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NCLEX RN· RN Cardiovascular · Cardiovascular Pharmacology NCLEX RN

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

The nurse is caring for a client with the following clinical data. Based on the vital signs, which medications would the nurse clarify with the primary healthcare provider (PHCP) prior to administration? See the exhibit. Select all that apply.

A. Atenolol 50 mg PO Daily
B. Spironolactone 50 mg PO Daily
C. Albuterol 2.5 mg via nebulizer Daily
D. Fentanyl 50 mcg IV Push q 6 hours PRN Pain
E. Modafinil 100 mg PO Daily

Expert Explanatory Rationale

Correct Answer: Atenolol 50 mg PO Daily

Question 2 of 5

The nurse is preparing an educational in-service about valsartan. Which of the following information should the nurse include?

A. Valsartan blocks the conversion of angiotensin I to angiotensin II.
B. Valsartan antagonizes angiotensin II receptors.
C. Valsartan stimulates alpha-2 adrenoceptors in the brainstem.
D. Valsartan blocks response to beta1- and beta2-adrenergic stimulation.

Expert Explanatory Rationale

Correct Answer: Valsartan antagonizes angiotensin II receptors.

Question 3 of 5

The nurse is caring for a client receiving a continuous infusion of heparin and warfarin. Based on the client's laboratory data, the nurse should take which action? See the image below.

A. Document the findings
B. Stop the heparin infusion
C. Hold future doses of the warfarin
D. Obtain a prescription of Vitamin K

Expert Explanatory Rationale

Correct Answer: Stop the heparin infusion

Question 4 of 5

This nurse is caring for a client who is receiving prescribed hydralazine. Which of the following findings would indicate a therapeutic response?

A. Blood pressure 120/70 mm Hg
B. Pulse (P) 67/minute
C. Total cholesterol 185 mg/dL [200 mg/dL]
D. aPTT 45 seconds [30-40 seconds]

Expert Explanatory Rationale

Correct Answer: Blood pressure 120/70 mm Hg

Question 5 of 5

The nurse is counseling a client with congestive heart failure (CHF) about newly prescribed torsemide. The nurse determines that the teaching has been effective when the client plans to

A. decreases their dietary potassium.
B. record their daily urinary output.
C. measure their weight daily.
D. take their blood pressure and pulse daily.

Expert Explanatory Rationale

Correct Answer: measure their weight daily.

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