NCLEX Pharmacology Quiz 16 Cardiovascular Drugs
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All questions are shown, but the results will only be given after you’ve finished the quiz. You are given 1 minute per question, a total of 10 minutes in this quiz.
- 1.As a knowledgeable nurse. you know that the action of nitrates is:
- A.
Smooth muscle contraction
- B.
Vasoconstriction
- C.
Smooth muscle relaxation
- D.
Increase preload
- 2.A 50-year-old client is prescribed to take nitrate each day for his condition. As a competent nurse. you know the result of nitrate administration is:
- A.
Decreased myocardial oxygen demand
- B.
Increased myocardial oxygen demand
- C.
Increased left ventricular end-diastolic volume
- D.
Increased atrial pressure
- 3.A student nurse is asked to give an example of a long-acting nitrate. He is correct by saying:
- A.
Nitroglycerin sublingual
- B.
Nitroglycerin IV
- C.
Isosorbide PO
- D.
Nitroglycerin transmucosal
- 4.When nitrates are administered early to the acute MI client. the effect is:
- A.
Hypotension
- B.
Bradycardia
- C.
Reduced mortality
- D.
Reduced morbidity
- 5.When teaching about nitrate administration. the nurse should instruct the client to:
- A.
Change position slowly.
- B.
Take pulse daily.
- C.
Reduce salt intake.
- D.
Chew the sustained-release tablets.
- 6.ACEs participate in the renin-angiotensin-aldosterone system to have which of the following physiologic effects?
- A.
Inhibit conversion of angiotensin II to angiotensin I
- B.
Vasoconstriction and sodium depletion
- C.
Promote sodium and water retention
- D.
Stimulate vasodilation and inhibit sodium depletion
- 7.Nurse Margie just administered an ACE inhibitor to her client. Before ambulating the client for the first time after administration. the nurse should monitor for:
- A.
Hypokalemia
- B.
Irregular heartbeat
- C.
Edema
- D.
Hypotension
- 8.Mira is managing her hypertension with an ACE inhibitor. Which of the following statements stated by her indicates a need for further instruction?
- A.
“I should not take my pills with food.”
- B.
“I need to increase my intake of orange juice. bananas. and green vegetables.”
- C.
“I will avoid coffee. tea. and colas.”
- D.
“I will use salt substitutes that are not high in potassium.”
- 9.Pepito is a hypertensive client who has been placed on captopril (Capoten). He states. “Dr. del Mundo keeps changing my pills and none are working. I feel like a guinea pig.” Which of the following responses by the nurse would be most appropriate?
- A.
“It often takes a while before the right medication is found.”
- B.
“The doctor is just trying to help you control your blood pressure.”
- C.
“The action of this drug is to work on both the arteries and to remove excess fluids.”
- D.
“This drug is used when other drugs have failed.”
- 10.The action of an ACE inhibitor interrupts the renin-angiotensin-aldosterone mechanism. thereby producing which of the following?
- A.
Reduced renal blood flow
- B.
Reduced sodium and water excretion
- C.
Increased peripheral vascular resistance
- D.
Increased sodium excretion and potassium reabsorption
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