HESI PHARMACOLOGY CARDIOVASCULAR
EXIT EXAM 2024-2025 ACTUAL EXAM
COMPLETE 100 QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS)
|ALREADY GRADED A+
The nurse is monitoring a client taking digoxin (Lanoxin) for
treatment of heart failure. Which assessment finding indicates a
therapeutic effect of the drug?
a. Heart rate 110 beats per minute
b. Heart rate 58 beats per minute
c. Urinary output 40 mL/hr
d. Blood pressure 90/50 mm Hg - ANSWER- b. Heart rate 58
beats per minute
A client's serum digoxin level is drawn, and it is 0.4 ng/mL.
What is the nurse's priority action?
a. Administer ordered dose of digoxin.
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b. Hold future digoxin doses.
c. Administer potassium.
d. Call the health care provider. - ANSWER- a. Administer
ordered dose of digoxin.
A client is taking digoxin (Lanoxin) 0.25 mg and furosemide
(Lasix) 40 mg. When the nurse enters the room, the client states,
"There are yellow halos around the lights." Which action will
the nurse take?
a. Evaluate digoxin levels.
b. Withhold the furosemide
c. Administer potassium.
d. Document the findings and reassess in 1 hour. - ANSWER- a.
Evaluate digoxin levels.
Which assessment finding will alert the nurse to suspect early
digitalis toxicity?
a. Loss of appetite with slight bradycardia
b. Blood pressure 90/60 mm Hg
c. Heart rate 110 beats per minute
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d. Confusion and diarrhea - ANSWER- a. Loss of appetite with
slight bradycardia
The nurse reviews a client's laboratory values and finds a
digoxin level of 10 ng/mL and a serum potassium level of 5.9
mEq/L. What is the nurse's primary intervention?
a. To administer atropine
b. To administer digoxin immune FAB
c. To administer epinephrine
d. To administer Kayexalate - ANSWER- b. To administer
digoxin immune FAB
A client is to begin treatment for short-term management of
heart failure with milrinone lactate (Primacor). What is the
priority nursing action?
a. Administer digoxin via IV infusion with the Primacor.
b. Administer Lasix (furosemide) via IV infusion after the
Primacor.
c. Monitor blood pressure continuously.
d. Maintain an infusion of lactated Ringers with Primacor
infusion. - ANSWER- c. Monitor blood pressure continuously.
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A client's recently drawn serum lidocaine drug level is 3.0
mcg/mL. What is the nurse's priority intervention?
a. Increase the lidocaine infusion.
b. Decrease the lidocaine infusion.
c. Continue to monitor the client.
d. Stop the IV drip for 1 hour. - ANSWER- c. Continue to
monitor the client.
A client is admitted to the emergency department with
paroxysmal supraventricular tachycardia. What intervention is
the nurse's priority?
a. Administration of digoxin IV push
b. Administration of oxygen, 2 lpm
c. Rapid IV bolus of Adenosine (Adenocard)
d. Instructing client to "bear down" - ANSWER- c. Rapid IV
bolus of Adenosine (Adenocard)
A nurse is caring for a client who has been started on ibutilide
(Corvert). Which assessment is a priority for this client?
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