Antianginal Drugs NCLEX Questions

Antianginal Drugs NCLEX Questions

Here's a set of NCLEX-style questions focusing on antianginal drugs to help you prepare for your exam:

A patient with angina is prescribed nitroglycerin sublingual tablets. Which instruction should the nurse provide?

a) Swallow the tablet whole with water

b) Place the tablet under the tongue and allow it to dissolve

c) Chew the tablet before swallowing

d) Apply the tablet to the skin

Answer: b) Place the tablet under the tongue and allow it to dissolve

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Which of the following is a common side effect of nitrates?

a) Hyperglycemia

b) Headache

c) Constipation

d) Bradycardia

Answer: b) Headache

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A patient taking metoprolol for angina reports feeling tired. What is the appropriate nursing action?

a) Discontinue the medication immediately

b) Increase the dose

c) Reassure the patient this is a common side effect and monitor

d) Switch to a calcium channel blocker

Answer: c) Reassure the patient this is a common side effect and monitor

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Which antianginal drug is contraindicated in patients with severe asthma?

a) Amlodipine

b) Isosorbide dinitrate

c) Propranolol

d) Ranolazine

Answer: c) Propranolol

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A patient on long-acting nitrates develops tolerance. What is the best approach to manage this?

a) Increase the dose

b) Add a beta-blocker

c) Implement a nitrate-free interval

d) Switch to short-acting nitrates

Answer: c) Implement a nitrate-free interval

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Which antianginal drug works primarily by inhibiting the late sodium current in cardiac cells?

a) Verapamil

b) Ranolazine

c) Nitroglycerin

d) Atenolol

Answer: b) Ranolazine

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A patient on diltiazem for angina should be monitored closely for which side effect?

a) Hyperkalemia

b) Tachycardia

c) Peripheral edema

d) Increased liver enzymes

Answer: c) Peripheral edema

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Which antianginal drug class is most likely to cause cold extremities as a side effect?

a) Nitrates

b) Calcium channel blockers

c) Beta-blockers

d) Potassium channel openers

Answer: c) Beta-blockers

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A patient taking isosorbide mononitrate reports dizziness when standing up. What should the nurse advise?

a) Increase fluid intake

b) Take the medication with food

c) Rise slowly from a sitting or lying position

d) Take the medication at bedtime only

Answer: c) Rise slowly from a sitting or lying position

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Which antianginal drug is contraindicated with the use of phosphodiesterase-5 inhibitors (e.g., sildenafil)?

a) Metoprolol

b) Amlodipine

c) Nitroglycerin

d) Ranolazine

Answer: c) Nitroglycerin

These questions cover various aspects of antianginal drugs, including their mechanisms of action, side effects, contraindications, and patient education. Remember to always refer to the most current guidelines and drug information when studying for the NCLEX.