NCLEX-PN
Cardiac System NCLEX Questions Questions
Extract:
Question 1 of 5
After providing medication instructions, the best evidence that the client knows this drug's potential side effects is when the client states it may cause which adverse effect?
Correct Answer: A
Rationale: Atorvastatin (Lipitor) can cause muscle pain (myalgia) as a common side effect, potentially progressing to rhabdomyolysis in severe cases.
Question 2 of 5
The nurse is caring for an elderly client who has congestive heart failure and is taking digoxin. The client should be monitored for which of the following signs of toxicity?
Correct Answer: A
Rationale: Disorientation is a neurological sign of digoxin toxicity. Weight gain, constipation, and dyspnea are not specific to digoxin toxicity.
Question 3 of 5
A prothrombin time test should be performed regularly on persons who are taking which medication?
Correct Answer: B
Rationale: A prothrombin time test is done to determine the effectiveness of warfarin. A partial thromboplastin time test is used for heparin. Phenobarbital and digoxin do not require regular clotting tests, though serum levels may be monitored for long-term therapy.
Question 4 of 5
If each tablet of digoxin (Lanoxin) contains 0.25 mg, how much should the nurse administer to the client each day?
Correct Answer: A
Rationale: For a 0.125 mg dose with 0.25 mg tablets, administer 0.5 tablets (0.125 mg ÷ 0.25 mg = 0.5).
Question 5 of 5
After providing medication instructions, the best evidence that the client knows this drug's potential side effects is when the client states it may cause which adverse effect?
Correct Answer: A
Rationale: Atorvastatin (Lipitor) can cause muscle pain (myalgia) as a common side effect, potentially progressing to rhabdomyolysis in severe cases.