AGNP BOARD EXAM CARDIOVASCULAR PRESRIBING (113 Question and Answers) 100% Correct

AGNP BOARD EXAM CARDIOVASCULAR PRESRIBING (113 Question and Answers) Signs and symptoms of digitalis toxicity include: A side effect of beta-blockers that is more common in children than adults is: Spironolactone (Aldactone) is highly protein bound and has a duration of: Nonselective beta-blockers block the stimulation of: Dabigatran (Pradaxa), an anticoagulant, is also classified as a: The brand name for candesartan cilexetil is: Gemfibrozil (Lopid), for the treatment of hypertriglyceridemia, is classified as a: In patients with normal renal function, the diuretic that has the greater antihypertensive effect is: An adverse effect of statin therapy for the treatment of hyperlipidemia is: Nitroglycerin sublingual (Nitrostat) tablets should be stored: Patients taking warfarin (Coumadin) therapy should: Non-dihydropyridine calcium channel blockers (i.e. verapamil) may be safely used in patients with: The generic name for Lopressor is: A patient is taking isosorbide dinitrate (Isordil) at 8 am, 2 pm and 9 pm and reports that the medication is no longer effective. The nurse practitioner knows that: Of the angiotensin receptor blockers (ARBs) used in the treatment of hypertension, the one with the longest biological half-life at 24 hours is: A patient who has warfarin (Coumadin) toxicity should be treated with: Clopidogrel (Plavix), an anticoagulant, may be coadministered with: Which of the following drugs blocks the action of aldosterone in order to produce diuresis? The lipid-lowering agent that has been proven most effective in raising high-density lipoprotein levels is: A patient taking spironolactone (Aldactone) has a serum potassium of 5.8 meq/L. The nurse practitioner should: The mechanism of action of angiotensin-converting enzyme (ACE) inhibitors in lowering blood pressure is to: The diuretic that blocks the reabsorption of sodium and water in the loop of Henle to produce diuresis is: A 2-year-old child has a history of heart failure. To increase the force of ventricular contraction and decrease heart rate, the most appropriate drug choice is: A common side effect of cardioselective beta-blockers such as labetalol (Trandate) is: A patient is receiving furosemide (Lasix) for edema secondary to heart failure. The patient should be informed that furosemide (Lasix) may cause: The loop diuretic with the longest half-life is: Angiotensin-converting enzyme (ACE) inhibitors such as ramipril (Altace) should not be use: A child who is receiving furosemide (Lasix) to treat heart failure should be monitor for: Enoxaparin (Lovenox) is classified as a(n): When prescribing nitroglycerin for the treatment of angina, the first-pass effect bioavailability should be considered with: Isosorbide dinitrate (Isordil) is indicate for the treatment of: A patient with a prosthetic heart valve is taking warfarin (Coumadin) therapy. The appropriate action prior to dental surgery is to: The efficacy of angiotensin receptor blockers (ARBs) may be enhance, without an increase in side effects, when administer in combination with: A 3-year-old patient has a history of congenital heart disease. To reduce the afterload and decrease right and left atrial pressures, the drug of choice should be: Statins lower cholesterol by: The negative inotropic activity of nifedipine (Adalat CC) that leads to an exacerbation of heart failure may be further pronounced if combined with: Which beta-blocker is highly variable in bioavailability, has a shorter plasma half-life, is mostly lipid-soluble, and is almost completely absorbed by the small intestine? Avoid concomitant use of oral digoxin (Lanoxin) and: A patient being treated with enoxaparin (Lovenox) twice daily for atrial fibrillation is scheduled for surgery. The patient should be advised to: The onset of anticoagulation action for warfarin (Coumadin) is: Beta-blockers such as atenolol (Tenormin) should not be used in patients with: Gemfibrozil (Lopid) should NOT be administered in combination with: Enoxaparin (Lovenox), use in the prevention of deep vein thrombosis, should be administer: Angiotensin II receptor blockers (ARBs) lower blood pressure by: Protamine sulfate, used to reduce the bleeding caused by low molecular weight heparin, should be use cautiously in patients who are allergic to: Aliskiren (Tekturna), a renin inhibitor, is indicated for the treatment of: The dosage of apixaban (Eliquis) in the treatment of nonvalvular atrial fibrillation should be reduced for the patient with a(n): A patient is receiving atenolol (Toprol XL) for angina and needs to be started on a second agent for hypertension. Caution should be used if prescribing: While taking aliskiren (Tekturna), the patient should be advised to avoid: Which medication is considered a cholesterol absorption inhibitor? Inotropes (positive or negative) are indicated for patients diagnosed with: The side effect profile of angiotensin receptor blockers (ARBs) is similar to the side effects of: Which of the following is a brand name for enoxaparin? To reduce the risk of cardiovascular events in patients with asymptomatic peripheral arterial disease, the patient should be treated with: Beta-blockers that block the beta-2 receptors may cause: Warfarin (Coumadin) therapy may be safely used by a patient who has: AGNP board exam The recommended pharmacologic management of elevated low density lipoprotein (LDL) cholesterol in primary prevention of cardiovascular disease is: Concomitant use of beta-blockers with digitalis glycosides can increase the risk of: Baseline and periodic monitoring for patients receiving hydralazine (Apresoline) should include serum: The recommended prophylactic treatment agent for infective endocarditis is: AGNP board exam Bile acid sequestrants such as colesevelam (Welchol): Ranolazine (Ranexa) is indicat in the treatment of: Gemfibrozil (Lopid) should be discontinued if: A 52-year-old man is receiving metoprolol tartrate (Lopressor) after a myocardial infarction. This patient should be educated to: Hydralazine (Apresoline) is indicated for the treatment of: By decreasing cardiac output, beta-blockers may also: The generic name for Vasotec is: It is safe to use ranolazine (Ranexa) concomitantly with: The medication that produces vasodilation and thus lowers blood pressure by inhibiting the formation of angiotensin II is: The maximum benefits of fibrates on triglyceride reduction occur at approximately: For the patient receiving dabigatran (Pradaxa) who needs anticoagulation reversal, the nurse practitioner knows that: Bile acid sequestrants to treat hypercholesterolemia should be dose: Direct thrombin inhibitors such as dabigatran (Pradaxa) are NOT indicate for: An adverse reaction to angiotensin receptor blockers (ARBs) use in the treatment of hypertension is: Beta-blockers that block the beta-1 receptors cause a(n): Aliskiren (Tekturna), used in the treatment of essential hypertension, is classified as a(n): Loop diuretics such as bumetanide (Bumex): Initial and routine monitoring of patients receiving spironolactone (Aldactone) includes: Signs of digoxin toxicity in a 2-year-old with heart failure is: AGNP board exam Patients should be advise to take ezetimibe (Zetia), a cholesterol absorption inhibitor,: The peak effect of enalapril (Vasotec), an angiotensin-converting enzyme (ACE) inhibitor, occurs in: An angiotensin II receptor blocker (ARB) that is indicated for the treatment of hypertension in children younger than 6 years old is: Apixaban (Eliquis) may be a better choice than warfarin (Coumadin) in the patient who: Increased toxicity effects may be experience when administering furosemide (Lasix) with: Patients receiving short-acting nitrates for the management of acute angina should be advise of the potential for: A common side effect of niacin (Niaspan) is: The mechanism of action of angiotensin receptor blockers (ARBs) in lowering blood pressure is to: Reduced doses of lovastatin (Mevacor) are recommend when used concomitantly with: Nitrates cause vasodilation of veins and coronary arteries by: The brand name for isosorbide dinitrate is: Aliskiren (Tekturna) should not be administer concurrently with: Triamterene (Dyrenium), a diuretic, should not be use in the presence of: An example of a cardioselective beta-blocker used in the treatment of heart failure is: What is the earliest time a digoxin level can be obtained on a patient whose most recent dose was at 7 am? A common side effect of angiotensin II receptor blockers (ARBs) such as candesartan (Atacand) is: Nifedipine (Adalat CC), a calcium channel blocker, is indicate in the treatment of: AGNP board exam Aspirin can be prescribe for children who have rheumatic fever, pericarditis, or: Fibric acid derivatives such as fenofibrate (Tricor) should be discontinue if: Cardioselective beta-blockers: Baseline and follow-up monitoring of ranolazine (Ranexa) should include: Acetaminophen (Tylenol) use in infants and children is: Warfarin (Coumadin) should be administer: Patients who are start on olmesartan (Benicar) should be advise to report: Ranolazine (Ranexa) exerts antianginal and anti-ischemic effects by: What is the maximum half-life elimination of warfarin (Coumadin)? Thiazide diuretics are indicate for the treatment of: A disadvantage of vitamin K antagonists for anticoagulation is their: An example of a dihydropyridine calcium channel blocker is: To reduce the flushing effects caused by nifedipine (Adalat CC), it should be taken with: The brand name for hydralazine is: When prescribing angiotensin-converting enzyme (ACE) inhibitors for the treatment of hypertension, the patient should be instruct to: Increased adverse events are likely with the concomitant use of angiotensin-converting enzyme (ACE) inhibitors such as ramipril (Altace) and: A common side effect of angiotensin-converting enzyme (ACE) inhibitors used in the treatment of hypertension is