ANCC TESTED QUESTIONS AND CORRECT ANSWERS
✔✔What do you not want to take with statins? (2 things) - ✔✔Grapefruit juice, azole
antifungals may cause drug-induced hepatitis or rhabdomyolysis
✔✔Digoxin drug range - ✔✔0.5-2.0 ng/mL
✔✔Potassium normal value - ✔✔3.5-5.0 mEq/L
✔✔For A. Fib the target INR is what? - ✔✔2.0 to 3.0
✔✔Do not combine ACEI with which drugs? - ✔✔ARBs
✔✔When are beta blockers contraindicated? - ✔✔Chronic lung disease (asthma,
COPD, emphysema, chronic bronchitis)
✔✔Should you discontinue beta blockers abruptly? - ✔✔No because you can have
severe rebound hypertensive crisis
✔✔What should you not mix PDE5 (Phosphodiesterase 5) inhibitors with? - ✔✔Nitrates
✔✔You would not give this drug class within 3 to 6 months of a MI or stroke - ✔✔PDE5
inhibitors
✔✔You would not combine lithium with which diuretic? - ✔✔Thiazide
✔✔Thiazide diuretics are contraindicated with what type of allergy? - ✔✔Sulfa allergy
✔✔According to the JNC 8, this medication is longer acting and more "effective" than
HCTZ - ✔✔Chlorthalidone
✔✔What is a black box warning for Potassium sparing diuretics? - ✔✔Hyperkalemia;
also higher risk with renal impairment, diabetes, elderly, severely ill
✔✔What is a contraindication for loop diuretics? - ✔✔Sulfa allergy
✔✔These drugs are used to treat HTN, post MI, arrhythmias and migraines but are
preferred for treating angina pectoris and postacute MI unless contraindicated. -
✔✔Beta Blockers
✔✔What two beta blockers are noncardioselective (blocks beta 1 and beta 2? -
✔✔Propranolol (Inderal) and carvedilol (Coreg)
, ✔✔Are beta 1 or beta 2 receptors found mainly in the heart? - ✔✔Beta 1
✔✔What two cardioselective beta blockers are more potent? - ✔✔Atenolol (Tenormin)
Metoprolol (Lopressor) immediate release
Metoprolol (Toprol XL) extended release
✔✔What are 6 contraindications for using beta blockers? - ✔✔Asthma
COPD
Chronic bronchitis
Emphysema
Bradycardia
AV Block (2nd or 3rd degree)
✔✔These two medication classes are used to treat HTN, diabetes (renal), CKD, post
MI, heart failure but also improve LVEF and survival post MI. - ✔✔ACEIs and ARBs
✔✔These two classes are preferred agents for patients with heart failure with reduced
ejection fraction. - ✔✔ACEIs and ARBs
✔✔ACEIs and ARBs are what pregnancy category? - ✔✔C (1st trimester), D (2nd and
3rd trimester)
✔✔ACEIs and ARBs are preferred drugs in patients with what two conditions? -
✔✔HTN in diabetes and CKD
✔✔Calcium Channel Blockers are first line treatment for what phenomenon -
✔✔Raynaud's phenomenon
✔✔Name 4 CCBs - ✔✔Amlodipine (Norvasc)
Diltiazem (Cardizem)
Nifedipine (Procardia)
Verapamil (Calan): Do not mix with erythromycin or clarithromycin due to drug
interaction
✔✔Calcium channel blocker are contraindicated in what three patient diseases or
symptoms? - ✔✔AV block (2nd or 3rd)
Bradycardia
CHF
✔✔What are alpha blockers primarily used for? - ✔✔HTN with coexisting BPH
✔✔What is the first line treatment for HTN with BPH? - ✔✔Alpha Blockers
✔✔What do you not want to take with statins? (2 things) - ✔✔Grapefruit juice, azole
antifungals may cause drug-induced hepatitis or rhabdomyolysis
✔✔Digoxin drug range - ✔✔0.5-2.0 ng/mL
✔✔Potassium normal value - ✔✔3.5-5.0 mEq/L
✔✔For A. Fib the target INR is what? - ✔✔2.0 to 3.0
✔✔Do not combine ACEI with which drugs? - ✔✔ARBs
✔✔When are beta blockers contraindicated? - ✔✔Chronic lung disease (asthma,
COPD, emphysema, chronic bronchitis)
✔✔Should you discontinue beta blockers abruptly? - ✔✔No because you can have
severe rebound hypertensive crisis
✔✔What should you not mix PDE5 (Phosphodiesterase 5) inhibitors with? - ✔✔Nitrates
✔✔You would not give this drug class within 3 to 6 months of a MI or stroke - ✔✔PDE5
inhibitors
✔✔You would not combine lithium with which diuretic? - ✔✔Thiazide
✔✔Thiazide diuretics are contraindicated with what type of allergy? - ✔✔Sulfa allergy
✔✔According to the JNC 8, this medication is longer acting and more "effective" than
HCTZ - ✔✔Chlorthalidone
✔✔What is a black box warning for Potassium sparing diuretics? - ✔✔Hyperkalemia;
also higher risk with renal impairment, diabetes, elderly, severely ill
✔✔What is a contraindication for loop diuretics? - ✔✔Sulfa allergy
✔✔These drugs are used to treat HTN, post MI, arrhythmias and migraines but are
preferred for treating angina pectoris and postacute MI unless contraindicated. -
✔✔Beta Blockers
✔✔What two beta blockers are noncardioselective (blocks beta 1 and beta 2? -
✔✔Propranolol (Inderal) and carvedilol (Coreg)
, ✔✔Are beta 1 or beta 2 receptors found mainly in the heart? - ✔✔Beta 1
✔✔What two cardioselective beta blockers are more potent? - ✔✔Atenolol (Tenormin)
Metoprolol (Lopressor) immediate release
Metoprolol (Toprol XL) extended release
✔✔What are 6 contraindications for using beta blockers? - ✔✔Asthma
COPD
Chronic bronchitis
Emphysema
Bradycardia
AV Block (2nd or 3rd degree)
✔✔These two medication classes are used to treat HTN, diabetes (renal), CKD, post
MI, heart failure but also improve LVEF and survival post MI. - ✔✔ACEIs and ARBs
✔✔These two classes are preferred agents for patients with heart failure with reduced
ejection fraction. - ✔✔ACEIs and ARBs
✔✔ACEIs and ARBs are what pregnancy category? - ✔✔C (1st trimester), D (2nd and
3rd trimester)
✔✔ACEIs and ARBs are preferred drugs in patients with what two conditions? -
✔✔HTN in diabetes and CKD
✔✔Calcium Channel Blockers are first line treatment for what phenomenon -
✔✔Raynaud's phenomenon
✔✔Name 4 CCBs - ✔✔Amlodipine (Norvasc)
Diltiazem (Cardizem)
Nifedipine (Procardia)
Verapamil (Calan): Do not mix with erythromycin or clarithromycin due to drug
interaction
✔✔Calcium channel blocker are contraindicated in what three patient diseases or
symptoms? - ✔✔AV block (2nd or 3rd)
Bradycardia
CHF
✔✔What are alpha blockers primarily used for? - ✔✔HTN with coexisting BPH
✔✔What is the first line treatment for HTN with BPH? - ✔✔Alpha Blockers
