Clayton's-Basic-Pharmacology-for-Nurses-19th-Edition-Unit-4:-Drugs-
Affecting-the-Cardiovascular-System-(Chapters-20-28)
1. Which-risk-factors-for-metabolic-syndrome-should-the-nurse-include-when-
assessing-a-pt-who-came-into-the-clinic-for-a-yearly-checkup---CORRECT-
ANSWER---being-overweight
- smoking
- genetic-predisposition
- having-high-blood-pressure
2. A-nurse-tells-a-45-yr-old-male-pt-whose-BMI-was-calculated-to-be-29-that-this-
number-means:---CORRECT-ANSWER-"a-BMI-over-25-indicates-that-you-are-
considered-overweight-and-close-to-obese"
3. A-pt-in-the-clinic-asked-the-nurse-for-ways-to-reduce-the-risk-of-developing-
metabolic-syndrome.-the-nurse-replied:---CORRECT-ANSWER-"lifestyle-
modifications,-including-a-heart-healthy-diet-and-exercise,-are-important-to-
practice-to-prevent-the-development-of-metabolic-syndrome"
4. pts-evaluated-for-metabolic-syndrome-should-have-which-laboratory-test(s)-done?-
--CORRECT-ANSWER-
blood-glucose
lipid-profile
hemoglobin-A1c
5. recommendations-for-pts-on-how-to-manage-the-diabetes-to-prevent-metabolic-
syndrome-include(s):---CORRECT-ANSWER-eating-a-balanced-meal
keeping-the-blood-sugar-less-than-180-after-meals.
being-physically-active
having-BMI-less-than-25
6. a-pt-with-metabolic-syndrome-who-requires-drug-therapy-after-lifestyle-changes-
were-not-effective-was-told-by-the-nurse-that-these-drugs-may-be-used-to-manage-
the-underlying-diseases-(hypertension,-hperlipidemia)-causing-the-metabolic-
syndrome.---CORRECT-ANSWER-thiazide-diuretics
statins
angiotensin-converting-enzyme-inhibitors
7. the-nurse-teaching-a-pt-about-lipoproteins-realized-further-education-was-needed-
when-the-pt-made-the-following-statement:---CORRECT-ANSWER-"i-need-to-
watch-my-level-of-HDL-and-keep-it-low,-while-maing-sure-my-LDL-level-is-
higher"
, Clayton's-Basic-Pharmacology-for-Nurses-19th-Edition-Unit-4:-Drugs-
Affecting-the-Cardiovascular-System-(Chapters-20-28)
8. lifestyle-modifications-that-can-be-implemented-to-reduce-the-risk-of-developing-
hyperlipidemia-include:---CORRECT-ANSWER---maintaining-a-heart-healthy-diet.
- avoiding-tobacco-products
- maintaining-a-healthy-weight
- regular-exercise
9. a-pt-taking-the-fibric-acid-gemfibrozil-asks-the-nurse-how-this-drug-works.-the-
best-response-would-be:---CORRECT-ANSWER-"the-drug-gemfibrozil-is-used-to-
lower-your-triglyceride-level"
10. a-nurse-teaching-a-pt-who-was-prescribed-niacin-includes-the-avoidable-adverse-
effects-of:---CORRECT-ANSWER---nausea
- flatulence
- abdominal-discomfort
11. a-pt-prescribed-omega-3-fatty-acids-(lovaza)-asked-the-nurse-what-he-should-
know-about-the-drug.-the-best-response-would-be:---CORRECT-ANSWER
"lovaza-is-used-to-decrease-very-elevated-triglyceride-levels"
"lovaza-is-often-used-with-statins-to-further-lower-cholesterol-levels"
"lovaza-should-be-used-with-caution-in-pts-who-are-allergic-to-fish"
"lovaza-should-be-discontinued-after-2-months-of-therapy-if-there-is-not-an-
adequate-response."
12. a-pt-asked-the-nurse-about-the-difference-between-primary-and-secondary-
hypertension.-which-statement-by-the-nurse-accurately-answers-the-question?---
CORRECT-ANSWER-"primary-hypertension-has-no-identifiable-cause,-and-the-
secondary-hypertension-is-caused-by-some-other-condition.-treathing-the-other-
condition-may-eliminate-the-hypertension."
13. the-nurse-was-reviewing-the-assessments-and-interventions-for-pts-with-
hypertension.---CORRECT-ANSWER---monitor-BP
- reviewing-diet-history
- checking-laboratory-values-for-kidney-function-
-determining-the-physical-activity-level-of-the-pt
, Clayton's-Basic-Pharmacology-for-Nurses-19th-Edition-Unit-4:-Drugs-
Affecting-the-Cardiovascular-System-(Chapters-20-28)
14. after-discussing-lifestyle-modifications-with-the-pt-who-is-hypertensive,-the-nurse-
will-reinforce-teaching-after-the-pt-makes-the-following-statement:---CORRECT-
ANSWER-i-can-eat-tuna-and-crackers-for-a-midafternoon-snack
15. the-nurse-was-discussing-the-various-drug-classifications-used-for-hypertension-
with-a-new-nurse-during-orientation-and-reviewed-the-following-drug-
classifications-in-the-discussion.---CORRECT-ANSWER---renin-inhibitors
- diuretics
- angiotensin-II-receptor-blockers
16. the-nurse-was-explaning-to-a-pt-with-newly-diagnosed-hypertension-the-initial-
therapy,-which-may-include:---CORRECT-ANSWER---diuretics
- angiotensin-II-receptor-blockers
- calcium-channel-blockers
17. the-nurse-preparing-the-drug-irbesartan-(avapro)-fro-the-drug-class-angiotensin-II-
receptor-blockers-knows-that-this-drug-works-by:---CORRECT-ANSWER-binding-
to-the-blocking-angiotensin-II-receptor-sites
18. the-nurse-is-administering-amlodipine-(norvasc)-to-a-pt-who-asked-how-the-drug-
works.-the-nurse's-best-response-is:---CORRECT-ANSWER-'this-drug-helps-relax-
your-blood-vessels-and-slows-your-heart-rate,-which-lowers-your-blood-pressure."
19. the-nurse-is-reviewing-an-order-for-the-drug-hydralazine-that-will-be-
administered-to-a-pt-with-persistent-high-BP.-the-nurse-recognizes-this-drug-as-a:--
-CORRECT-ANSWER-direct-vasodilator
20. while-reviewing-the-drug-hydrochlorothiazide-for-a-pt-with-hypertension,-the-
nurse-also-checked-this-laboratory-value-before-administration.---CORRECT-
ANSWER-creatinine-clearance
21. after-teaching-the-pt-about-the-new-prescription-drug-captopril,-an-ACE-inhibitor,-
the-nurse-knew-that-further-education-was-needed-after-the-pat-responded-with-
this-statement:---CORRECT-ANSWER-"I-should-take-captopril-with-food-so-it-
will-not-upset-my-stomach"
22. the-nurse-is-teaching-a-73-yr-old-female-pt-about-precipitating-factors-of-angina-
and-recognizes-that-further-teaching-is-needed-from-the-following-statement-by-
the-pt:---CORRECT-ANSWER-"i-will-cut-back-on-my-coffee-intake,-but-I-can-still-
have-regular-coke."
Affecting-the-Cardiovascular-System-(Chapters-20-28)
1. Which-risk-factors-for-metabolic-syndrome-should-the-nurse-include-when-
assessing-a-pt-who-came-into-the-clinic-for-a-yearly-checkup---CORRECT-
ANSWER---being-overweight
- smoking
- genetic-predisposition
- having-high-blood-pressure
2. A-nurse-tells-a-45-yr-old-male-pt-whose-BMI-was-calculated-to-be-29-that-this-
number-means:---CORRECT-ANSWER-"a-BMI-over-25-indicates-that-you-are-
considered-overweight-and-close-to-obese"
3. A-pt-in-the-clinic-asked-the-nurse-for-ways-to-reduce-the-risk-of-developing-
metabolic-syndrome.-the-nurse-replied:---CORRECT-ANSWER-"lifestyle-
modifications,-including-a-heart-healthy-diet-and-exercise,-are-important-to-
practice-to-prevent-the-development-of-metabolic-syndrome"
4. pts-evaluated-for-metabolic-syndrome-should-have-which-laboratory-test(s)-done?-
--CORRECT-ANSWER-
blood-glucose
lipid-profile
hemoglobin-A1c
5. recommendations-for-pts-on-how-to-manage-the-diabetes-to-prevent-metabolic-
syndrome-include(s):---CORRECT-ANSWER-eating-a-balanced-meal
keeping-the-blood-sugar-less-than-180-after-meals.
being-physically-active
having-BMI-less-than-25
6. a-pt-with-metabolic-syndrome-who-requires-drug-therapy-after-lifestyle-changes-
were-not-effective-was-told-by-the-nurse-that-these-drugs-may-be-used-to-manage-
the-underlying-diseases-(hypertension,-hperlipidemia)-causing-the-metabolic-
syndrome.---CORRECT-ANSWER-thiazide-diuretics
statins
angiotensin-converting-enzyme-inhibitors
7. the-nurse-teaching-a-pt-about-lipoproteins-realized-further-education-was-needed-
when-the-pt-made-the-following-statement:---CORRECT-ANSWER-"i-need-to-
watch-my-level-of-HDL-and-keep-it-low,-while-maing-sure-my-LDL-level-is-
higher"
, Clayton's-Basic-Pharmacology-for-Nurses-19th-Edition-Unit-4:-Drugs-
Affecting-the-Cardiovascular-System-(Chapters-20-28)
8. lifestyle-modifications-that-can-be-implemented-to-reduce-the-risk-of-developing-
hyperlipidemia-include:---CORRECT-ANSWER---maintaining-a-heart-healthy-diet.
- avoiding-tobacco-products
- maintaining-a-healthy-weight
- regular-exercise
9. a-pt-taking-the-fibric-acid-gemfibrozil-asks-the-nurse-how-this-drug-works.-the-
best-response-would-be:---CORRECT-ANSWER-"the-drug-gemfibrozil-is-used-to-
lower-your-triglyceride-level"
10. a-nurse-teaching-a-pt-who-was-prescribed-niacin-includes-the-avoidable-adverse-
effects-of:---CORRECT-ANSWER---nausea
- flatulence
- abdominal-discomfort
11. a-pt-prescribed-omega-3-fatty-acids-(lovaza)-asked-the-nurse-what-he-should-
know-about-the-drug.-the-best-response-would-be:---CORRECT-ANSWER
"lovaza-is-used-to-decrease-very-elevated-triglyceride-levels"
"lovaza-is-often-used-with-statins-to-further-lower-cholesterol-levels"
"lovaza-should-be-used-with-caution-in-pts-who-are-allergic-to-fish"
"lovaza-should-be-discontinued-after-2-months-of-therapy-if-there-is-not-an-
adequate-response."
12. a-pt-asked-the-nurse-about-the-difference-between-primary-and-secondary-
hypertension.-which-statement-by-the-nurse-accurately-answers-the-question?---
CORRECT-ANSWER-"primary-hypertension-has-no-identifiable-cause,-and-the-
secondary-hypertension-is-caused-by-some-other-condition.-treathing-the-other-
condition-may-eliminate-the-hypertension."
13. the-nurse-was-reviewing-the-assessments-and-interventions-for-pts-with-
hypertension.---CORRECT-ANSWER---monitor-BP
- reviewing-diet-history
- checking-laboratory-values-for-kidney-function-
-determining-the-physical-activity-level-of-the-pt
, Clayton's-Basic-Pharmacology-for-Nurses-19th-Edition-Unit-4:-Drugs-
Affecting-the-Cardiovascular-System-(Chapters-20-28)
14. after-discussing-lifestyle-modifications-with-the-pt-who-is-hypertensive,-the-nurse-
will-reinforce-teaching-after-the-pt-makes-the-following-statement:---CORRECT-
ANSWER-i-can-eat-tuna-and-crackers-for-a-midafternoon-snack
15. the-nurse-was-discussing-the-various-drug-classifications-used-for-hypertension-
with-a-new-nurse-during-orientation-and-reviewed-the-following-drug-
classifications-in-the-discussion.---CORRECT-ANSWER---renin-inhibitors
- diuretics
- angiotensin-II-receptor-blockers
16. the-nurse-was-explaning-to-a-pt-with-newly-diagnosed-hypertension-the-initial-
therapy,-which-may-include:---CORRECT-ANSWER---diuretics
- angiotensin-II-receptor-blockers
- calcium-channel-blockers
17. the-nurse-preparing-the-drug-irbesartan-(avapro)-fro-the-drug-class-angiotensin-II-
receptor-blockers-knows-that-this-drug-works-by:---CORRECT-ANSWER-binding-
to-the-blocking-angiotensin-II-receptor-sites
18. the-nurse-is-administering-amlodipine-(norvasc)-to-a-pt-who-asked-how-the-drug-
works.-the-nurse's-best-response-is:---CORRECT-ANSWER-'this-drug-helps-relax-
your-blood-vessels-and-slows-your-heart-rate,-which-lowers-your-blood-pressure."
19. the-nurse-is-reviewing-an-order-for-the-drug-hydralazine-that-will-be-
administered-to-a-pt-with-persistent-high-BP.-the-nurse-recognizes-this-drug-as-a:--
-CORRECT-ANSWER-direct-vasodilator
20. while-reviewing-the-drug-hydrochlorothiazide-for-a-pt-with-hypertension,-the-
nurse-also-checked-this-laboratory-value-before-administration.---CORRECT-
ANSWER-creatinine-clearance
21. after-teaching-the-pt-about-the-new-prescription-drug-captopril,-an-ACE-inhibitor,-
the-nurse-knew-that-further-education-was-needed-after-the-pat-responded-with-
this-statement:---CORRECT-ANSWER-"I-should-take-captopril-with-food-so-it-
will-not-upset-my-stomach"
22. the-nurse-is-teaching-a-73-yr-old-female-pt-about-precipitating-factors-of-angina-
and-recognizes-that-further-teaching-is-needed-from-the-following-statement-by-
the-pt:---CORRECT-ANSWER-"i-will-cut-back-on-my-coffee-intake,-but-I-can-still-
have-regular-coke."
