01 Oct Ray has been diagnosed with hypertension and it is determined that an angiotensin-converting enzyme inhibitor is needed
NR552 Advanced Pharmacology
Week 3 Quiz
Ray has been diagnosed with hypertension and it is determined that an angiotensin-converting enzyme inhibitor is needed. Prior to prescribing this drug, the nurse practitioner (NP) should assess for:
Select one:
a.Hypokalemia
b.Impotence
c.Decreased renal function
d.Inability to concentrate
Question 2Because of their site of action, bile acid sequestering resins:
Select one:
a.Should be administered separately from other drugs by at least four hours
b.May increase the risk for bleeding
c.Both a. and b.
d.Neither a. or b.
Question 3Adherence to beta blocker therapy may be affected by their:
Select one:
a.Short half-lives requiring twice daily dosing
b.Tendency to elevate lipid levels
c.Effects on the male genitalia, which may produce impotence
d.None of the possible choices
Question 4Which of the following adverse effects may occur due to a dihydropyridine-type calcium channel blocker?
Select one:
a.Bradycardia
b.Hepatic impairment
c.Increased contractility
d.Edema of the hands and feet
Question 5While taking an ARB, patients need to avoid certain over-the-counter drugs without first consulting the provider because:
Select one:
a.Salt substitutes may contain potassium and put the patient at risk for hyperkalemia.
b.Nonsteroidal anti-inflammatory drugs reduce may reduce effect of the ARB.
c.Taking an ARB with an antacid will decrease the effectiveness.
d.Both 1 and 2
Question 6The choice of diuretic to use in treating hypertension is based on:
Select one:
a.Presence of diabetes with loop diuretics being used for these patients
b.Level of kidney function with a thiazide diuretic being used for an estimated glomerular filtration rate higher than the mid-40 mL/min range
c.Ethnicity with aldosterone antagonists best for African Americans and older adults
d.Presence of hyperlipidemia with higher doses needed for patients with low-density lipoproteins (LDL) above 130 mg/dL
Question 7Jim is being treated for hypertension. Because he has a history of heart attack, the drug prescribed is atenolol. Beta blockers treat hypertension by:
Select one:
a.Increasing heart rate to improve cardiac output
b.Reducing vascular smooth muscle tone
c.Increasing aldosterone-mediated volume activity
d.Reducing aqueous humor production
Question 8Despite good blood pressure control, an NP might change a patient’s drug from an ACE inhibitor to an angiotensin II receptor blocker (ARB) because the ARB:
Select one:
a.Is stronger than the ACE inhibitor
b.Does not produce a dry, hacking cough
c.Has no effect on the renal system
d.Reduces sodium and water retention
Question 9Which of the following diagnostic results would NOT indicate a problem related to a reductase inhibitor?
Select one:
a.Elevated serum transaminase
b.Increased serum creatinine
c.Elevated creatinine kinase
d.Increased white blood cell count
Question 10To reduce potential adverse effects, patients taking a peripherally acting-1 antagonist should do which of the following?
Select one:
a.Take the dose at bedtime
b.Take the dose in the am without food.
c.Monitor their blood pressure and skip a dose if the pressure is less than 120/80
d.Weigh themselves daily and report weight gain of greater than two pounds in one day
