribed inhaled corticosteroid (ICS) for daily use. Which of the followingadverse effects should the nurse closely monitor for in this patient?Selected Answer:Oropharyngeal Candida albicans infectionQuestion 81 out of 1 pointsCorrectA 62-year-old man is admitted to the hospital with a diagnosis of chest pain. He has an order for 0.3 mgof sublingual nitroglycerin prn for chest pain. Which of the following actions should the nurse do firstwhen he complains of chest pain?Selected Answer:Administer a tablet under his tongue and repeat the action in 5 and 10 minutes if the pain has notsubsidedQuestion 90 out of 1 pointsIncorrectMr. Lacuna is an 83-year-old resident of a long-term care facility who has a diagnosis of moderateAlzheimer disease. Mr. Lacuna's physician recently prescribed oral rivastigmine, but he was unable totolerate the drug due to its gastrointestinal effects. As a result, he has been ordered the transdermalpatch form of the medication. When administering this form of rivastigmine, the nurse shouldSelected Answer:teach Mr. Lacuna about the importance of rotating sites when he applies the patch.Question 101 out of 1 pointsCorrectIt is determined that a patient, who is in a hepatic coma, needs a laxative. Lactulose is prescribed. Whichof the following should the nurse monitor to assess the efficacy of the lactulose therapy?Selected Answer:Blood ammonia levels

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Question 111 out of 1 pointsCorrectA high school student was diagnosed with asthma when he was in elementary school and has becomeaccustomed to carrying and using his "puffers". In recent months, he has become more involved insports and has developed a habit of administering albuterol up to 10 times daily. The nurse should teachthe student that overuse of albuterol can lead toSelected Answer:rebound bronchoconstriction.Question 121 out of 1 pointsCorrectWhich statement is FALSE regarding the treatment of hyperthyroidism?Selected Answer:Methimazole (Tapazole) is the drug of choice for pregnant or lactating females.Question 131 out of 1 pointsCorrectA Nurse Practitioner who provides care in a busy clinic is aware of the high incidence and prevalence ofhyperlipidemia and the consequent need for antihyperlipidemics in many patients. Treatment of highcholesterol using statins would be contraindicated in which of the following patients?Selected Answer:An obese male client who is a heavy alcohol user and who has cirrhosis of the liver

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Question 141 out of 1 pointsCorrectA patient with a recent diagnosis of acute renal failure has a long-standing seizure disorder which hasbeen successfully controlled for several years with antiseizure medications. The nurse should recognizethat the patient's compromised renal function will likelySelected Answer:increase the half-life of medications that are metabolized by the kidneys.Question 151 out of 1 pointsCorrectA Nurse Practitioner is caring for a patient who has been diagnosed with hypothyroidism. Levothyroxine(Synthroid) has been prescribed. Before the drug therapy is started, the nurse will assess for which of thefollowing?Selected Answer:History of taking anticoagulant drugsQuestion 161 out of 1 pointsCorrectMr. Nguyen, age 71, will soon be discharged home from the hospital after a successful coronary arterybypass graft (CABG). During patient education about his drug regimen, Mr. Nguyen's nurse shouldprioritize teach aboutSelected Answer:potential adverse effects of the drugs that Mr. Nguyen will be taking.Question 171 out of 1 points

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CorrectA male patient is to begin glyburide (Diabeta) for type 2 diabetes. Before the drug therapy begins, apriority action by the nurse will be to assess the patient'sSelected Answer:use of alcohol.Question 181 out of 1 pointsCorrectA 39-year-old African-American male is 25 pounds overweight and has been diagnosed withhypertension after three consecutive above-normal blood pressure readings. The most likely initial drugtherapy for this patient will beSelected Answer:a diuretic.Question 190 out of 1 pointsIncorrectThe Nurse Practitioner is treating a patient that takes frequent doses of antacids for his heartburn and isalso taking an enteric coded aspirin. What instructions should be provided to the patient?Selected Answer:The aspirin is less effective when taken with an antacid so you need to increase the dose.Question 201 out of 1 pointsCorrect

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A patient has been prescribed lovastatin for a high cholesterol level. The nurse's teaching plan willinclude a basic explanation of how the drug produces its therapeutic effect. The nurse will explain thatlovastatin lowers cholesterol levels because itSelected Answer:inhibits cholesterol syntheses.Question 211 out of 1 pointsCorrectA 46-year-old white American has been prescribed a drug that binds to acid glycoproteins. The nurseunderstands that white Americans usually receiveSelected Answer:a higher-than-normal dose of drugs that bind to acid glycoproteins.Question 221 out of 1 pointsCorrectThe APRN is caring for a patient taking a calcium channel blockers for hypertension. The APRN shouldmonitor the patient for what common side effects of this medication?Selected Answer:peripheral edema, constipation, dizzinessQuestion 231 out of 1 pointsCorrect

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A 79-year-old woman who takes several medications for a variety of chronic health problems has beenprescribed an oral antiplatelet aggregator that is to be taken once daily. The nurse has encouraged thewoman to take the pill at the same time of day that she takes some of her other medications. What isthe most likely rationale for the nurse's advice?Selected Answer:Integrating the new drug into the patient's existing schedule promotes adherence.Question 241 out of 1 pointsCorrectAn older adult who lives in a long-term care facility has recently begun taking losartan (Cozaar) for thetreatment of hypertension. The nurse who provides care for this resident should recognize that thischange in the resident's medication regimen make create a risk forSelected Answer:falls.Question 251 out of 1 pointsCorrectA patient with a long history of alcohol abuse has been admitted to an acute medical unit with signs andsymptoms of hepatic encephalopathy. His current medication orders include QID doses of oral lactulose.What desired outcomes should the nurse associate with this drug order?Selected Answer:Patient will have three to four loose bowel movements each day.Question 261 out of 1 pointsCorrectAn elderly postsurgical patient has developed postoperative pneumonia in the days following abdominalsurgery and is being treated with a number of medications. Which of the following medications that thenurse will administer has the slowest absorption?Selected Answer:

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An oral antidepressant that the patient has been taking daily for several yearsQuestion 271 out of 1 pointsCorrectThe APRN's ability to prescribe controlled substances is regulated by:Selected Answers:DEAState LawQuestion 281 out of 1 pointsCorrectA patient is bothered with nighttime episodes of bronchoconstriction related to asthma. Which of thefollowing medications can be administered to decrease the nighttime episodes and prevent asthmaattacks?Selected Answer:Leukotriene modifiersQuestion 291 out of 1 pointsCorrect

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