The nurse is teaching the client diagnosed with angina about sublingual nitroglycerin. Which statement indicates the client needs more medication teaching?
NCLEX Cardiac Questions

Quiz
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Education, Specialty, Science
•
University - Professional Development
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Hard
Brianna Hardy
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11 questions
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1.
MULTIPLE CHOICE QUESTION
1 min • 5 pts
"I will always carry my nitroglycerin in a dark-colored bottle."
"If I have chest pain, I will put a tablet underneath my tongue."
"If my pain is not relieved with one tablet, I will get medical help."
"I should expect to get a headache after taking my nitroglycerin."
Answer explanation
The client should put one tab under the tongue every 5 minutes and, if the chest pain is not relieved after taking three tabs, the client should seek medical attention.
2.
MULTIPLE CHOICE QUESTION
1 min • 5 pts
A client diagnosed with coronary artery disease has been taking aspirin daily for more than a year. Which data warrants notifying the HCP?
The client has lost 5 pounds in the last month.
The client has trouble hearing low tones.
The client reports having a funny taste in the mouth.
The client has hard, dark, tarry stools.
Answer explanation
A complication of long-term aspirin use is gastric bleeding, which could result in dark, tarry stools. This data warrants further intervention.
3.
MULTIPLE CHOICE QUESTION
1 min • 5 pts
Which assessment data should the nurse obtain prior to administering a calcium channel blocker?
the serum calcium level
the client's radial pulse
the current telemetry reading
the clients blood pressure
Answer explanation
The nurse should not administer this medication if the client's blood pressure is less than 90/60 because it will further decrease the blood pressure, resulting in the brain not being perfused with oxygen.
4.
MULTIPLE CHOICE QUESTION
1 min • 5 pts
Medications are being administered to the following clients. Which client medication should be questioned?
The client receiving a calcium channel blocker who drank a glass of grapefruit juice.
The client receiving a beta blocker who has an apical pulse of 62 beats per minute.
The client receiving a nitroglycerin patch who has a BP of 148/92.
The client receiving an antiplatelet medication who has a platelet count of 150,000.
Answer explanation
The client receiving a calcium channel blocker should avoid grapefruit juice because it can cause the calcium channel blocker to rise to toxic levels.
5.
MULTIPLE CHOICE QUESTION
1 min • 5 pts
The client being discharged after sustaining an acute MI is prescribed lisinopril. Which instruction should be given related to this medication.
instruct the client to monitor blood pressure weekly.
Encourage the client to take the medication on an empty stomach.
Discuss the need to rise slowly from lying to a standing position.
Teach the client to take the medication at night only.
Answer explanation
This medication can cause orthostatic hypotension, and the client should be instructed to rise slowly from lying to standing to prevent falls and injury.
6.
MULTIPLE CHOICE QUESTION
1 min • 5 pts
The client with coronary artery disease (CAD) is instructed to take 81mg of aspirin. Which statement best describes the scientific rationale for prescribing this medication?
This medication will help thin the client's blood.
Daily aspirin will decrease the incidence of angina.
This medication will prevent platelet aggregation.
Baby aspirin will not cause gastric distress.
Answer explanation
When 81mg of aspirin, a baby aspirin, is taken daily, it helps prevent platelet aggregation, which, in turn, helps the blood pass through the narrowed arteries more easily.
7.
MULTIPLE SELECT QUESTION
1 min • 5 pts
A client with heart failure has been prescribed digoxin and furosemide. Which statements by the client indicate the medications are effective? Select all the apply.
"I am able to walk next door now without being short of breath."
"I keep my feet propped up as much as I can during the day."
"I have not gained any weight since my last doctor's visit."
"My blood pressure has been within normal limits."
"I am staying on my diet, and I don't salt my foods anymore."
Answer explanation
Digoxin, a cardiac glycoside, and furosemide, a loop diuretic, are administered for client with CHF to improve contractility of the heart and decrease fluid volume. A symptom of CHF is shortness of breath. The fact that the client can ambulate without shortness of breath is an improvement of symptoms, which shows the medication is effective.
Weight gain would indicate that the client is retaining fluid and the medications are not effective. No weight gain indicates the medication is effective.
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