Cardiac Medication Case Studies: Comprehensive Exam

Instructions: Answer all 36 questions based on the 6 case studies provided. After clicking "Submit Exam", you will receive detailed feedback and a performance summary.

Case Study 1: Lisinopril (PO) for Hypertension

Patient: 54-year-old female with hypertension, prescribed lisinopril 20 mg PO daily.

Q1. Highlight the assessment findings that are most concerning:
Swelling of lips or tongue Persistent dry cough Serum potassium 6.2 mEq/L Mild headache BP 128/78


Q2. Which order should the nurse question?




Q3. Select all teaching points for lisinopril:




Q4. Order of priority if the patient develops swelling of the lips and tongue:

Q5. Matrix: Indicate side effect type:
Side EffectCommonSerious
Dry cough
Angioedema
Hyperkalemia

Q6. Which finding requires immediate provider notification?


Case Study 2: Metoprolol (PO) for CAD

Patient: 67-year-old male with coronary artery disease, prescribed metoprolol 50 mg PO twice daily.

Q7. Highlight the assessment findings that are most concerning:
Heart rate 42 bpm BP 85/54 New onset shortness of breath Mild fatigue Mild headache


Q8. Which order should the nurse question?




Q9. Select all teaching points for metoprolol:




Q10. Order of priority if patient develops HR 42 and BP 85/54:

Q11. Matrix: Indicate side effect type:
Side EffectCommonSerious
Bradycardia
Heart failure
Fatigue

Q12. Which finding requires immediate provider notification?


Case Study 3: Amlodipine (PO) for Hypertension

Patient: 62-year-old female with hypertension, prescribed amlodipine 10 mg PO daily.

Q13. Highlight assessment findings that are most concerning:
Swelling of ankles Severe dizziness when standing Palpitations Mild headache BP 130/80


Q14. Which order should the nurse question?




Q15. Select all teaching points:




Q16. Priority actions for severe dizziness and palpitations:

Q17. Matrix: Indicate side effect type:
Side EffectCommonSerious
Peripheral edema
Severe hypotension
Headache

Q18. Which finding requires immediate provider notification?


Case Study 4: Nitroglycerin Drip (IV) for ACS

Patient: 58-year-old male with acute coronary syndrome, receiving nitroglycerin IV drip titrated for chest pain.

Q19. Highlight the assessment findings that are most concerning:
Severe headache BP 82/54 mmHg Chest pain unrelieved by nitroglycerin Flushing Mild nausea


Q20. Which order should the nurse question?




Q21. Select all teaching points:




Q22. Order of priority if patient develops BP 82/54 and chest pain:

Q23. Matrix: Indicate side effect type:
Side EffectCommonSerious
Headache
Severe hypotension
Reflex tachycardia

Q24. Finding requiring immediate notification:


Case Study 5: Amiodarone for Afib (History of CHF)

Patient: 72-year-old female with atrial fibrillation and CHF, prescribed amiodarone IV bolus and drip.

Q25. Highlight findings that are most concerning:
New cough and shortness of breath QTc 540 ms on ECG Blue-gray skin discoloration Mild bradycardia (HR 58) Mild nausea


Q26. Which order should the nurse question?




Q27. Select all teaching points for amiodarone:




Q28. Priority actions for new cough, SOB, and QTc 540 ms:

Q29. Matrix: Indicate side effect type:
Side EffectCommonSerious
Photosensitivity
Pulmonary fibrosis
QT prolongation

Q30. Finding requiring immediate notification:


Case Study 6: Cardizem (Diltiazem) Drip for Afib

Patient: 65-year-old male with new-onset atrial fibrillation, no history of CHF, on diltiazem (Cardizem) IV drip.

Q31. Highlight findings that are most concerning:
Heart rate 38 bpm BP 78/50 mmHg New onset chest pain Mild headache Mild constipation


Q32. Which order should the nurse question?




Q33. Select all teaching points:




Q34. Priority actions for HR 38, BP 78/50, and chest pain:

Q35. Matrix: Indicate side effect type:
Side EffectCommonSerious
Bradycardia
Severe hypotension
Constipation

Q36. Finding requiring immediate notification: