Pharmacology for Nurses: A
Pathophysiologic Approach Test Bank:
Chapter 27 Questions And Answers
(GRADED A+)
1. Heart Failure (HF) - ANSWER: -Inability of ventricles to pump enough blood for body's needs
-Weakening of heart muscle due to aging or disease
2. Diseases Associated with Heart Failure - ANSWER: Coronary artery disease (C A D)
Mitral stenosis
Myocardial infarction (M I)
Chronic H T N
Diabetes Mellitus
3. Cure for Heart Failure - ANSWER: No cure, only prevention and slowing of progression
4. Left-Sided Heart Failure - ANSWER: -Blood accumulates in left ventricle
-Left ventricle thickens and enlarges: hypertrophy
-Cardiac remodeling
Blood backs up into lungs
-Cough and shortness of breath result
5.Right-Sided Heart Failure - ANSWER: -Blood backs up into veins
-Causes peripheral edema and organ engorgement
-Less common than left-sided H F
6. Preload - ANSWER: -The degree myocardial fibers are stretched prior to contraction
-Affects cardiac output
7.Frank-Starling law: Associated with Preload - ANSWER: More fibers are stretched, more forcefully
they will contract
8. Positive inotropic agents - ANSWER: Drug that increases preload contractility resulting in
increased cardiac output
9. Afterload - ANSWER: -Pressure in aorta that must be overcome before blood is ejected from left
ventricle
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, Pharmacology for Nurses: A
Pathophysiologic Approach Test Bank:
Chapter 27 Questions And Answers
(GRADED A+)
-Lowering blood pressure creates less afterload, resulting in less workload
for the heart
-Affects cardiac output
10. Pharmacologic Management of Heart Failure - ANSWER: -Slowing the heart rate
-Increasing contractility
-Reducing myocardial workload
11. Lisinopril (Prinivil, Zestril)- ACE inhibitors and Angiotensin Receptor Blocker: ADVERSE EFFECTS -
ANSWER: Severe hypotension (first dose phenomenon) syncope, blood dyscrasias, angioedema,
fetal toxicity
12. Digoxin- Adverse Effects (Cardiac Glycoside)
- ANSWER: Dysrhymias, Atrioventricular Block
Non-Underlined:
Nausea, vomiting, headache and visual disturbances such as seeing halos, a yellow-
green tinge or blurring
13. Milrinone (Primacor) - ANSWER: Dysrhythmias
Headache, hypotension
14. ACE Inhibitors - ANSWER: -Reduce afterload
-Drug of choice for heart failure
-Enhance excretion of sodium and water
-Lowers peripheral resistance and reduces blood volume
-Increases cardiac output
15. Angiotensin II Receptor Blockers (ARBs)
- ANSWER: -Actions very similar to ACE inhibitors
-Usually used for patients who are unable to tolerate the adverse effects of ACE
inhibitors
16. Diuretics - ANSWER: -Increase urine flow
#$%^&*)(
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&*)(*&^
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Pathophysiologic Approach Test Bank:
Chapter 27 Questions And Answers
(GRADED A+)
1. Heart Failure (HF) - ANSWER: -Inability of ventricles to pump enough blood for body's needs
-Weakening of heart muscle due to aging or disease
2. Diseases Associated with Heart Failure - ANSWER: Coronary artery disease (C A D)
Mitral stenosis
Myocardial infarction (M I)
Chronic H T N
Diabetes Mellitus
3. Cure for Heart Failure - ANSWER: No cure, only prevention and slowing of progression
4. Left-Sided Heart Failure - ANSWER: -Blood accumulates in left ventricle
-Left ventricle thickens and enlarges: hypertrophy
-Cardiac remodeling
Blood backs up into lungs
-Cough and shortness of breath result
5.Right-Sided Heart Failure - ANSWER: -Blood backs up into veins
-Causes peripheral edema and organ engorgement
-Less common than left-sided H F
6. Preload - ANSWER: -The degree myocardial fibers are stretched prior to contraction
-Affects cardiac output
7.Frank-Starling law: Associated with Preload - ANSWER: More fibers are stretched, more forcefully
they will contract
8. Positive inotropic agents - ANSWER: Drug that increases preload contractility resulting in
increased cardiac output
9. Afterload - ANSWER: -Pressure in aorta that must be overcome before blood is ejected from left
ventricle
#$%^&*)(
*&#$%^
&*)(*&^
%$%^&*(
, Pharmacology for Nurses: A
Pathophysiologic Approach Test Bank:
Chapter 27 Questions And Answers
(GRADED A+)
-Lowering blood pressure creates less afterload, resulting in less workload
for the heart
-Affects cardiac output
10. Pharmacologic Management of Heart Failure - ANSWER: -Slowing the heart rate
-Increasing contractility
-Reducing myocardial workload
11. Lisinopril (Prinivil, Zestril)- ACE inhibitors and Angiotensin Receptor Blocker: ADVERSE EFFECTS -
ANSWER: Severe hypotension (first dose phenomenon) syncope, blood dyscrasias, angioedema,
fetal toxicity
12. Digoxin- Adverse Effects (Cardiac Glycoside)
- ANSWER: Dysrhymias, Atrioventricular Block
Non-Underlined:
Nausea, vomiting, headache and visual disturbances such as seeing halos, a yellow-
green tinge or blurring
13. Milrinone (Primacor) - ANSWER: Dysrhythmias
Headache, hypotension
14. ACE Inhibitors - ANSWER: -Reduce afterload
-Drug of choice for heart failure
-Enhance excretion of sodium and water
-Lowers peripheral resistance and reduces blood volume
-Increases cardiac output
15. Angiotensin II Receptor Blockers (ARBs)
- ANSWER: -Actions very similar to ACE inhibitors
-Usually used for patients who are unable to tolerate the adverse effects of ACE
inhibitors
16. Diuretics - ANSWER: -Increase urine flow
#$%^&*)(
*&#$%^
&*)(*&^
%$%^&*(
