NCLEX Pharmacology Quiz 15 Cardiovascular Drugs

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NCLEX Pharmacology Quiz 15 Cardiovascular Drugs - Quiz

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.

Questions and Answers

1.

Dobutamine (Dobutrex) improves cardiac output and is indicated for use in all of the following conditions except:
- A.
  
  Septic shock
- B.
  
  Congestive heart failure
- C.
  
  Arrhythmias
- D.
  
  Pulmonary congestion
Correct Answer
C. Arrhythmias

Explanation
Dobutamine (Dobutrex) is not used to treat arrhythmias. Choices A. B. and D are conditions are conditions that respond to dobutamine.

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2.

Conduction defects will most likely be an adverse associated with the use of:
- A.
  
  Verapamil
- B.
  
  Nifedipine
- C.
  
  Diltiazem
- D.
  
  Felodipine
Correct Answer
A. Verapamil

Explanation
Verapamil (Calan) has the strongest chronotropic effect and will cause a delay in conduction at the SA and AV nodes.

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3.

Which of the following calcium channel blockers has the most potent peripheral smooth muscle dilator effect?
- A.
  
  Diltiazem
- B.
  
  Nifedipine
- C.
  
  Nimodipine
- D.
  
  Verapamil
Correct Answer
B. Nifedipine

Explanation
Nifedipine has the strongest peripheral smooth muscle dilator effect of all the calcium channel blockers. Other choices have less of a vasodilator effect.

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4.

Which of the following adverse reactions is found more often in volume-depleted elderly clients?
- A.
  
  Bradycardia
- B.
  
  Conduction defects
- C.
  
  Ankle edema
- D.
  
  Hypotension
Correct Answer
D. Hypotension

Explanation
Hypotension is more likely to occur in the elderly. Choices A. B. and C may occur but are not necessarily increased in frequency in elderly clients.

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5.

Which of the following calcium channel blockers is used to counteract or prevent cerebral vasospasm?
- A.
  
  Verapamil
- B.
  
  Nimodipine
- C.
  
  Nifedipine
- D.
  
  Felodipine
Correct Answer
B. Nimodipine

Explanation
Nimodipine is given in the neurologic client to prevent cerebral vasospasm. Choices A. C. and D are given in cardiac disease and in the management of hypertension only.

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6.

Which of the following effects of calcium channel blockers causes a reduction in blood pressure?
- A.
  
  Increased cardiac output
- B.
  
  Decreased peripheral vascular resistance
- C.
  
  Decreased renal blood flow
- D.
  
  Calcium influx into cardiac muscles
Correct Answer
B. Decreased peripheral vascular resistance

Explanation
One of the effects of calcium channel blockers is to decrease peripheral vascular resistance. A. C. and D describe the opposite effects of calcium channel blockers.

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7.

Jason James is taking ß blockers. all of the following should be included in his assessment except:
- A.
  
  Pulmonary function tests
- B.
  
  Baseline ECG
- C.
  
  Glucose level
- D.
  
  Blood pressure
Correct Answer
A. Pulmonary function tests

Explanation
Unless the client has a history of pulmonary disease and pulmonary function tests are indicated. there is no need to include this in the routine assessment of the client taking ß blockers.

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8.

Which one do you like?
- A.
  
  Sodium
- B.
  
  Glucose
- C.
  
  Thyrotropin
- D.
  
  Creatine phosphokinase
Correct Answer
B. Glucose

Explanation
ß blockers influence glucose metabolism. Although A. C. and D are nice to have. there is no indication that routine assessment of thyrotropin. sodium. or creatine phosphokinase is needed.

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9.

Which one do you like?
- A.
  
  Catecholamines
- B.
  
  Adrenergic sites
- C.
  
  Acetylcholine
- D.
  
  Norepinephrine
Correct Answer
A. Catecholamines

Explanation
Catecholamine receptor sites are blocked by the action of ß-blocking agents. Adrenergic sites may be blocked. but the more appropriate response is catecholamine receptors. Acetylcholine is not affected by ß blockers. Norepinephrine is a catecholamine.

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10.

Which one do you like?
- A.
  
  Bronchoconstriction
- B.
  
  Hypertension
- C.
  
  Angina
- D.
  
  Myocardial infarction
Correct Answer
A. Bronchoconstriction

Explanation
ß blockers should be avoided in bronchoconstrictive disease. B. C. and D are indications for the use of ß blockers.

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NCLEX Pharmacology Quiz 15 Cardiovascular Drugs

Dobutamine (Dobutrex) improves cardiac output and is indicated for use in all of the following conditions except:

Conduction defects will most likely be an adverse associated with the use of:

Which of the following calcium channel blockers has the most potent peripheral smooth muscle dilator effect?

Which of the following adverse reactions is found more often in volume-depleted elderly clients?

Which of the following calcium channel blockers is used to counteract or prevent cerebral vasospasm?

Which of the following effects of calcium channel blockers causes a reduction in blood pressure?

Jason James is taking ß blockers. all of the following should be included in his assessment except:

Which one do you like?

Which one do you like?

Which one do you like?