PHARMACOLOGY CARDIAC NCLEX EXAM
REVIEW WITH QUESTIONS AND CORRECT
ANSWERS ALREADY PASSED AND
GRADED A+
a. "I will check my blood pressure daily and take my medication
when it is over 140/90." Correct Answer Which statement
indicates that the client needs additional instruction about
antihypertensive treatment?
a. "I will check my blood pressure daily and take my medication
when it is over 140/90."
b. "I will include rest periods during the day to help me tolerate the
fatigue my medicine may cause."
c. "I will change my position slowly to prevent feeling dizzy."
d. "I will not mow my lawn until I see how this medication makes
me feel."
a. Call the health care provider to switch the medication. Correct
Answer A nurse is caring for a client who is taking an
angiotensin-converting enzyme inhibitor and develops a dry,
nonproductive cough. What is the nurse's priority action?
a. Call the health care provider to switch the medication.
b. Assess the client for other symptoms of upper respiratory
infection.
c. Instruct the client to take antitussive medication until the
symptoms subside.
d. Tell the client that the cough will subside in a few days.
b. Respiratory assessment Correct Answer A client is prescribed
a noncardioselective beta1 blocker. What nursing intervention is a
priority for this client?
,a. Assessment of blood glucose levels
b. Respiratory assessment
c. Orthostatic blood pressure assessment
d. Teaching about potential tachycardia
c. Thrombolytic agent Correct Answer A client is admitted to the
emergency department with an acute myocardial infarction. Which
drug category does the nurse expect to be given to the client early
for the prevention of tissue necrosis following blood clot blockage
in a coronary or cerebral artery?
a. Anticoagulant agent
b. Antiplatelet agent
c. Thrombolytic agent
d. Low-molecular-weight heparin (LMWH)
a. 150 to 200 mg/dL Correct Answer The nurse knows that the
client's cholesterol level should be within which range?
a. 150 to 200 mg/dL
b. 200 to 225 mg/dL
c. 225 to 250 mg/dL
d. Greater than 250 mg/dL
b. It is the desired level of HDL. Correct Answer A client's high-
density lipoprotein (HDL) is 60 mg/dL. What does the nurse
acknowledge concerning this level?
a. It is lower than the desired level of HDL.
b. It is the desired level of HDL.
c. It is higher than the desired level of HDL.
d. It is a much lower HDL level than desired.
,a. Inhibits absorption of dietary cholesterol in the intestines.
Correct Answer When a client is taking ezetimibe (Zetia), she
asks the nurse how it works. The nurse should explain that Zetia
does what?
a. Inhibits absorption of dietary cholesterol in the intestines.
b. Binds with bile acids in the intestines to reduce LDL levels.
c. Inhibits HMG-CoA reductase, which is necessary for
cholesterol production in the liver.
d. Forms insoluble complexes and reduces circulating cholesterol
in blood.
b. Administer aspirin 30 minutes before nicotinic acid. Correct
Answer The nurse plans which intervention to decrease the
flushing reaction of niacin?
a. Administer niacin with an antacid.
b. Administer aspirin 30 minutes before nicotinic acid.
c. Administer diphenhydramine hydrochloride (Benadryl) with
niacin.
d. Apply cold compresses to the head and neck.
b. "Take this medication at the same time each day." Correct
Answer The nurse is reviewing instructions for a client taking an
HMG-CoA reductase inhibitor (statin). What information is
essential for the nurse to include?
a. "Take this medication on an empty stomach."
b. "Take this medication at the same time each day."
c. "Take this medication with breakfast."
d. "Take this medication with an antacid."
b. "You may experience headaches with this medication." Correct
Answer A client is prescribed gemfibrozil (Lopid) for treatment of
, hyperlipidemia type IV. What is important for the nurse to teach
the client?
a. "Take aspirin before the medication if you experience facial
flushing."
b. "You may experience headaches with this medication."
c. "You will need to have weekly blood drawn to assess for
hyperkalemia."
d. "Cholesterol levels will need to be assessed daily for one
week."
d. "I will continue my exercise program to help increase my high-
density lipoprotein serum levels." Correct Answer Which
statement made by the client indicates understanding about
discharge instructions on antihyperlipidemic medications?
a. "Antihyperlipidemic medications will replace the other
interventions I have been doing to try to decrease my
cholesterol."
b. "It is important to double my dose if I miss one in order to
maintain therapeutic blood levels."
c. "I will stop taking the medication if it causes nausea and
vomiting."
d. "I will continue my exercise program to help increase my high-
density lipoprotein serum levels."
c. Muscle pain. Correct Answer A client is prescribed ezetimibe
(Zetia). Which assessment finding will require immediate action
by the nurse?
a. Headache.
b. Slight nausea.
c. Muscle pain.
d. Fatigue.
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