Cardiovascular and Renal Medications

Amanda Burton
Quiz by Amanda Burton, updated more than 1 year ago
Amanda Burton
Created by Amanda Burton almost 3 years ago
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Pharmacology Quiz on Cardiovascular and Renal Medications , created by Amanda Burton on 09/20/2017.
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Resource summary

Question 1

Question
Which type of medication is indicated for a patient with hypertension?
Answer
  • Antidysrythmic
  • Peripheral vasodilator
  • Vasoconstrictor
  • Cardiotonic

Question 2

Question
Nitroglycerin is the drug of choice for patients who have:
Answer
  • angina pectoris
  • thrombus formation
  • hyperlipidemia
  • hypotension

Question 3

Question
Which statement is correct regarding the administration of topical nitroglycerin ointment?
Answer
  • The ointment should be spread over the anterior chest wall
  • The ointment should be applied specifically for episodes of acute angina.
  • The old ointment should be removed before the new ointment is applied.
  • The ointment should be massaged gently into the skin and the area then covered with plastic wrap.

Question 4

Question
Which of the following drugs is used to treat premature ventricular contractions (PVCs)?
Answer
  • Digoxin
  • Apresoline
  • Lidocaine
  • Nitroglycerin

Question 5

Question
Which of the following is an undesirable effect of antidysrhythmic medications?
Answer
  • Bradycardia
  • Normal sinus rhythm
  • Improved cardiac output
  • Decreased angina

Question 6

Question
Which antihyperlipidemic agent is taken once daily in the evening?
Answer
  • Chloestyramine resin (Questran)
  • Niacin (Niacor)
  • Simvastatin (Zocor)
  • Gemfibrozil (Lopid)

Question 7

Question
Cardiotonic medications act by:
Answer
  • Directly stimulating the myocardium
  • Preventing blood coagulation
  • helping in thrombus formation
  • dilating arteriole walls

Question 8

Question
Your patient questions why he is on digoxin immune Fab for the treatment of digitoxin toxicity. You respond by telling him the medication:
Answer
  • works faster than digoxin
  • is safer than digoxin and can be taken orally
  • helps to convert the fibrillating atria to a regular rhythm
  • will help lower his blood levels of digoxin

Question 9

Question
The negative chronotropic side effect in patients receiving digoxin is evidenced by:
Answer
  • increased heart rate
  • decreased conduction
  • decreased heart rate
  • increased ectopic beats

Question 10

Question
When thiazide and loop diuretics are administered, the patient should be monitored for:
Answer
  • high sodium levels
  • high potassium levels
  • low sodium levels
  • low potassium levels

Question 11

Question
You are visiting an 80 yr old patient in her home. She is receiving 0.125mg of oral digoxin daily. She also takes HCTZ 50mg bid. She complains of blurred vision and nausea. You observe that she is confused and disoriented at times. Which of the following might be the problem?
Answer
  • The patient needs to have her HCTZ increased
  • The patient may have digitalis toxicity
  • The patient may have developed chronic heart failure
  • The patient may have Alzheimer disease

Question 12

Question
The physician tells you that a patient is hypokalemic. He has been taking thiazide medication for treatment of his high blood pressure. You will instruct him to increase his dietary intake of which of the following?
Answer
  • Green and leafy vegetables
  • Sodium
  • Bananas and citrus fruit
  • Low-fat products

Question 13

Question
A patient is admitted to the emergency room with a diagnosis of CHF. Which of the following medications may be ordered to treat CHF?
Answer
  • Digoxin
  • Propranolol
  • Procainamide
  • Isoxsuprine

Question 14

Question
Which of the following is a nursing consideration for a patient with a UTI taking phenazopyridine?
Answer
  • It may take 2 to 4 weeks before a response is seen.
  • Phenazopyridine should be taken with a glass of milk or an antacid.
  • Urine may turn orange or red.
  • The patient will need to take a potassium supplement while on phenazopyridine therapy.

Question 15

Question
Which of the following is an adverse effect of quinidine?
Answer
  • Tinnitus
  • Constipation
  • Tremors
  • Hypotension

Question 16

Question
Which of the following is a nitrite compound that s used therapeutically to abort acute attacks of angina pectoris?
Answer
  • Quinidine sulfate
  • Nitroglycerin
  • Digoxin
  • Minoxidil

Question 17

Question
A patient is scheduled to leave the hospital tomorrow. He has been instructed to take nitroglycerin sublingually if angina is experienced. Which of the following instructions concerning dosage would he be given?
Answer
  • During an acute attack of angina, he may repeat the dose after 5 to 10 minutes if the pain is not relieved.
  • He should never repeat a dose but should notify the physician if the pain is not relieved.
  • If pain is not relieved within 3 to 5 minutes after taking a dose, he should repeat it. He may do this for three doses. If he pain is not relieved, he should chew aspirin and go immediately to an ER to be evaluated for an acute MI.
  • He can take as many tablets as necessary until relief occurs.

Question 18

Question
Because they act to relax the walls of blood vessels and decrease blood pressure, vasodilators play an important role in the treatment of all EXCEPT which of the following?
Answer
  • Prevention and treatment of angina due to coronary artery disease
  • Peripheral vascular disease
  • Hypertension
  • Dysrhythmias

Question 19

Question
A patient taking a potassium-sparing diuretic should be monitored for which side effect?
Answer
  • Gynecomastia
  • Alopecia
  • Hypertension
  • Hyperglycemia

Question 20

Question
A patient is being evaluated for treatment with HCTZ. Which laboratory value warrants notification to the prescriber?
Answer
  • Urine specific gravity of less than 1.0028
  • Serum WBC count greater than 4000
  • Potassium below 3 mEq/L
  • Serum creatinine of 1 mg

Question 21

Question
Which question is relevant in evaluating a patient who is taking bumetanide in combination with gentamicin?
Answer
  • "What is the date today?"
  • "How many fingers do you see?"
  • "Can you hear this whisper?"
  • "Can you touch your index finger to your nose?"

Question 22

Question
Which statements best demonstrate a patient's understanding of treatment with tolterodine?
Answer
  • "i need to decrease my fluid intake while I am on this medication."
  • "My husband is going to drive until I see how this drug will affect me."
  • "I will change the patch every day."
  • "I will call the doctor if I get a rash where the patch has been."
  • "This drug will help stop the sudden need to go that I've been having."

Question 23

Question
A patient is taking 20 mg of metolazone by mouth daily to reduce edema. Before discharge the patient will be taught which instructions? (Check all that apply)
Answer
  • Slowly change positions from lying to sitting and sitting to standing
  • Limit fluid intake to one liter per day.
  • Increase saliva production can be managed by reducing water intake.
  • Wear sunscreen and appropriate clothing to avoid sunburn.
  • Use caution in tasks that require mental activity and muscle strength

Question 24

Question
What will the nurse tell the patient who is taking HCTZ and K+ when nausea develops?
Answer
  • "Hold the K+ until the nausea is over."
  • "Take the K+ even though you are nauseated to avoid heart problems."
  • "Decrease the amount of potassium to every other day until you feel better."
  • "Decrease he amount of diuretic and the amount of K+ by one half for one day."

Question 25

Question
An older adult is taking furosemide (Lasix). Which special precautions are necessary for this patient? (Check all that apply)
Answer
  • Report new onset of muscle weakness to the prescriber.
  • Elevated K+ levels may result from this medication.
  • Instruct the patient to sit on the side of the bed before standing up.
  • Hearing loss and tinnitus can be associated with the use of furosemide.
  • Older adults are less sensitive to the effects of furosemide.

Question 26

Question
A patient taking a drug for benign prostatic hypertrophy is having cataract surgery. Which adverse effect could occur during surgery?
Answer
  • The pupil can dilate excessively.
  • The iris can collapse towards the surgical site.
  • The pupil can constrict excessively.
  • The tear ducts can have diminished functioning.

Question 27

Question
Before taking medication for benign prostatic hypertrophy, it is most crucial for the patient to undergo assessment for which condition?
Answer
  • Prostate enlargement
  • Gynecomastia
  • Prostate cancer
  • Erectile dysfunction

Question 28

Question
A nurse who is pregnant should not handle crushed tablets of dutasteride because of which concern?
Answer
  • Dutasteride could induce premature labor.
  • Dustasteride can cause pregnancy induced hypertension
  • The crushed dutasteride tablets release a nauseating odor.
  • Dutasteride can cause both defects in male fetuses.

Question 29

Question
These are powerful drugs used to create more regular heart rhythms and there may be many adverse reaction from some of these medications
Answer
  • Antidysrhythmics
  • Antihyperlipidemic
  • Diuretics
  • Antianginal

Question 30

Question
These are vasodilators and so have a direct action on vascular smooth muscle and cause it to relax.
Answer
  • Calcium channel blockers
  • Atropine
  • Nitrates
  • Prazosin

Question 31

Question
Calcium is an electrolyte that helps move electrical impulses through:
Answer
  • cell membranes
  • Cardiac tissue
  • peripheral tissue
  • external carotid artery

Question 32

Question
Rapid acting nitrate such as amyl nitrate, sublingual nitroglycerin, and sublingual or chewable isosorbide dinitrate are used mostly to relieve pain in what:
Answer
  • anginal attacks
  • acute angina
  • MI
  • CHF

Question 33

Question
There are many common adverse reactions to nitrates (Check all that apply)
Answer
  • Diarrhea
  • Postural hypotension
  • Orthostatics
  • High Blood pressure
  • Fainting
  • Bradycardia
  • Vertigo

Question 34

Question
Periphera vasodilating agents may cause what side effects (Check all that apply)
Answer
  • Hypertension
  • Hypotension
  • Vertigo
  • Headache
  • Light-headedness

Question 35

Question
Dysrhythmic medications are classified by the stage at which they affect the cellular action potential: These drugs are sodium channel blockers, they lengthen the effective refractory period of atrial and ventricular myocardium by slowing the fast inward current caused by the sodium electrolyte.
Answer
  • Class 1 drugs
  • Class 2 drugs
  • Class 3 drugs
  • Class 4 drugs

Question 36

Question
Dysrhythmic medications are classified by the stage at which they affect the cellular action potential: These are beta blockers, such as propranolol, esmolol, and acebutolol, which reduce sympathetic excitation to the heart, these drugs slow the heartbeat but help the heart beat stronger.
Answer
  • Class 1 drugs
  • Class 2 drugs
  • Class 3 drugs
  • Class 4 drugs

Question 37

Question
Dysrhythmic medications are classified by the stage at which they affect the cellular action potential: These are potassium channel blockers that lengthen he action potential duration, or the length of time it takes for one cell to fire and recover. These drugs also slow the heartbeat and may make it less sensitive to dysrhythmias.
Answer
  • Class 1 drugs
  • Class 2 drugs
  • Class 3 drugs
  • Class 4 drugs

Question 38

Question
Dysrhythmic medications are classified by the stage at which they affect the cellular action potential: These drugs are calcium channel blockers that selectively bloc the ability of calcium to enter the myocardium and prolong the effective refractory period in the AV node
Answer
  • Class 1 Drugs
  • Class 2 drugs
  • Class 3 drugs
  • Class 4 drugs

Question 39

Question
What powerful drug slows the conduction through the AV node and decreases how rapidly the SA node will fire.
Answer
  • Adenosine
  • Digoxin
  • Quinidine
  • Lidocaine

Question 40

Question
The MAIN limit to the use of niacin is its adverse effect of what
Answer
  • Liver damage
  • Gout
  • Flushing
  • Constipation

Question 41

Question
What medications are often taken in the evening since the body makes higher amounts of cholesterol at night?
Answer
  • Stains
  • Beta blockers olol
  • Prils
  • Diuretics

Question 42

Question
The patients should take any other medications 1 hour before or 4 to 6 hours after taking what type of med?
Answer
  • Antidysrhythmics
  • Antihyperlipidemics
  • Antihypertensives
  • Cardiotonics

Question 43

Question
The first action of these drugs is to increase the strength of each heartbeat or he force of the contraction so this effect of this drug is called a positive inotropic action.
Answer
  • Cardiotonics
  • Antihypertensive
  • Antianginals
  • Antidysrhythmics

Question 44

Question
The second action of Cardiotonic drugs is
Answer
  • Slow the heartbeat
  • increase strength of heartbeat
  • Reduce edema
  • absorb calcium

Question 45

Question
When a patient begins to show toxic or harmful reactions from too much digoxin what develops?
Answer
  • Digitalis toxicity
  • bradycardia
  • AV node block
  • excessive fatigue
  • confusion
  • yellow-green vision
  • nausea and vomiting

Question 46

Question
What are the levels of Digoxin?
Answer
  • 0.5-2
  • 7.35-7.45
  • 3.5-5.0
  • 22-26

Question 47

Question
You take the apical pulse to give Digoxin what would be an OK pulse rate to administer the med? (Check all that apply)
Answer
  • 59
  • 60
  • 42
  • 80
  • 120

Question 48

Question
How long do you take an apical pulse ?
Answer
  • 1 minute
  • 30 seconds and times by two
  • 45 seconds
  • 15 seconds and times by 4

Question 49

Question
Diuretics are classed into four related groups (check all that apply)
Answer
  • Thiazides
  • Loop
  • Milrione
  • Niacin
  • Thiazide like sulfonamides
  • Potassium sparing

Question 50

Question
Thiazides and sulfonamides diuretics are the most commonly used class of diuretics and they have similar actions what are some of those actions: (check all that apply)
Answer
  • They prevent the reabsortion of sodium and chloride
  • They promote the reabsortion of sodium and chloride
  • They lead to the loss of large amounts of potassium
  • They lead to retention of potassium
  • They prevent the reabsorption of calcium
  • They promote reabsorption of calcium

Question 51

Question
What do all ACE inhibitors in with
Answer
  • olol
  • pril
  • sartans
  • statin

Question 52

Question
When is PRILs not given to a patient?
Answer
  • To a pregnant women
  • To an elderly post operative patient
  • A 35 year old athlete
  • Post CABG patient

Question 53

Question
To increase volume what is released from the kidneys
Answer
  • Renin
  • Estrogen
  • Progestrone
  • Melatonin

Question 54

Question
What type medication would you use to stop the progression of the converting enzyme during the renin-angiotensin system from Angiotension1 to Angiiotension 2
Answer
  • Potassium sparing diuretic
  • Beta blockers
  • Ace inhibitors
  • Loop diuretics

Question 55

Question
Adrenergic inhibitors use what sympathetic nervous system.
Answer
  • True
  • False

Question 56

Question
Angiotension 2 doesn't have any effect on your volume or blood pressure?
Answer
  • True
  • False

Question 57

Question
Angiotension 2 tells the adrenal gland to stimulate release of aldosterone.
Answer
  • True
  • False

Question 58

Question
What is the most common drug used for urinary incontinence?
Answer
  • Ditropan
  • Flomax
  • Propranolol
  • Spironolactone

Question 59

Question
Benign Prostatic Hyperplasia is a noncancerous growth of the prostate gland frequently seen as men age; if this gland becomes larger enough, it can cause problems in urination because the prostate puts pressure on the bladder and urinary sphinter. what medication s an alpha-adrenergic receptor blocker used only for the treatment of symptoms of BPH.
Answer
  • Ditropan
  • Propranolol
  • Flomax
  • Furosemide

Question 60

Question
The nurse is due to administer a dose of cardiotonic drug. The highest priority nursing intervention before administration should be:
Answer
  • count the radial pulse for 60 seconds
  • assess the respiratory rate
  • count the apical pulse 60 seconds
  • assess the temperature
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