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TEST: CARDIOVASCULAR DRUGS GROUPS

Total questions: 35

Worksheet time: 23mins

Name
Class
Date
1.

The nurse is administering antihypertensive drugs to older adult patients. The nurse knows that which adverse effect is of most concern for these patients?

a)

Dry mouth

b)

Hypotension

c)

Restlessness

d)

Constipation

2.

When a patient is being taught about the potential adverse effects of an ACE inhibitor, which of these effects should the nurse mention as possibly occurring when this drug is taken to treat hypertension? Select all that apply.

a)

Diarrhea

b)

Nausea

c)

Angeoedema

d)

Dry, nonproductive cough

3.

Which statement by the patient reflects the need for additional patient education about the calcium channel blocker diltiazem (Cardizem)?

a)

“I can take this drug to stop an attack of angina.”

b)

“I understand that food and antacids alter the absorption of this oral drug.”

c)

“When the long-acting forms are taken, the drug cannot be crushed.”

d)

“This drug may cause my blood pressure to drop, so I need to be careful when getting up.”

4.

A 68-year-old male patient has been taking the nitrate isosorbide dinitrate (Isordil) for 2 years for angina. He recently has been experiencing erectile dysfunction and wants a prescription for sildenafil (Viagra). Which response would the nurse most likely hear from the prescriber?

a)

“He will have to be switched to isosorbide mononitrate if he wants to take sildenafil.”

b)

“Taking sildenafil with the nitrate may result in severe hypotension, so a contraindication exists.”

c)

“I'll write a prescription, but if he uses it, he needs to stop taking the isosorbide for one dose.”

d)

“These drugs are compatible with each other, and so I'll write a prescription.”

5.

During assessment of a patient who is receiving digoxin, the nurse monitors for findings that would indicate an increased possibility of toxicity, such as:

a)

. apical pulse rate of 62 beats/min.

b)

digoxin level of 1.5 ng/mL.

c)

serum potassium level of 2.0 mEq/L.

d)

serum calcium level of 9.9 mEq/L.

6.

A patient with a rapid, irregular heart rhythm is being treated in the emergency department with adenosine. During administration of this drug, the nurse will be prepared to monitor the patient for which effect?

a)

Nausea and vomiting

b)

Transitory asystole

c)

Muscle tetany

d)

Hypertension

7.

When monitoring laboratory test results for patients receiving loop and thiazide diuretics, the nurse knows to look for

a)

decreased serum levels of potassium

b)

increased serum levels of calcium

c)

decreased serum levels of glucose

d)

increased serum levels of sodium

8.

When the nurse is checking the laboratory data for a patient taking spironolactone (Aldactone), which result would be a potential concern?

a)

Serum sodium level of 140 mEq/L

b)

Serum calcium level of 10.2 mg/dL

c)

Serum potassium level of 5.8 mEq/L

d)

Serum magnesium level of 2.0 mg/dL

9.

A patient is taking an aminoglycoside antibiotic for pneumonia, and will also be taking the loop diuretic furosemide (Lasix) due to fluid overload. The nurse will monitor carefully for which potential effect from the interaction of these two drugs?

a)

Nephrotoxicity

b)

Ototoxicity

c)

Pulmonary fibrosis

d)

Hepatotoxicity

10.

The nurse caring for a patient who is receiving beta1 agonist drug therapy needs to be aware that these drugs cause which effect?

a)

Increased cardiac contractility

b)

Decreased heart rate

c)

Bronchoconstriction

d)

Increased GI tract motility

11.
Lack of adequate blood supply to heart muscle.
a)
Fibrillation
b)
Ischemia
c)
Heart block
d)
Myocardial infarction
12.
Damage to AV node causing ventricles to beat on own.
a)
Fibrillation
b)
Ischemia
c)
Heart block
d)
Myocardial infarction
13.
Heart rate less than 60 beats per min.
a)
Congestive heart failure (CHF)
b)
Heart murmurs
c)
Bradycardia
d)
Tachycardia
14.
Abnormal or unusual heart sounds.
a)
Congestive heart failure (CHF)
b)
Heart murmurs
c)
Bradycardia
d)
Tachycardia
15.
Heart rate greater than 100 beats per min.
a)
Congestive heart failure (CHF)
b)
Heart murmurs
c)
Bradycardia
d)
Tachycardia
16.
Gradual weakening of the heart causing depressed circulation.
a)
Congestive heart failure (CHF)
b)
Heart murmurs
c)
Bradycardia
d)
Tachycardia
17.
High blood pressure.
a)
Peripheral congestion
b)
Pulmonary congestion
c)
Hypertension
d)
Varicose veins
18.

Increases myocardial contractions and slows heart rate.

a)

Anti-invective

b)

Anti-hypertensive

c)

Cardiac glycoside

d)

Cardiac contraceptive

19.

Manage my HTN

a)

Antitension

b)

Antidiuretic

c)

Corticosteroid

d)

Anti-hypertensive

20.

Reducing of fluid by increasing urine output on Congestive Heart Failure

a)

Anti-diuretic

b)

Dietitian

c)

Diuretic

d)

Coffee!

21.

Gets rid of fluid by increasing urine output

a)

Anti-diuretic

b)

Dietitian

c)

Diuretic

d)

Coffee!

22.

She has high cholesterol and must received which type of drug group.

a)

Diuretic

b)

Lipid raising agent

c)

Lipid lowering agent

23.
What is the main function of the heart ? 
a)
The heart circulates blood and oxygen throughout the body.
b)
The heart is the control centers for all body activities.
c)
The heart gets rid of the wastes in your body produced by homeostasis. 
d)
The heart transports , protection and regulation. Blood transports the following substances: 
24.

The indication of this medication is:

a)

prevention of clot formation

b)

hyperlipidemia

c)

heart failure

25.

The indication of this medication is:

a)

hyperlipidemia

b)

blood clots

c)

stroke prophylaxis

26.

The brand name of this medication is:

a)

Lopid

b)

Lipitor

c)

Zocor

27.

The indication of this medication is:

a)

HTN

b)

HBP

c)

CHF

28.

A side effect of warfarin is:

a)

hemorrhage

b)

injection site reaction

c)

N & V

29.

The indication of this medication is:

a)

hypercholesterolemia

b)

stroke

c)

hyperlipidemia

30.

The brand name of this medication is:

a)

Lipitor

b)

Coumadin

c)

Lanoxin

31.

The generic name of Plavix is:

a)

simvastatin

b)

quinapril

c)

clopidogrel

32.

The generic name of Lipitor is:

a)

digoxin

b)

atorvastatin

c)

quinapril

33.

The generic of Zocor is:

a)

atorvastatin

b)

simvastatin

c)

digoxin

34.
The nurse on the intermediate care unit received change-of-shift report on four patients with hypertension. Which patient should the nurse assess first?
a)
43-year-old with a (blood pressure (BP) of 160/92 who is complaining of chest pain
b)
52-year-old with a BP of 212/90 who has intermittent claudication
c)
50-year-old with a BP of 190/104 who has a creatinine of 1.7 mg/dL
d)
48-year-old with a BP of 172/98 whose urine shows microalbuminuria
35.
The nurse is assessing a patient who has been admitted to the intensive care unit (ICU) with a hypertensive emergency. Which finding is most important to report to the health care provider?
a)
Urine output over 8 hours is 250 mL less than the fluid intake.
b)
The patient cannot move the left arm and leg when asked to do so.
c)
Tremors are noted in the fingers when the patient extends the arms.
d)
The patient complains of a headache with pain at level 8/10 (0 to 10 scale).