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Final Exam: NUR 2474 / NUR2474 (Latest Update 2025 / 2026) Pharmacology for Professional Nursing | Test Questions with Verified Answers | 100% Correct | Grade A - Rasmussen $7.99
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Final Exam: NUR 2474 / NUR2474 (Latest Update 2025 / 2026) Pharmacology for Professional Nursing | Test Questions with Verified Answers | 100% Correct | Grade A - Rasmussen
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Final Exam: NUR 2474 / NUR2474 (Latest Update 2025 / 2026) Pharmacology for Professional Nursing | Test Questions with Verified Answers | 100% Correct | Grade A - Rasmussen Question: A hospitalized patient complains of acute chest pain. The nurse administers a 0.3 mg sublingual nitroglyceri...

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  • January 22, 2025
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  • 2024/2025
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Final Exam: NUR 2474 / NUR2474
(Latest Update )
Pharmacology for Professional
Nursing | Test Questions with
Verified Answers | 100% Correct |
Grade A - Rasmussen


Question:
A hospitalized patient complains of acute chest pain. The nurse administers a
0.3 mg sublingual nitroglycerin tablet, but the patient continues to complain
of pain. Vital signs remain stable. What is the nurse's next step?


a. Apply a nitroglycerin transdermal patch.
b. Continue dosing at 10-minute intervals.
c. Give a second dose of nitroglycerin in 5 minutes.
d. Request an order for intravenous nitroglycerin.
Answer:
c. Give a second dose of nitroglycerin in 5 minutes.


*After one dose and a 5 minute wait period, you call 9-1-1 (if applicable) and
give the second dose. This can be repeated for a third time with stable vitals.

,Question:
A patient who has begun using transdermal nitroglycerin for angina reports
occasional periods of tachycardia. The nurse will expect the prescriber to
order:


a. digoxin (Lanoxin) to slow the heart rate.
b. immediate discontinuation of the nitroglycerin.
c. periods of rest when the heart rate increases.
d. verapamil as an adjunct to nitroglycerin therapy.
Answer:
d. verapamil as an adjunct to nitroglycerin therapy.


*Nitroglycerin lowers blood pressure by reducing venous return and dilating
the arterioles. The lowered blood pressure
activates the baroreceptor reflex, causing reflex tachycardia, which can
increase cardiac demand and negate the therapeutic
effects of nitroglycerin. Treatment with a beta blocker or verapamil suppresses
the heart to slow the rate.




Question:
A patient with angina who uses sublingual nitroglycerin tells the nurse that
the episodes are increasing in frequency and usually occur when the patient
walks the dog. The patient reports needing almost daily doses of the
nitroglycerin and states that one tablet usually provides complete relief. What
will the nurse do?

,a. Contact the provider to suggest ordering a transdermal patch for this
patient.
b. Question the patient about consumption of grapefruit juice.c. Suggest that
the patient limit walking the dog to shorter distances less frequently.
d. Suggest that the patient take two tablets of nitroglycerin each time,
because the symptoms are increasing in frequency.
Answer:
a. Contact the provider to suggest ordering a transdermal patch for this
patient.


*this suggests a worsening of the condition, potentially indicating the need
for longer-acting or continuous nitroglycerin therapy.




Question:
A patient is taking a calcium channel blocker (CCB) for stable angina. The
patient's spouse asks how calcium channel blockers relieve pain. The nurse
will explain that CCBs:


a. help relax peripheral arterioles to reduce afterload.
b. improve coronary artery perfusion.
c. increase the heart rate to improve myocardial contractility. d. increase the
QT interval.
Answer:
a. help relax peripheral arterioles to reduce afterload.

, *Calcium channel blockers (CCBs) work by blocking the influx of calcium
ions into smooth muscle cells in blood vessels and the heart that helps relax
peripheral arterioles, leading to vasodilation.




Question:
A patient with stable exertional angina has been receiving a beta blocker.
Before giving the drug, the nurse notes a resting heart rate of 55 beats per
minute. Which is an appropriate nursing action?


a. Administer the drug as ordered, because this is a desired effect.
b. Withhold the dose and notify the provider of the heart rate.
c. Request an order for a lower dose of the medication.
d. Request an order to change to another antianginal medication.
Answer:
b. Withhold the dose and notify the provider of the heart rate.


*less than 60 bpm or systolic less than 100, hold beta-blocker and notify
provider.




Question:
A nurse provides teaching to a patient with angina who also has type 2
diabetes mellitus, asthma, and hypertension. Which statement by the patient
indicates a need for further teaching?

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