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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  • Current Version
  • Aug 22, 2023
    Quiz Edited by
    ProProfs Editorial Team
  • Aug 07, 2017
    Quiz Created by
    Santepro

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