Pharmacology
A Patient-Centered Nursing
Process Approach
11th Edition
• Author(s)Linda McCuistion
TEST BANK
,Question 1
Difficulty: Easy
Question Type: MCQ
Question:
A nurse is administering an ACE inhibitor to a patient with
hypertension. Which action is most important before giving the
medication?
A. Assess bowel sounds
B. Check blood pressure
C. Monitor oxygen saturation
D. Evaluate urine color
Correct Answer: B
Rationale:
ACE inhibitors lower blood pressure, so assessing baseline BP is
essential to prevent hypotension. The other options are not
priority assessments related to this medication class.
Question 2
Difficulty: Moderate
Question Type: SATA
,Question:
Which findings should the nurse monitor for in a patient taking
a loop diuretic? (Select all that apply)
A. Hypokalemia
B. Dehydration
C. Hypernatremia
D. Ototoxicity
E. Bradycardia
Correct Answer: A, B, D
Rationale:
Loop diuretics can cause potassium loss, fluid depletion, and
ototoxicity. Hypernatremia is less common, and bradycardia is
not a typical effect.
Question 3
Difficulty: Moderate
Question Type: MCQ
Question:
A patient reports a persistent dry cough after starting an
antihypertensive medication. Which drug class is most likely
responsible?
A. Beta blockers
B. Calcium channel blockers
, C. ACE inhibitors
D. ARBs
Correct Answer: C
Rationale:
ACE inhibitors increase bradykinin levels, leading to a dry cough.
ARBs are often substituted when this occurs.
Question 4
Difficulty: Difficult
Question Type: NGN Clinical Judgment
Question:
A patient taking spironolactone has the following lab results:
potassium 5.8 mEq/L, sodium 136 mEq/L. What is the nurse’s
priority action?
A. Administer the medication as scheduled
B. Hold the medication and notify the provider
C. Encourage potassium-rich foods
D. Increase fluid intake
Correct Answer: B
Rationale:
Spironolactone is potassium-sparing and can cause
A Patient-Centered Nursing
Process Approach
11th Edition
• Author(s)Linda McCuistion
TEST BANK
,Question 1
Difficulty: Easy
Question Type: MCQ
Question:
A nurse is administering an ACE inhibitor to a patient with
hypertension. Which action is most important before giving the
medication?
A. Assess bowel sounds
B. Check blood pressure
C. Monitor oxygen saturation
D. Evaluate urine color
Correct Answer: B
Rationale:
ACE inhibitors lower blood pressure, so assessing baseline BP is
essential to prevent hypotension. The other options are not
priority assessments related to this medication class.
Question 2
Difficulty: Moderate
Question Type: SATA
,Question:
Which findings should the nurse monitor for in a patient taking
a loop diuretic? (Select all that apply)
A. Hypokalemia
B. Dehydration
C. Hypernatremia
D. Ototoxicity
E. Bradycardia
Correct Answer: A, B, D
Rationale:
Loop diuretics can cause potassium loss, fluid depletion, and
ototoxicity. Hypernatremia is less common, and bradycardia is
not a typical effect.
Question 3
Difficulty: Moderate
Question Type: MCQ
Question:
A patient reports a persistent dry cough after starting an
antihypertensive medication. Which drug class is most likely
responsible?
A. Beta blockers
B. Calcium channel blockers
, C. ACE inhibitors
D. ARBs
Correct Answer: C
Rationale:
ACE inhibitors increase bradykinin levels, leading to a dry cough.
ARBs are often substituted when this occurs.
Question 4
Difficulty: Difficult
Question Type: NGN Clinical Judgment
Question:
A patient taking spironolactone has the following lab results:
potassium 5.8 mEq/L, sodium 136 mEq/L. What is the nurse’s
priority action?
A. Administer the medication as scheduled
B. Hold the medication and notify the provider
C. Encourage potassium-rich foods
D. Increase fluid intake
Correct Answer: B
Rationale:
Spironolactone is potassium-sparing and can cause
