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NUR 210 EXAM 3 STUDY GUIDE
PRINCIPLES OF PHARMACOLOGY – GALEN 2026
UPDATED EXAM QUESTIONS & ANSWERS WITH
DETAILED RATIONALES | INSTANT PDF
DOWNLOAD
Pharm Exam 3
Unit 7-9
Antihypertensives
- Must have 2 separate readings at 2 separate appointments to be considered HTN
- Two reasons
o Too much fluid
o Vasoconstriction
- Risk Factors
o Excessive intake of saturated fat and simple carbs
o Alcohol
o Obesity
- Nonpharmacologic control
o Stress reduce techniques
o Exercise
o Salt restriction
o Decrease alcohol ingestion
o Smoking cessation
- Antihypertensive Drugs
o Diuretics
o Beta adrenergic
blockers o Alpha
adrenergic blockers o
, Calcium channel
blockers
o Angiotensin converting enzyme inhibitors
o Angiotensin 2 receptor blockers
- **notify provider if any sudden extreme decrease in BP
- Beta adrenergic blockers (olol)
o Metoprolol – more selective beta 1
o Propranolol – non-selective – blocks beta 1 and beta 2
o Uses
▪ HTN
▪ Anti-dysrhythmic and anti-angina
▪ Lowers BP and HR
o Side effects
▪ Drowsiness
▪ Fatigue
o Adverse effects
▪ Hypotension
▪ Bradycardia
o Contraindications
▪ Hypotension
▪ Bradycardia
▪ Acute CHF
▪ **Propranolol contraindicated with asthma or COPD
▪ **Diabetes
Can mask hypoglycemia
o Interactions
▪ NSAIDS
● Decrease the effect
▪ Alcohol
▪ Any other HTN medications
- Alpha-adrenergic
blockers
o Prazosin
o Vasodilation and decreased BP
o Uses
▪ HTN
▪ Heart failure
▪ BPH
▪ Hyperlipidemia
o Good choice for diabetics or COPD patients, don’t have effects as beta-blocker
o Side effects
, ▪ Dizzy, drowsy, headache
▪ **Peripheral edema, weight gain
▪ Urinary incontinence
▪ Erectile dysfunction
o Adverse effects
▪ Orthostatic hypotension
▪ Palpitations
▪ Elevated liver enzymes
o Contraindications
▪ Hypotension
o Interactions
▪ Other HTN meds
▪ High protein binding drugs
▪ Alcohol
▪ OTC cold medications
- Calcium Channel Blockers
(pine)
o Amlodipin
e o Verapamil
o Diltiazem
o Blocks calcium’s movement in and out of cells which promotes
vasodilation and decreased HR
o Uses
▪ HTN
▪ Anti-angina
▪ Anti-dysrhythmic
▪ Peripheral vascular disease
o Side effects
▪ Flushing
▪ **Headache
▪ Dizziness
▪ **Peripheral edema
▪ Erectile dysfunction
o Adverse effects
▪ Hypotension
▪ Bradycardia
o Contraindications
▪ Hepatic impairment
o Interactions
▪ Other HTN medications
▪ OTC cold medications
▪ NSAID
- Angiotensin-Converting Enzyme (ACE) inhibitors
(pril)
, o Lisinopril
o Inhibits xformation xof xangiotensin x2 x(strong xvasoconstrictor) xand xblocks
xrelease xof x aldosterone x(holds xonto xwater x& xNa, xreleases xK)
o By xinhibiting xangiotensin x2 xthe xpatient xhas xinhibited xvasoconstriction
x(results xin x vasodilation) xand xreleases xwater xand xNa xand xholds xK
o Uses
▪ HTN
▪ Heart xfailure
o Side xeffects
▪ **Constant xirritating xnon-productive xcough
▪ Headache
▪ GI xupset
▪ Insomnia
▪ Erectile xdysfunction
o Adverse xreactions
▪ Hypotension
▪ **Hyperkalemia x(most ximportant)
▪ Tachycardia
▪ **Angioedema
▪ Nephrotoxic x(except xdiabetic)
o Contraindications
▪ Pregnancy
▪ Potassium-sparing xdiuretics xsuch xas xspironolactone
▪ Salt xsubstitutes xthat xcontain xpotassium
o Interactions
▪ Potassium xcontaining xmedication
▪ Other xHTN xmedications
NUR 210 EXAM 3 STUDY GUIDE
PRINCIPLES OF PHARMACOLOGY – GALEN 2026
UPDATED EXAM QUESTIONS & ANSWERS WITH
DETAILED RATIONALES | INSTANT PDF
DOWNLOAD
Pharm Exam 3
Unit 7-9
Antihypertensives
- Must have 2 separate readings at 2 separate appointments to be considered HTN
- Two reasons
o Too much fluid
o Vasoconstriction
- Risk Factors
o Excessive intake of saturated fat and simple carbs
o Alcohol
o Obesity
- Nonpharmacologic control
o Stress reduce techniques
o Exercise
o Salt restriction
o Decrease alcohol ingestion
o Smoking cessation
- Antihypertensive Drugs
o Diuretics
o Beta adrenergic
blockers o Alpha
adrenergic blockers o
, Calcium channel
blockers
o Angiotensin converting enzyme inhibitors
o Angiotensin 2 receptor blockers
- **notify provider if any sudden extreme decrease in BP
- Beta adrenergic blockers (olol)
o Metoprolol – more selective beta 1
o Propranolol – non-selective – blocks beta 1 and beta 2
o Uses
▪ HTN
▪ Anti-dysrhythmic and anti-angina
▪ Lowers BP and HR
o Side effects
▪ Drowsiness
▪ Fatigue
o Adverse effects
▪ Hypotension
▪ Bradycardia
o Contraindications
▪ Hypotension
▪ Bradycardia
▪ Acute CHF
▪ **Propranolol contraindicated with asthma or COPD
▪ **Diabetes
Can mask hypoglycemia
o Interactions
▪ NSAIDS
● Decrease the effect
▪ Alcohol
▪ Any other HTN medications
- Alpha-adrenergic
blockers
o Prazosin
o Vasodilation and decreased BP
o Uses
▪ HTN
▪ Heart failure
▪ BPH
▪ Hyperlipidemia
o Good choice for diabetics or COPD patients, don’t have effects as beta-blocker
o Side effects
, ▪ Dizzy, drowsy, headache
▪ **Peripheral edema, weight gain
▪ Urinary incontinence
▪ Erectile dysfunction
o Adverse effects
▪ Orthostatic hypotension
▪ Palpitations
▪ Elevated liver enzymes
o Contraindications
▪ Hypotension
o Interactions
▪ Other HTN meds
▪ High protein binding drugs
▪ Alcohol
▪ OTC cold medications
- Calcium Channel Blockers
(pine)
o Amlodipin
e o Verapamil
o Diltiazem
o Blocks calcium’s movement in and out of cells which promotes
vasodilation and decreased HR
o Uses
▪ HTN
▪ Anti-angina
▪ Anti-dysrhythmic
▪ Peripheral vascular disease
o Side effects
▪ Flushing
▪ **Headache
▪ Dizziness
▪ **Peripheral edema
▪ Erectile dysfunction
o Adverse effects
▪ Hypotension
▪ Bradycardia
o Contraindications
▪ Hepatic impairment
o Interactions
▪ Other HTN medications
▪ OTC cold medications
▪ NSAID
- Angiotensin-Converting Enzyme (ACE) inhibitors
(pril)
, o Lisinopril
o Inhibits xformation xof xangiotensin x2 x(strong xvasoconstrictor) xand xblocks
xrelease xof x aldosterone x(holds xonto xwater x& xNa, xreleases xK)
o By xinhibiting xangiotensin x2 xthe xpatient xhas xinhibited xvasoconstriction
x(results xin x vasodilation) xand xreleases xwater xand xNa xand xholds xK
o Uses
▪ HTN
▪ Heart xfailure
o Side xeffects
▪ **Constant xirritating xnon-productive xcough
▪ Headache
▪ GI xupset
▪ Insomnia
▪ Erectile xdysfunction
o Adverse xreactions
▪ Hypotension
▪ **Hyperkalemia x(most ximportant)
▪ Tachycardia
▪ **Angioedema
▪ Nephrotoxic x(except xdiabetic)
o Contraindications
▪ Pregnancy
▪ Potassium-sparing xdiuretics xsuch xas xspironolactone
▪ Salt xsubstitutes xthat xcontain xpotassium
o Interactions
▪ Potassium xcontaining xmedication
▪ Other xHTN xmedications
