,NUR 600 Module 4 Advanced Pharmacology 2026/2027 Questions
And Answers SNHU
Q1. Which description is most characteristic of stable angina?
A) Chest pain occurring exclusively at rest and progressively worsening
B) Predictable chest discomfort triggered by exertion and relieved by rest or
antianginal therapy
C) Sharp pain worsened by inspiration
D) Sudden chest pain associated with loss of consciousness
Correct Answer: B) Predictable chest discomfort triggered by exertion and
relieved by rest or antianginal therapy
Rationale: Stable angina typically reflects transient myocardial ischemia
during increased oxygen demand and follows a relatively predictable
exertional pattern.
Q2. Which change in an established angina pattern requires urgent
reassessment for possible acute coronary syndrome?
A) Symptoms occur only during strenuous exercise
B) Chest discomfort resolves promptly with rest
C) Episodes remain unchanged for several months
D) Chest discomfort begins occurring at rest or with progressively less
exertion
Correct Answer: D) Chest discomfort begins occurring at rest or with
progressively less exertion
Rationale: New, worsening, prolonged, or rest-related angina may indicate
unstable coronary ischemia rather than stable chronic angina.
Q3. The primary pharmacologic goal of antianginal therapy is to do
what?
A) Improve the balance between myocardial oxygen supply and demand
B) Increase myocardial workload
C) Increase platelet aggregation
D) Increase systemic vascular resistance
Correct Answer: A) Improve the balance between myocardial oxygen supply
and demand
Rationale: Antianginal medications reduce cardiac oxygen demand, improve
coronary blood flow, or use both mechanisms.
Q4. Which factor increases myocardial oxygen demand most
directly?
A) Reduced heart rate
B) Reduced ventricular wall stress
, C) Increased heart rate and contractility
D) Reduced preload
Correct Answer: C) Increased heart rate and contractility
Rationale: Faster heart rate and stronger contraction increase myocardial
energy use and oxygen requirements.
Q5. Which medication class is commonly used for symptom control
in chronic stable angina by reducing heart rate and contractility?
A) Loop diuretics
B) Beta blockers
C) Proton-pump inhibitors
D) Antihistamines
Correct Answer: B) Beta blockers
Rationale: Beta blockade reduces sympathetic stimulation, slowing heart
rate and decreasing myocardial contractility and oxygen demand.
Q6. Which medication should a patient with established stable
angina generally have available for rapid relief of an acute episode?
A) Sublingual nitroglycerin
B) Atorvastatin
C) Ezetimibe
D) Aspirin only
Correct Answer: A) Sublingual nitroglycerin
Rationale: Sublingual nitroglycerin acts rapidly and is commonly used for
immediate relief of anginal symptoms.
Q7. Which symptom most strongly suggests that chest pain should
not be managed as routine stable angina alone?
A) Predictable discomfort after climbing stairs
B) Pain resolving after rest
C) Similar intensity with each episode
D) Persistent chest pressure accompanied by diaphoresis and dyspnea
Correct Answer: D) Persistent chest pressure accompanied by diaphoresis
and dyspnea
Rationale: Persistent ischemic symptoms with autonomic or respiratory
findings may represent an acute coronary syndrome requiring emergency
evaluation.
Q8. Which therapeutic strategy addresses long-term cardiovascular-
event prevention rather than immediate angina relief?
A) Sublingual nitroglycerin during chest pain
B) Short-acting bronchodilator therapy
And Answers SNHU
Q1. Which description is most characteristic of stable angina?
A) Chest pain occurring exclusively at rest and progressively worsening
B) Predictable chest discomfort triggered by exertion and relieved by rest or
antianginal therapy
C) Sharp pain worsened by inspiration
D) Sudden chest pain associated with loss of consciousness
Correct Answer: B) Predictable chest discomfort triggered by exertion and
relieved by rest or antianginal therapy
Rationale: Stable angina typically reflects transient myocardial ischemia
during increased oxygen demand and follows a relatively predictable
exertional pattern.
Q2. Which change in an established angina pattern requires urgent
reassessment for possible acute coronary syndrome?
A) Symptoms occur only during strenuous exercise
B) Chest discomfort resolves promptly with rest
C) Episodes remain unchanged for several months
D) Chest discomfort begins occurring at rest or with progressively less
exertion
Correct Answer: D) Chest discomfort begins occurring at rest or with
progressively less exertion
Rationale: New, worsening, prolonged, or rest-related angina may indicate
unstable coronary ischemia rather than stable chronic angina.
Q3. The primary pharmacologic goal of antianginal therapy is to do
what?
A) Improve the balance between myocardial oxygen supply and demand
B) Increase myocardial workload
C) Increase platelet aggregation
D) Increase systemic vascular resistance
Correct Answer: A) Improve the balance between myocardial oxygen supply
and demand
Rationale: Antianginal medications reduce cardiac oxygen demand, improve
coronary blood flow, or use both mechanisms.
Q4. Which factor increases myocardial oxygen demand most
directly?
A) Reduced heart rate
B) Reduced ventricular wall stress
, C) Increased heart rate and contractility
D) Reduced preload
Correct Answer: C) Increased heart rate and contractility
Rationale: Faster heart rate and stronger contraction increase myocardial
energy use and oxygen requirements.
Q5. Which medication class is commonly used for symptom control
in chronic stable angina by reducing heart rate and contractility?
A) Loop diuretics
B) Beta blockers
C) Proton-pump inhibitors
D) Antihistamines
Correct Answer: B) Beta blockers
Rationale: Beta blockade reduces sympathetic stimulation, slowing heart
rate and decreasing myocardial contractility and oxygen demand.
Q6. Which medication should a patient with established stable
angina generally have available for rapid relief of an acute episode?
A) Sublingual nitroglycerin
B) Atorvastatin
C) Ezetimibe
D) Aspirin only
Correct Answer: A) Sublingual nitroglycerin
Rationale: Sublingual nitroglycerin acts rapidly and is commonly used for
immediate relief of anginal symptoms.
Q7. Which symptom most strongly suggests that chest pain should
not be managed as routine stable angina alone?
A) Predictable discomfort after climbing stairs
B) Pain resolving after rest
C) Similar intensity with each episode
D) Persistent chest pressure accompanied by diaphoresis and dyspnea
Correct Answer: D) Persistent chest pressure accompanied by diaphoresis
and dyspnea
Rationale: Persistent ischemic symptoms with autonomic or respiratory
findings may represent an acute coronary syndrome requiring emergency
evaluation.
Q8. Which therapeutic strategy addresses long-term cardiovascular-
event prevention rather than immediate angina relief?
A) Sublingual nitroglycerin during chest pain
B) Short-acting bronchodilator therapy
