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NCLEX Medication Quiz

Total questions: 15

Worksheet time: 8mins

Name
Class
Date
1.

What does preload refer to?

a)

Affects heart rate

b)

Resistance the heart pumps against

c)

Volume returning to the heart

d)

Affects contractility

2.

Which medication is a positive inotrope and negative chronotrope?

a)

Metoprolol

b)

Digoxin

c)

Nitroglycerin

d)

Lisinopril

3.

What is the primary effect of hydrochlorothiazide (HCTZ) on preload?

a)

Reduces afterload

b)

Reduces preload

c)

Increases preload

d)

No effect on preload

4.

Which medication is first-line for heart failure and improves survival?

a)

Lisinopril

b)

Furosemide

c)

Digoxin

d)

Losartan

5.

What is the NCLEX phrase for beta blockers like Metoprolol?

a)

Improves squeeze, slows rate

b)

Beta blockers slow and soften the heart

c)

ACE inhibitors = afterload reducers

d)

Loops pull fluid FAST

6.

Which medication is a strong preload reducer but has no direct effect on afterload?

a)

Atorvastatin

b)

Nitroglycerin

c)

Hydrochlorothiazide

d)

Furosemide

7.

What is the primary use of atorvastatin?

a)

Prevents atherosclerosis

b)

Reduces preload

c)

Improves cardiac output

d)

Reduces afterload

8.

Which medication acts like ACE inhibitors but without causing a cough?

a)

Losartan

b)

Nitroglycerin

c)

Metoprolol

d)

Digoxin

9.

What is the effect of nitroglycerin at higher doses?

a)

Increases preload

b)

Reduces afterload

c)

Increases afterload

d)

No effect on preload or afterload

10.

Which medication should be held if the patient is hypotensive?

a)

ACE inhibitors

b)

Digoxin

c)

Atorvastatin

d)

Beta blockers

11.

What is the NCLEX trap to remember when a patient is hypotensive?

a)

Hold ACE inhibitors, ARBs, nitrates, diuretics

b)

Give digoxin immediately

c)

Administer atorvastatin

d)

Increase preload with fluids

12.

Which medication improves pulmonary congestion and is first-line for fluid overload?

a)

Furosemide

b)

Losartan

c)

Nitroglycerin

d)

Hydrochlorothiazide

13.

What is the NCLEX phrase for ACE inhibitors like Lisinopril?

a)

Loops pull fluid FAST

b)

Improves squeeze, slows rate

c)

Beta blockers slow and soften the heart

d)

ACE inhibitors = afterload reducers

14.

Which medication is used for angina and acute heart failure but can cause headaches?

a)

Losartan

b)

Metoprolol

c)

Digoxin

d)

Nitroglycerin

15.

What is the risk associated with digoxin toxicity?

a)

Increased risk when potassium is low

b)

Risk only in patients with hypertension

c)

Increased risk when potassium is high

d)

No risk related to potassium levels