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Pharmacology Exam 2 practice questions

Total questions: 47

Worksheet time: 24mins

Name
Class
Date
1.

ACE inhibitors mainly cause

a)

Hyperkalemia

b)

Hypokalemia

c)

Hypoglycemia

d)

cough

2.

Besides aspirin, the preferred antiplatelet agent is:

a)

ticlopidine

b)

abciximab

c)

acetaminophen

d)

clopidogrel

3.

Antiplatelet agents may prevent arterial thrombosis, myocardial infarction, or:

a)

stroke

b)

kidney failure

c)

hemorrhage

d)

perfusion

4.

Which of the following class of medications are known to dissolve blood clots in patients with pulmonary embolism (PE)?

a)

Hemolytics

b)

Antiperfusion agents

c)

Platelet aggregation inhibitors

d)

Thrombolytics like (Streptokinase)

5.

Which of the following agents is classified as an anticoagulant?

a)

Heparin

b)

Premarin

c)

Haloperidol

d)

Hydroquinone

6.

The oral anticoagulant of choice is:

a)

ticlopidine

b)

Low-molecular-weight heparin

c)

warfarin

d)

Heparin

7.

Normal level for a Hematocrit (Hct)

a)

4-6

b)

12-17

c)

35-50

d)

150-400

8.

These cells form clots to stop bleeding

a)

Red Blood Cells

b)

Hemoglobin

c)

Hematocrit

d)

Platelets

9.

Normal range for Platelets (Plt)

a)

4-11

b)

12-17

c)

35-50

d)

150,000 to 450,000

10.

This level is evaluated when a patient is on Warfarin

a)

PT/INR

b)

PTT

11.

The normal PTT level

a)

0.8-1.1 sec

b)

0-20 sec

c)

2-3 sec

d)

25-35 sec

12.

(HMG-CoA reductase inhibitor) best known as Statins drugs main side effects are:

a)

Muscle pain

b)

Liver dysfunction

c)

Asthma

d)

Kidney failure

13.

Sublingual nitroglycerin is

a)

a rescue drug to treat Angina

b)

prophylaxis

c)

a long acting medication

14.

What action is often recommended to help reduce tolerance to transdermal nitroglycerin therapy?

a)

Omit a dose once a week.

b)

Leave the patch on for 2 days at a time.

c)

Cut the patch in half for 1 week until the tolerance subsides.

d)

Remove the patch at bedtime, and then apply a new one in the morning.

15.

What are possible side effects of beta blockers?

a)

oliguria

b)

bradycardia

c)

dry, hacking cough

d)

Hyper-Hypoglycemia

e)

Impotence

16.

A patient who has taken her prescribed nitroglycerin for chest pain may experience the side effect of:

a)

hypertension.

b)

pulmonary edema.

c)

hypotension.

d)

hyperventilation.

17.
Some studies have shown that oral contraceptives may increase the risk of fatal blood clots and heart attacks for some women.   
a)
True
b)
False
18.

Side effects for Prazosin an Alpha Adrenergic Blocker can include

a)

Orthostatic Hypotension

b)

High Blood sugar

c)

Salivation

d)

dizziness

19.

Some of the indications for Beta Blockers (Beta Adrenergic blockers) like Metroprolol are:

a)

Tachyarrhythmias

b)

Post MI recovery

c)

Migraines

d)

Hypertension

e)

All answers are correct

20.

The most common drugs to treat cardiac arrythmias are

a)

Lidocaine

b)

Amiodarone

c)

Fosinopril

d)

Adenosine

e)

Epinephrine

21.

A drug that is contraindicated with Nitroglycerin due to the vasodilator effects is

a)
b)
c)
d)
22.

How many nitroglycerin tabs a person having chest pain can take?

a)

Only 1

b)

2- always

c)

3 maximum

d)

4- more is better

23.

Positive Inotropic drugs like Digoxin help the heart by

a)

Increasing the force of contractions (contractility)

b)

Increasing the heart rate

c)

Decreasing the pulse

d)

Decreasing the force of contractility

24.

A negative Chronotropic drug like Digoxin helps the heart by

a)

Increasing the blood pressure

b)

Decreasing the heart rate

c)

lowers cholesterol-LDL

d)

Increasing the Heart rate

25.

Enoxaparin is a low molecular weight heparin (Sub-Q) indicated for patients after surgery/or bedridden to

a)

prevent thrombolitic events like DVT/PE

b)

Treat osteoporosis

c)

break a clot

d)

treat Angina

26.

Calcium Channel Blockers like (Amlodipine) treat hypertension and tachyarrhythmias, the side effects of this medications include

a)

Constipation

b)

High blood sugar

c)

Hypotension

d)

Gum bleeding

27.

ACE Inhibitors like Lisinopril can cause a severe adverse effect known as

a)

Steven Johnson syndrome

b)

Angioedema

c)

Tardive dyskinesia

d)

bleeding gums

28.

ACE inhibitors are used for

a)

Heart Failure

b)

Hyperthiroidism

c)

Renal protective effects for Diabetic patients

d)

Hypertension

29.

Nitroprusside is a medication used in the management of acute hypertension. It is a potent vasodilator and is administered as an IV  to lower the blood pressure, what is the priority nursing intervention?

a)

Monitor for hypotension

b)

Give oxygen

c)

Auscultate the five cardiac areas

d)

Order an Echocardiogram

30.

Identify the main side effects of Nitroglycerin

a)

Fever

b)

Headache

c)

Muscle spasm

d)

Hypotension with IV form

31.

Digoxin toxicity is a life-threatening condition. The most common symptoms of toxicity are

a)

Bladder pain

b)

Vision problems (blurred vision-halos)

c)

Anorexia (poor appetite)

d)

Nausea/Vomiting

32.

The antidote for Digoxin is

a)

Furosemide

b)

Dobutamine

c)

Digoxin Immune fab

d)

Naloxone

33.

The nurse must check the_________ before administering Digoxin

a)

Cranial nerves

b)

Apical pulse

c)

Blood sugar

d)

Respirations

34.

The antidote for Warfarin is

a)

Iron

b)

Vitamin C

c)

Heparin

d)

Vitamin k

35.

The antidote for Heparin is

a)

Losartan

b)

Protamine Sulfate

c)

Mannitol

d)

Pantoprazole

36.

What lab values must be monitored while the patient is on Heparin?

a)

PTT

b)

Platelets

c)

aPTT

d)

INR

37.

What is a contraindication for Beta Blockers ?

a)

Fatty liver

b)

Social Anxiety

c)

History of Asthma

d)

Bipolar Disorder

38.

Which medication increases the risk for Digoxin toxicity?

a)

Spironolactone

(potassium sparing)

b)

Thiazide diuretics

(also waste potassium)

c)

Furosemide (loop diuretic)

potassium wasting)

d)

Mannitol

(osmotic diuretic)

39.

Adenosine is a drug indicated to treat cardiac arrhythmias like Supraventricular tachycardia, the correct form to administer this drug is

a)

IV slowly over one hour

b)

Should be administered by rapid intravenous (IV) bolus injection followed by a rapid saline flush

c)

PO on empty stomach

d)

30 to 40 minutes before sleeping

40.

Niacin flush is a common side effect of taking high doses of supplemental Niacin, which can be prescribed to treat cholesterol problems. To avoid this unpleasant effect the patient must

a)

Take Niacin with food

b)

Take Niacin first thing in the morning

c)

Take Niacin at bedtime with Ibuprofen/or Aspirin

d)

Take Niacin with fiber

41.

Neseritide is a drug indicated to treat

a)

Core pulmonare

b)

Angina

c)

Hyperglycemia

d)

Acute decompensated Heart Failure

42.

Many drugs interact with Warfarin (anticoagulant). Select the medications that interact with warfarin

a)

Aspirin

b)

Bismuth salicylate

c)

Clopidogrel

d)

Albuterol

43.

The treatment for an MI (Myocardial infarction) includes

a)

Morphine

b)

Nitroglycerin

c)

Aspirin

d)

Oxygen

44.

Medications usually prescribed for post myocardial infartion management are

a)

Beta Blockers

b)

Nitrates

c)

antiplatelet

d)

vasopressors

45.

Dobutamine is indicated for the treatment of

a)

Cardiogenic shock

b)

Severe Heart Failure

c)

poor cardiac output and perfusion

d)

Angina

46.

The patient using Warfarin should be instructed by the nurse to

a)

Use a soft bristle toothbrush to avoid bleeding from gums

b)

Use electric shaver to prevent bleeding from cuts

c)

Report unsual or excessive bleeding to the provider

d)

Avoid frequent consumption of dark green leafy vegetables

47.

Acute treatment for ischemic stroke includes...

a)

Lidocaine

b)

Simvastatin

c)

Metoprolol

d)

IV alteplase <4.5hr

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