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Abrams Chapter 26

Total questions: 20

Worksheet time: 11mins

Name
Class
Date
1.

What is the primary goal of antihypertensive therapy?

a)

Cure hypertension

b)

Prevent end-organ damage

c)

Increase cardiac output

d)

Reduce heart rate

2.

Which class of drugs is considered first-line for managing hypertension?

a)

Beta blockers

b)

ACE inhibitors

c)

Calcium channel blockers

d)

Thiazide diuretics

3.

ACE inhibitors lower blood pressure by:

a)

Blocking calcium channels

b)

Increasing aldosterone

c)

Inhibiting angiotensin-converting enzyme

d)

Stimulating beta receptors

4.

A common adverse effect of ACE inhibitors is:

a)

Diarrhea

b)

Dry cough

c)

Bradycardia

d)

Muscle cramps

5.

5. The lab value that should be monitored in patients taking ACE inhibitors is:

a)

Potassium

b)

Calcium

c)

Sodium

d)

Glucose

6.

What is the mechanism of action of angiotensin II receptor blockers (ARBs)?

a)

Promote sodium retention

b)

Inhibit renin

c)

Block angiotensin II receptors

d)

Decrease aldosterone secretion

7.

Which of the following is a contraindication for beta-blocker use?

a)

A. Atrial fibrillation

b)

B. Chronic heart failure

c)

C. Asthma

d)

D. Hypertension

8.

What is the primary action of calcium channel blockers?

a)

Decrease heart contractility and dilate arteries

b)

Increase peripheral resistance

c)

Stimulate cardiac conduction

d)

Inhibit aldosterone

9.

Which adverse effect is most associated with calcium channel blockers?

a)

Constipation

b)

Hypokalemia

c)

Sedation

d)

Dry mouth

10.

Beta blockers primarily lower blood pressure by:

a)

Increasing renal blood flow

b)

Blocking beta-adrenergic receptors

c)

Stimulating alpha receptors

d)

Enhancing calcium reuptake

11.

Which antihypertensive medication may cause rebound hypertension if stopped abruptly?

a)

Clonidine

b)

Lisinopril

c)

Amlodipine

d)

Losartan

12.

What is the action of diuretics in hypertension management?

a)

Increase plasma volume

b)

Retain sodium and water

c)

Promote sodium and water excretion

d)

Raise heart rate

13.

A patient taking hydrochlorothiazide should be monitored for which electrolyte imbalance?

a)

Hyperkalemia

b)

Hypokalemia

c)

Hypernatremia

d)

Hypercalcemia

14.

Which antihypertensive drug is safe to use during pregnancy?

a)

Enalapril

b)

Labetalol

c)

Losartan

d)

Aliskiren

15.

Patient teaching for antihypertensive therapy should include:

a)

Double dose if one is missed

b)

Stop medication if BP normalizes

c)

Change positions slowly to prevent dizziness

d)

Avoid all physical activity

16.

The nurse is reviewing discharge instructions for a patient with a newly initiated order for captopril, an ACE inhibitor. The nurse would indicate that which of the following adverse effects is most common?

a)

tinnitus

b)

dry, persistent cought

c)

muscle weakness

d)

constipation

17.

The patient with a blood pressure of 154/92 is diagnosed with essential hypertension (stage 2). What would the nurse expect to be potentially included as part of the patient’s initial treatment plan along with lifestyle modification? (Select all that apply.)

a)

ACE inhibitor

b)

loop diuretic

c)

angiotensin receptor blocker (ARB)

d)

calcium channel blocker (CCB)

18.

Orthostatic hypotension is a potential outcome of antihypertensive drugs that places older adults at risk for injury from falls. Instructions given to the patient to decrease this effect include which of the following? (Select all that apply.)

a)

Take the dose at bedtime

b)

Change position slowly when rising from bed and chair

c)

Increase fluid intake by 500 mL/day

d)

Decrease the dose until symptoms disappear

19.

A patient with a history of hypertension comes to the emergency department with double vision and a blood pressure of 240/120 mm Hg. The physician on call orders sodium nitroprusside by continuous infusion, with continual blood pressure monitoring. This drug’s immediate action is to lower blood pressure by which of the following mechanisms?

a)

increasing peripheral vascular resistance

b)

increasing cardiac output

c)

dilating venous and arterial vessels

d)

decreasing heart rate

20.

A patient in the intensive care unit has been receiving sodium nitroprusside for 2 days. The nurse needs to monitor for which of the following?

a)

thiocyanate toxicity

b)

hyperglycemia

c)

hyperkalemia

d)

metabolic alkalosis