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Cardio Meds Antihypertensives

Total questions: 63

Worksheet time: 47mins

Name
Class
Date
1.

Which one is a Renin Inhibitor?

a)

Aliskiren

b)

Captopril

c)

Losartan

d)

Eplerenone

2.

Aliskiren is indicated for

a)

Hypertension

b)

Hypotension

c)

MI

d)

Nephropathy

e)

HF

3.

What is the mode of action for Renin Inhibitors (Aliskiren)?

a)

Inhibits renin

b)

Prevents angiotensinogen from being activated

c)

Inhibits the effect of aldosterone

d)

Reduces reabsorption of sodium and water

e)

Reduces sympathetic outflow from CNS

4.

What are the side effects of Renin Inhibitors (Aliskiren)?

a)

Hypotension

b)

Angioedema

c)

GI upset

d)

Cough

e)

Elevated potassium

5.

Renin Inhibitors (Aliskiren) side effect is (a)   toxicity.

6.

Monitor for (a)   for Renin Inhibitors (Aliskiren).

7.

Which of these antihypertensives cause fetal toxicity?

a)

Renin Inhibitors

b)

ACE Inhibitors

c)

Angiotensin 2 Blockers

d)

Eplerenone

e)

Methyldopa

8.

ACE Inhibitors end with...

(a)  

9.

Which are ACE inhibitors?

a)

Captopril

b)

Lisinopril

c)

Metoprolol

d)

Atenolol

e)

Clondine

10.

What are the mode of action for ACE inhibitors (Captopril & Lisinopril)?

a)

Blocks conversion of angiotensin 1 and 2, causing vasodilation

b)

Blocks action of angiotensin 2, resulting in vasodilation

c)

Inhibits the effect of aldosterone, which decreases reabsorption of sodium

d)

Blocks calcium channels in the heart and blood vessels, leading to vasodilation

11.

Indications for ACE inhibitors (Captopril & Lisinopril) are

a)

Hypertension

b)

HF

c)

MI

d)

Diabetic Nephropathy

e)

Post MI

12.

The side effects of ACE inhibitors (Captopril & Lisinopril) are

a)

Angioedema

b)

Cough

c)

Elevated potassium

d)

Dizziness

e)

Hypotension

13.

Monitor for BP AND Potassium for

a)

Calcium Channel

b)

Renin Inhibitors

c)

Aldosterone Antagonist (Eplerenone)

d)

ACE inhibitors (Captopril & Lisinopril)

e)

Angiotensin 2 Blockers (Losartan & Valsartan)

14.

Change positions (a)   for ACE inhibitors (Captopril & Lisinopril)

15.

What ends with Angiotensin 2 blockers?

(a)  

16.

Which are Angiotensin 2 Blockers?

a)

Losartan

b)

Valsartan

c)

Eplerenone

d)

Diltiazem

e)

Verapamil

17.

What the indications Angiotensin 2 Blockers (Losartan & Valsartan)

a)

Hypertension

b)

Diabetic nephropathy

c)

HF

d)

Post MI

e)

MI

18.

What is the mode of action of Angiotensin 2 Blockers (Losartan & Valsartan)?

a)

Blocks action of angiotensin 2, resulting in vasodilation

b)

Block conversion of angiotensin 1 to angiotensin 2, causing vasodilation

c)

Inhibits the effect of aldosterone, which decreases reabsorption of sodium and water

d)

Blocks calcium channels in the heart and blood vessels, leading to vasodilation, which decreases HR & BP

19.

What are the side effects for Angiotensin 2 Blockers (Losartan & Valsartan)?

a)

Hypotension

b)

Cough

c)

Fatigue

d)

GI upset

e)

Constipation

20.

Change positions slowly for medications such as ....

a)

ACE Inhibitors (Captopril & Lisinopril)

b)

Angiotensin 2 Blockers (Losartan & Valsartan)

c)

Calcium Channel (Verapamil, Nifedipine, Diltiazem)

21.

Angiotensin 2 Blockers (Losartan & Valsartan) monitor for

(a)  

22.

Which one is a Aldosterone Antagonists?

a)

Eplerenone

b)

Verapamil

c)

Nifedipine

d)

Diltiazem

23.

What are the indications of Aldosterone Antagonist (Eplerenone)?

a)

Hypertension

b)

HF (post-MI)

c)

MI

d)

HF

e)

Diabetic nephropathy

24.

What are mode of action of Aldosterone Antagonist (Eplerenone)?

a)

Inhibits the effect of aldosterone, which decrease reabsorption of sodium and water

b)

Blocks action of angiotensin 2, resulting in vasodilation

c)

Blocks conversion of angiotensin 1 to angiotensin 2, causing vasodilation

d)

Blocks calcium channels in the heart and blood vessels, leading to vasodilation, which decreases HR & BP

25.

What are the side effects of Aldosterone Antagonist (Eplerenone)?

a)

Hyperkalemia

b)

Dizziness

c)

Hypokalemia

d)

Cough

e)

Fatigue

26.

Which are Calcium Channel Blockers?

a)

Verapamil

b)

Nifedipine

c)

Diltiazem

d)

Clonidine

e)

Metoprolol

27.

What are the indications Calcium Channels Blockers?

a)

Hypertension

b)

Angina

c)

Arrhythmias

d)

Preterm Labor

e)

HF

28.

What is the mode of action for Calcium Channel Blockers?

a)

Blocks calcium channels in the heart and blood vessels, leading to vasodilation, which decreases HR and BP

b)

Decrease sympathetic outflow from CNS, which decreases BP

c)

Inhibits the effect of aldosterone, which decreases reabsorption of sodium and water

d)

Blocks action of angiotensin 2, resulting in vasodilation

29.

What are the side effects of Channels Blockers (Verapamil, Nifedipine, Diltiazem)?

a)

Peripheral edema

b)

Hypotension

c)

Tachycardia

d)

Bradycardia

e)

Constipation

30.

What are the nursing considerations for Channels Blockers (Verapamil, Nifedipine, Diltiazem)?

a)

Monitor BP & HR.

b)

Hold if SBP <90

c)

Hold if HR <60

d)

Provide a sodium diet

e)

Do not consume grapefruit juice.

31.

Which is a Centrally Acting Alpha 2 Agonist medication

a)

Clonidine

b)

Eplerenone

c)

Aliskiren

d)

Verapamil

e)

Clozapine

32.

What is the indication for Centrally Acting Alpha 2 Agonist (Clonidine)?

a)

Hypertension

b)

HF

c)

Angina

d)

MI

e)

Arrhythmias

33.

What is the mode of action of Centrally Acting Alpha 2 Agonist (Clonidine)?

a)

Decrease sympathetic outflow from CNS, which decreases BP

b)

Decrease BP and HR by blocking beta 1 (heart) receptors

c)

Blocks beta 1 (heart) and beta 2 (lung receptors

d)

Decrease BP through potent vasodilation

e)

Vasodilation, decreases preload and myocardial oxygen demand

34.

What are the side effects of Centrally Acting Alpha 2 Agonists (Clonidine)?

a)

Dizziness

b)

Drowsiness

c)

Dry mouth

d)

Dysrhythmia

e)

Dysphagia

35.

Educate patient taking Centrally Acting Alpha 2 Agonists (Clonidine) to suck hard candy to help reduce ___ ______.

(a)  

36.

Which medications are Beta 1 Blockers?

a)

Metoprolol

b)

Atenolol

c)

Albuterol

d)

Salmeterol

e)

Propranolol

37.

What are the indications for Beta 1 Blockers (Metoprolol & Atenolol)?

a)

Hypertension

b)

Angina

c)

HF

d)

Arrhythmias

e)

MI

38.

What are the mode of action for Beta 1 Blockers (Metoprolol & Atenolol)?

a)

Decrease BP & HR by blocking beta 1 (heart) receptors

b)

Blocks beta 1 (heart) and beta 2 (lung) receptors

c)

Decrease BP through potent vasodilation

d)

Decrease Sympathetic outflow from CNS, which decreases BP

39.

Side effects of Beta 1 Blockers (Metoprolol & Atenolol) are

a)

Bradycardia

b)

Tachycardia

c)

Hypotension

d)

Erectile dysfunction

e)

Chest pain

40.

For Beta 1 Blockers (Metoprolol & Atenolol): (a)   heart disease possible if stopped abruptly.

41.

The nurse should monitor steps for Beta 1 Blockers (Metoprolol & Atenolol)

a)

SBP <90

b)

HR <60

c)

Do not stop medication suddenly (must taper).

d)

Change position slowly

42.

Be aware for signs of (BLANK) for Beta 1 Blockers (Metoprolol & Atenolol).

a)

Hypoglycemia

b)

Hyperglycemia

c)

IDK

43.

What are the nonselective Beta Blockers?

a)

Propranolol

b)

Labetalol

c)

Carvedilol

d)

Metoprolol

e)

Atenolol

44.

What are the indications for Nonselective Beta Blockers (Propranolol, Labetalol, Carvedilol)?

a)

Hypertension

b)

Angina

c)

Arrhythmias

d)

MI

e)

Asthma

45.

What are the mode of action of nonselective Beta Blockers (Propranolol, Labetalol, Carvedilol)

a)

Blocks beta 1 (heart) and beta 2 (lung) receptors.

b)

Decrease BP & HR.

c)

Decrease BP & HR by blocking beta 1 (heart) receptors.

d)

Decrease BP through potent vasodilation.

e)

Vasodilation, decrease preload and myocardial oxygen.

46.

Nonselective Beta Blockers (Propranolol, Labetalol, Carvedilol) is contraindicated for clients with (a)   .

47.

What ends for nonselective Beta Blockers (Propranolol, Labetalol, Carvedilol)?

(a)  

48.

What are the side effects of nonselective Beta Blockers (Propranolol, Labetalol, Carvedilol)?

a)

Hypotension

b)

Bradycardia

c)

Erectile dysfunction

d)

Dizziness

e)

GI upset

49.

What is the side effect of nonselective Beta Blockers (Propranolol, Labetalol, Carvedilol)?

a)

Bronchospasm

b)

Bronchoconstriction

c)

Bronchodilation

d)

Bronchitis

50.

The nurse should monitor for nonselective Beta Blockers (Propranolol, Labetalol, Carvedilol)? For SBP < __ & HR < __

(a)  

51.

Which medication is a Vasodilators?

a)

Nitroprusside

b)

Nitroglycerin

c)

Digoxin

d)

Lidocaine

e)

Amiodarone

52.

What is the indication for vasodilators (Nitroprusside)

a)

Hypertensive crisis

b)

Hypertension

c)

Angina

d)

Atrial fibrillation

53.

What is the mode of action vasodilators (Nitroprusside)?

a)

Decrease BP through potent vasodilation

b)

Decrease BP & HR by blocking beta 1 (heart) receptors

c)

Blocks beta 1 (heart) and beta 2 (lung) receptors

d)

Vasodilation, decreases preload and myocardial oxygen

54.

What are the side effects of vasodilators (Nitroprusside)?

a)

Hypotension

b)

Cyanide toxicity

c)

Bleeding

d)

Dizziness

e)

GI upset

55.

Vasodilators (Nitroprusside): For severe hypotension, discontinue infusion (or decrease infusion) and place patient in (a)   position per facility policy.

56.

What is the primary root word for Nitrates?

(a)  

57.

Which are the medications for Nitrates?

a)

Nitroglycerin

b)

Isosorbide dinitrate

c)

Isosorbide mononitrate

d)

Sildenafil

e)

Digoxin

58.

What are the indications for Nitrates (Nitroglycerin, Isosorbide dinitrate, Isosorbide mononitrate)?

a)

HF

b)

Angina

c)

MI

d)

CAD

e)

Pericarditis

59.

What is the mode of action for Nitrates (Nitroglycerin, Isosorbide dinitrate, Isosorbide mononitrate)?

a)

Vasodilation, decreases preload and myocardial oxygen

b)

Sodium channel blocker

c)

Atrial fibrillation, atrial flutter, ventricular arrhythmias

d)

Potassium channel blocker

e)

Decreases conduction time through the AV node

60.

What are the side effects of Nitrates (Nitroglycerin, Isosorbide dinitrate, Isosorbide mononitrate)?

a)

Orthostatic hypotension

b)

Headache

c)

Reflex tachycardia

d)

Erectile dysfunction

e)

Hypertension

61.

Which can cause serious INTERACTION with Nitrates (Nitroglycerin, Isosorbide dinitrate, Isosorbide mononitrate)?

(a)  

62.

Teach patient about sublingual Nitroglycerin. Store in cool/dark place. Take up to 3 tablets. Place 1st under tongue, wait __ minutes. If no relief, call 911. Take 2nd, wait __. If no relief, take 3rd.

(a)  

63.

For transdermal nitrate medication the patient should . . .

a)

Wear gloves

b)

Remove prior use

c)

Rotate sites

d)

Place on hairless site

e)

Place another patch on top

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