Welcome to your ultimate set of nursing pharmacology questions for the NCLEX! In this nursing test bank, test your competence in nursing pharmacology with these 500+ practice NCLEX questions. The goal of this quiz is to help nursing students review concepts of nursing pharmacology and provide an alternative to Quizlet or ATI.
Nursing Pharmacology Questions and Test Banks
In this section are the practice problems and questions for nursing pharmacology. There are 530+ nursing pharmacology practice questions in this nursing test bank partitioned into 11 parts. Nursing topics included are medication administration, dosage calculations, general concepts about nursing pharmacology, cardiovascular drugs, antibiotics and anti-infectives, neurological medications, psychiatric medications, drugs for the respiratory system, gastrointestinal system, and endocrine system.
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7.Cardiovascular Drugs and Medications: Nursing Pharmacology Quiz | 80 Questions
Cardiovascular Drugs and Medications: Nursing Pharmacology Quiz | 80 Questions
A special set of nursing pharmacology questions related to cardiovascular drugs and nursing considerations for patients taking cardiac drugs like beta-blockers, calcium-channel blockers, nitrates, digitalis, antianginal drugs, antiarrhythmics, ACE-inhibitors, cardiac glycosides, and others.
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Question 1 of 80
1. Question
Which of the following clients is at greatest risk for digital toxicity?
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Question 2 of 80
2. Question
Which of the following is a contraindication for digoxin administration?
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Question 3 of 80
3. Question
The action of medication is inotropic when it:
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Question 4 of 80
4. Question
Which is the most appropriate action for the nurse to take before administering digoxin?
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Question 5 of 80
5. Question
The therapeutic drug level for digoxin is:
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Question 6 of 80
6. Question
Blurred vision or halos are signs of:
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Question 7 of 80
7. Question
Amrinone (Inocor) is used for short term therapy for CHF and acts by which of the following mechanisms?
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Question 8 of 80
8. Question
Before giving milrinone (Primacor) by an IV infusion to a client with symptoms of CHF, which of the following nursing actions is necessary?
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Question 9 of 80
9. Question
Johanna has ventricular ectopy, which of the following drugs is the first line used to treat her condition?
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Question 10 of 80
10. Question
Class IA antiarrhythmic agents have little effect on:
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Question 11 of 80
11. Question
Which of the following drugs can cause severe hematologic disorders?
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Question 12 of 80
12. Question
Which of the following ECG findings alerts the nurse that the client needs an antiarrhythmic?
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Question 13 of 80
13. Question
When administering an antiarrhythmic agent, which of the following assessment parameters is the most important for the nurse to evaluate?
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Question 14 of 80
14. Question
Which of the following blood tests will tell the nurse that an adequate amount of drug is present in the blood to prevent arrhythmias?
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Question 15 of 80
15. Question
Which of the following drugs should be used only in situations in which the client can be very closely monitored, such as a critical care unit?
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Question 16 of 80
16. Question
The A. digoxin (Lanoxin). toxic antiarrhythmic agent is:
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Question 17 of 80
17. Question
Epinephrine is used to treat cardiac arrest and status asthmaticus because of which of the following actions?
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Question 18 of 80
18. Question
Following A. Electrolyte status.norepinephrine (Levophed) administration, it is essential to the nurse to assess:
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Question 19 of 80
19. Question
Norepinephrine (Levophed) is contraindicated in which of the following conditions?
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Question 20 of 80
20. Question
When administering dopamine (Intropin), it is most important for the nurse to know that:
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Question 21 of 80
21. Question
Dobutamine (Dobutrex) improves cardiac output and is indicated for use in all of the following conditions except:
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Question 22 of 80
22. Question
Conduction defects will most likely be an adverse associated with the use of:
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Question 23 of 80
23. Question
Which of the following calcium channel blockers has the most potent peripheral smooth muscle dilator effect?
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Question 24 of 80
24. Question
Which of the following adverse reactions is found more often in volume-depleted elderly clients?
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Question 25 of 80
25. Question
Which of the following calcium channel blockers is used to counteract or prevent cerebral vasospasm?
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Question 26 of 80
26. Question
Which of the following effects of calcium channel blockers causes a reduction in blood pressure?
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Question 27 of 80
27. Question
Jason James is taking ß blockers, all of the following should be included in his assessment except:
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Question 28 of 80
28. Question
Routine laboratory monitoring in clients taking ß blockers should include:
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Question 29 of 80
29. Question
Competitive antagonism of which of the following occurs at ß receptor sites?
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Question 30 of 80
30. Question
ß blockers should be avoided in which of the following conditions?
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Question 31 of 80
31. Question
As a knowledgeable nurse, you know that the action of nitrates is:
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Question 32 of 80
32. Question
A 50-year-old client is prescribed to take nitrate each day for his condition. As a competent nurse, you know the result of nitrate administration is:
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Question 33 of 80
33. Question
A student nurse is asked to give an example of a long-acting nitrate. He is correct by saying:
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Question 34 of 80
34. Question
When nitrates are administered early to the acute MI client, the effect is:
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Question 35 of 80
35. Question
When teaching about nitrate administration, the nurse should instruct the client to:
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Question 36 of 80
36. Question
ACEs participate in the renin-angiotensin-aldosterone system to have which of the following physiologic effects?
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Question 37 of 80
37. Question
Nurse Margie just administered an ACE inhibitor to her client. Before ambulating the client for the first time after administration, the nurse should monitor for:
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Question 38 of 80
38. Question
Mira is managing her hypertension with an ACE inhibitor. Which of the following statements stated by her indicates a need for further instruction?
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Question 39 of 80
39. Question
Pepito is a hypertensive client who has been placed on captopril (Capoten). He states, “Dr. del Mundo keeps changing my pills and none are working. I feel like a guinea pig.” Which of the following responses by the nurse would be most appropriate?
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Question 40 of 80
40. Question
The action of an ACE inhibitor interrupts the renin-angiotensin-aldosterone mechanism, thereby producing which of the following?
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Question 41 of 80
41. Question
Raymund is reviewing cardiovascular drugs for his upcoming exam. For a well-prepared student, he should know that vasodilators are agents that:
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Question 42 of 80
42. Question
As a competent nurse, you are aware that vasodilators are used mainly to treat:
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Question 43 of 80
43. Question
The drug/drugs used most commonly to treat peripheral or cerebral vascular obstructive disease is/are:
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Question 44 of 80
44. Question
In a 50-year-old widower who had a transient ischemic attack, what is the most common vasodilator used for his treatment?
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Question 45 of 80
45. Question
For a client taking drugs to treat peripheral vascular disease, it is important to provide health education about:
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Question 46 of 80
46. Question
A clinical instructor asks a nursing student about an aldosterone antagonist. The student is correct by saying that aldosterone antagonists:
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Question 47 of 80
47. Question
Which of the following is a potential side effect of IV furosemide (Lasix)?
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Question 48 of 80
48. Question
A 68-year-old client with a history of mild CHF and glaucoma is receiving IV mannitol (Osmitrol) to decrease intraocular pressure. The nurse would monitor the client for signs and symptoms of:
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Question 49 of 80
49. Question
All potassium-sparing diuretics:
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Question 50 of 80
50. Question
Which of the following clients is most likely to experience adverse effects from treatment with diuretics?
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Question 51 of 80
51. Question
Kylie is reviewing drugs related to cardiovascular therapies. She should be aware that the desired action of lipid-lowering agents is to:
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Question 52 of 80
52. Question
For lipid-lowering agents to be successful, drug therapy must lower:
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Question 53 of 80
53. Question
As a competent nurse, you know that the most significant contraindication for therapy with lipid-lowering agent is:
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Question 54 of 80
54. Question
Which of the following vitamins may not be absorbed properly when giving bile acid sequestrants?
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Question 55 of 80
55. Question
Which of the following lipid-lowering agents has the common side effect of constipation?
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Question 56 of 80
56. Question
Parenteral anticoagulants work by disrupting:
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Question 57 of 80
57. Question
SC heparin should be administered in the:
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Question 58 of 80
58. Question
The half-life of heparin is:
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Question 59 of 80
59. Question
Which drug is used to stop bleeding associated with heparin overdose?
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Question 60 of 80
60. Question
During the warfarin (Coumadin) administration, the nurse can expect that the initial extension of PT occurs within how many hours after therapy begins?
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Question 61 of 80
61. Question
A nurse is providing instructions to a client who is receiving warfarin sodium (Coumadin). Which statement made by the client indicates the need for further instruction?
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Question 62 of 80
62. Question
A nurse is caring for a client receiving a heparin intravenous (IV) infusion. The nurse expects that which of the following laboratory will be prescribed to monitor the therapeutic effect of heparin?
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Question 63 of 80
63. Question
A client with atrial fibrillation is receiving a continuous heparin infusion at 1,000 units/hr. The nurse observes that the client is receiving the therapeutic effect based on which of the following results?
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Question 64 of 80
64. Question
A client is receiving intravenous heparin therapy. The nurse ensures the availability of which of the following medication?
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Question 65 of 80
65. Question
A client is receiving a continuous infusion of streptokinase (Streptase). The client suddenly complains of a difficulty of breathing, itchiness, and nausea. Which of the following should be the priority action of the nurse?
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Question 66 of 80
66. Question
A client with deep vein thrombosis is receiving Streptokinase (Streptase). The nurse would notify the physician if which of the following assessments is noted?
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Question 67 of 80
67. Question
A client who is receiving streptokinase therapy suddenly had a nosebleed. The nurse ensures the availability of which of the following medication?
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Question 68 of 80
68. Question
A nurse is providing health teachings regarding antiplatelet medications. Which of the following is not true regarding the use of this medication?
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Question 69 of 80
69. Question
A client is receiving procainamide (Procanbid) for the treatment of ventricular arrhythmia. The client suddenly complains of nausea and drowsiness. Which of the intervention should the nurse do first?
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Question 70 of 80
70. Question
A client with myocardial infarction is receiving tissue plasminogen activator, alteplase (Activase, tPA). While on the therapy, the nurse plans to prioritize which of the following?
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Question 71 of 80
71. Question
A nurse is caring for a client who is taking digoxin (Lanoxin) 0.25mcg tab once a day. The client suddenly complaints of anorexia, nausea, vomiting, and diarrhea. The physician is ruling a digoxin toxicity. As a nurse, you know the therapeutic digoxin rate is?
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Question 72 of 80
72. Question
A nurse is monitoring a client who is taking carvedilol (Coreg CR). Which of the following assessment made by the nurse would warrant a possible complication with the use of this medication?
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Question 73 of 80
73. Question
A nurse is interviewing a client who is about to receive metoprolol. Upon the history taking, the client is also taking insulin. Which of the following statements made by the nurse will correctly explain the possible interaction of these medications?
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Question 74 of 80
74. Question
A client is about to receive metolazone (Zaroxolyn). The nurse in charge understands which of the following laboratory results are related to the administration of the medication?
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Question 75 of 80
75. Question
A client with congestive heart failure is being treated with torsemide (Demadex). The nurse obtains the following vital signs: Blood pressure of 100/65 mm hg; pulse rate of 91 beats per minute; and respiration of 25 breaths per minute? Which of the following will be the priority assessment of the nurse after the initiation of the dose?
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Question 76 of 80
76. Question
A nurse is giving instruction to a client who is receiving cholestyramine (Questran) for the treatment of hyperlipidemia. Which of the following statements made by the client indicates the need for further instructions?
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Question 77 of 80
77. Question
A nurse is providing instructions to a client who is on nicotinic acid for the treatment of hyperlipidemia. Which statement made by the nurse indicates a comprehension of the instructions?
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Question 78 of 80
78. Question
A nurse is monitoring a client who is taking digoxin (Lanoxin). All of which are the side effects associated with the medication, except?
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Question 79 of 80
79. Question
A nurse is interviewing a patient who is about to receive bumetanide (Bumex). Which of the following is a concern related to the administration of the medication?
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Question 80 of 80
80. Question
A client arrives in the emergency with complaints of chest pain and is diagnosed with acute MI. A morphine 4mg IV was given 5 minutes ago. Which of the following assessments made by the nurse indicates a further immediate action?
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7.Cardiovascular Drugs and Medications: Nursing Pharmacology Quiz | 80 Questions
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