NMNC 1110 EXAM 2 COMPREHENSIVE SCRIPT
2026 FULL QUESTIONS CORRECT ANSWERS
◉ Calcium Channel Blockers: MOA. Answer: Inhibits calcium ion
influx across cell membrane during cardiac depolarization; produces
relaxation of coronary vascular smooth muscle, peripheral vascular
smooth muscle; dilates coronary vascular arteries; increases
myocardial O2 delivery in patients with vasospastic angina
◉ Calcium Channel Blockers: Nursing Responsibilities. Answer:
Monitor intake and output
Assess for angina
change peripheral IV infusion sites every 12 hr
Daily weight to assess for fluid retention or heart failure.
Assess patients renal and kidney function while taking medication
◉ Calcium Channel Blockers: SE and AR. Answer: Side Effects:
Flushed skin, headache, dizziness, peripheral edema,
lightheadedness, constipation, fatigue, weakness, myalgia, arthralgia,
impotence, and sexual dysfunction.
Adverse Effects:
Hepatotoxicity, Myocardial Infarction, Heart Failure, Confusion,
Mood change, and angioedema.
,◉ Calcium Channel Blockers: Education. Answer: Take medicine as
prescribed, do not skip, do double doses, or stop taking abruptly.
Do not use hazardous equipment unless dizziness/fatigue aren't
noted as a problem.
Change positions slowly to prevent orthostatic hypotension.
Continue good oral hygiene to prevent gingival disease.
Use sunscreen to prevent photosensitivity.
Avoid other OTC, herbal supplements unless directed by the
provider.
Do not take if breastfeeding or planning on become pregnant.
Do not drink grapefruit juice.
◉ Angiotensin Converting Enzyme Inhibitors (ACE): Use. Answer:
Use:
- hypertension
- heart failure (systolic dysfunction, L ventricle can't empty/pump
blood out)
- post myocardial infarction (limit effects on heart after MI)
◉ Angiotensin Converting Enzyme Inhibitors (ACE): MOA. Answer:
Inhibits formation of angiotensin ll
- Blocks release of aldosterone
,- Decrease BP and SVR (systemic vascular resistance)
◉ Angiotensin Converting Enzyme Inhibitors (ACE): Nursing
Responsibilities. Answer: - Assess BP and pulse routinely - hold if
<90 SBP
(e.g., if patient on diuretics or other BP medications)
Monitor
- potassium level (3.5 - 5 mEq/L)
- EKG - hyperkalemia (tall, peaked t waves)
- BUN and Creatinine as it can alter kidney function
- Urine output (30cc/hr)
- Angioedema
- lithium level for patients on lithium, can cause lithium toxicity
◉ Angiotensin Converting Enzyme Inhibitors (ACE): SE and AR.
Answer: Side effects:
Non-productive dry cough
fatigue
insomnia
headache
dizziness
nausea
, vomiting
diarrhea
Adverse effects:
hyperkalemia
tachycardia
hypotension
angioedema
◉ Angiotensin Converting Enzyme Inhibitors (ACE): Education.
Answer: Not to discontinue product abruptly; taper. contact provider
first.
rise slowly to sitting or standing positions to minimize orthostatic
hypotension
avoid increasing potassium in the diet
avoid potassium sparing diuretics
report dry cough to prescriber
◉ Angiotensin II Receptor Blocker (ARB): Use. Answer: Use:
Hypertension, post MI with left ventricular dysfunction/failure in
stable patients
◉ Angiotensin II Receptor Blocker (ARB): MOA. Answer: MOA:
2026 FULL QUESTIONS CORRECT ANSWERS
◉ Calcium Channel Blockers: MOA. Answer: Inhibits calcium ion
influx across cell membrane during cardiac depolarization; produces
relaxation of coronary vascular smooth muscle, peripheral vascular
smooth muscle; dilates coronary vascular arteries; increases
myocardial O2 delivery in patients with vasospastic angina
◉ Calcium Channel Blockers: Nursing Responsibilities. Answer:
Monitor intake and output
Assess for angina
change peripheral IV infusion sites every 12 hr
Daily weight to assess for fluid retention or heart failure.
Assess patients renal and kidney function while taking medication
◉ Calcium Channel Blockers: SE and AR. Answer: Side Effects:
Flushed skin, headache, dizziness, peripheral edema,
lightheadedness, constipation, fatigue, weakness, myalgia, arthralgia,
impotence, and sexual dysfunction.
Adverse Effects:
Hepatotoxicity, Myocardial Infarction, Heart Failure, Confusion,
Mood change, and angioedema.
,◉ Calcium Channel Blockers: Education. Answer: Take medicine as
prescribed, do not skip, do double doses, or stop taking abruptly.
Do not use hazardous equipment unless dizziness/fatigue aren't
noted as a problem.
Change positions slowly to prevent orthostatic hypotension.
Continue good oral hygiene to prevent gingival disease.
Use sunscreen to prevent photosensitivity.
Avoid other OTC, herbal supplements unless directed by the
provider.
Do not take if breastfeeding or planning on become pregnant.
Do not drink grapefruit juice.
◉ Angiotensin Converting Enzyme Inhibitors (ACE): Use. Answer:
Use:
- hypertension
- heart failure (systolic dysfunction, L ventricle can't empty/pump
blood out)
- post myocardial infarction (limit effects on heart after MI)
◉ Angiotensin Converting Enzyme Inhibitors (ACE): MOA. Answer:
Inhibits formation of angiotensin ll
- Blocks release of aldosterone
,- Decrease BP and SVR (systemic vascular resistance)
◉ Angiotensin Converting Enzyme Inhibitors (ACE): Nursing
Responsibilities. Answer: - Assess BP and pulse routinely - hold if
<90 SBP
(e.g., if patient on diuretics or other BP medications)
Monitor
- potassium level (3.5 - 5 mEq/L)
- EKG - hyperkalemia (tall, peaked t waves)
- BUN and Creatinine as it can alter kidney function
- Urine output (30cc/hr)
- Angioedema
- lithium level for patients on lithium, can cause lithium toxicity
◉ Angiotensin Converting Enzyme Inhibitors (ACE): SE and AR.
Answer: Side effects:
Non-productive dry cough
fatigue
insomnia
headache
dizziness
nausea
, vomiting
diarrhea
Adverse effects:
hyperkalemia
tachycardia
hypotension
angioedema
◉ Angiotensin Converting Enzyme Inhibitors (ACE): Education.
Answer: Not to discontinue product abruptly; taper. contact provider
first.
rise slowly to sitting or standing positions to minimize orthostatic
hypotension
avoid increasing potassium in the diet
avoid potassium sparing diuretics
report dry cough to prescriber
◉ Angiotensin II Receptor Blocker (ARB): Use. Answer: Use:
Hypertension, post MI with left ventricular dysfunction/failure in
stable patients
◉ Angiotensin II Receptor Blocker (ARB): MOA. Answer: MOA:
