ATI PN PHARMACOLOGY PROCTORED EXAM REVIEW QUESTIONS AND 100% CORRECT ANSWERS|LATEST 2025/2026|GUARANTEED A+

ATI PN PHARMACOLOGY PROCTORED EXAM
REVIEW QUESTIONS AND 100% CORRECT
ANSWERS|LATEST 2025/2026|GUARANTEED A+
Receptors - ANSWER- Norepinephrine- B B



Adrenergic (adrenergic comes from the word adrenalin)
B B B B B B




Alpha 1-all sympathetic target organs except the heart-
B B B B B B B



constrict the blood vessels and dilation of pupils
B B B B B B B




Alpha 2-Presynaptic adrenergic nerve terminal-inhibits the release of norepinephrine
B B B B B B B B




Beta 1-Heart and Kidneys (BETA 1-ONE HEART)-
B B B B B B



increased heart rate and force of contraction, release of renin
B B B B B B B B B




Beta 2-All sympathetic target organs-inhibits smooth muscle (BETA 2-TWO LUNGS)
B B B B B B B B B




Beta blockers/olol's - ANSWER-
B B B Beta-Adrenergic Blockers B




Metoprolol/Lopressor ENDING OLOL B B




Beta Blockers are use with heart failure, hypertension, angina and with myocardial infarctions.
B B B B B B B B B B B B




Action = Blocks Beta-Receptors in the heart causing...
B B B B B B B




Decreases = HR, force of contraction, Rate of atrioventricular (AV) conduction
B B B B B B B B B B




SE = Bradycardia, lethargy, GI disturbance, congestive heart failure, decrease BP, depression
B B B B B B B B B B B




The beta blockers stop sympathetic nervous system stimulation of the heart. Does not allow t
B B B B B B B B B B B B B B B



he heart rate and blood pressure to rise with stress thus lowering the oxygen demand of the h
B B B B B B B B B B B B B B B B B



eart. It is very heart protective!
B B B B B




Will slow the heart rate and lower the blood pressure
B B B B B B B B B




Can have beta 2 blockage with larger doses-will constrict the bronchioles-
B B B B B B B B B B



watch for clients with known COPD, Asthma
B B B B B B




Nursing Interventions B




Check pulse-needs to be 60 or above
B B B B B B




Check blood pressure-
B B



if hypotensive do not give (Systolic below 100 is a good rule of thumb I go by)
B B B B B B B B B B B B B B B B

,Monitor for sexual dysfunction-impotence for men-a good reason for non-compliance
B B B B B B B B B




Drowsiness/Fatigue-operating heavy machinery, driving could put client at risk B B B B B B B B




Insomnia-

Contraindicated with Heart Blocks, Bradycardia, Worsening Heart Failure
B B B B B B B




Increases Hypoglycemic effect of Insulin-
B B B B



monitor blood sugars and for hypoglycemia, may need to lower insulin dosage
B B B B B B B B B B B




Beta Blockers have to be weaned slowly to prevent rebound hypertension and tachycardia-
B B B B B B B B B B B B



if a client wants to stop his beta-blocker they need to contract their physician
B B B B B B B B B B B B B




CCB,/calcium channel blockers - ANSWER- B B B B Nifedipine/Adalat/Procardia/Norvasc-
controls blood vessels B B




Diltiazem/Cardizem

Verapamil/Calan/Isoptin/Verelan-controls heart rate and blood vessels B B B B B




Angina/Raynaud's/Vasospastic Angina/Atrial Arrhythmia's B B




Blocks calcium channels in the myocardial and vascular smooth muscles, decreases the contra
B B B B B B B B B B B B



ction of smooth muscle-relaxes the arteries-
B B B B B



vasodilation. Blocking of calcium channels in the SA and AV node-
B B B B B B B B B B



Slows conduction through the SA and AV node. Decreases the force of contraction slows heart
B B B B B B B B B B B B B B



rate
B




Grapefruit juice may increase absorption of nifedipine
B B B B B B




Side Effects: Relaxes smooth muscle and cardiac muscle-
B B B B B B B




Headache

Dizziness-Take lying, sitting and standing B/P, educate client to sit and stand slowly
B B B B B B B B B B B B




Peripheral edema-assess for edema, monitor for worsening (diuretic)
B B B B B B B




Flushing

,Reflex tachycardia-monitor for elevated heart rate (may need a BB)
B B B B B B B B B




Constipation-increase fibers and fluids (if not restricted) stool softener B B B B B B B B




Fatigue-Due to low heart rate-monitor EKG, pulse rate and rhythm
B B B B B B B B B




Weakness-Monitor B/P and Heart Rate B B B B




Impotence and sexual dysfunction-Discuss possibility with client-
B B B B B B



have client to call and not just to stop medications
B B B B B B B B B




Hepatotoxicity-ALT, AST, ALK PHOS, Bilirubin B B B B




MI-Monitor for chest pain, dyspnea, increases fatigue, weakness
B B B B B B B




CHF-
Monitor for chest pain, dyspnea, edema, increasing weight, decreasing output, increasing HR
B B B B B B B B B B B B



and B/PB




Angioedema-edema in face, throat, trouble swallowing, trouble breathing, thickened tongue
B B B B B B B B B




Grapefruit juice may increase absorption of nifedipine
B B B B B B




Acute Toxicity B




With an overdose or overmedicated
B B B B




Gastric lavage B




Monitor EKG-bradycardia-widening QRS, hypotension
B B B




Norepinephrine to treat hypotension and decreased cardiac contractility
B B B B B B B




Atropine or Isoproterenol-Bradycardia and Cardiac Blocks
B B B B B




Verapamil (Calan, Covera, Isoptin Verelan)
B B B B




Class IV antidysrhythmic
B B




Calcium channel blocker B B




Inhi



Pril/ace inhibitors - ANSWER-
B B B Enalapril/Vasotec B




PRIL-is the ending for ace's
B B B B




Reduces Angiotensin 2 and aldosterone levels
B B B B B

, Prevents Angiotensin 1 from converting to Angiotensin 2 in the lungs-
B B B B B B B B B B



leaves the Angiotensin 1 hanging in the lungs-creates irritation-cough
B B B B B B B B




Vasodilation-mostly arteriole (decreases afterload) B B B




Excretion of sodium and water-retention of K (decreases preload)
B B B B B B B B




Treats hypertension and heart failure
B B B B




Do not take 2nd and 3rd Trimester of pregnancy
B B B B B B B B




SE = Angioedema-allergic reaction-swelling of tongue, throat-stop taking and notify md
B B B B B B B B B B




Hyperkalemia-
monitor for widening and slowing of pulse/qrs, weakness, fatigue, avoid high K foods, AVOID S
B B B B B B B B B B B B B B



ALT SUBSTITUTES-
B



usually very high in K, avoid potassium sparing diuretics, sport drinks are high in K also
B B B B B B B B B B B B B B B




Orthostatic Hypotension-teach client to sit and stand slowly, enact fall precautions
B B B B B B B B B B




Neutropenia/Agranulocytosis-monitor CBC-WBC count, reoccurring infections B B B B




Renal Insufficiency-Monitor weight, edema, I/O, BUN, Cr, and GFR
B B B B B B B B




Hepatic Insufficiency-Monitor AST, ALT, ALK PHOS, Bilirubin
B B B B B B




Cough-
Cough lozenges, hard candy, increase fluid intake, sleep with HOB elevated, antihistamines
B B B B B B B B B B B




ACE Inhibitors
B




Discussed these medications with hypertension B B B B




Arb's-Angiotensin receptor blockers, sartan's B B B




No Cough, same effects and side effects as Ace's-just not as potent
B B B B B B B B B B B




Sartan's/angiotension blockers/arb's - ANSWER- B B B ...

Arb's-Angiotensin receptor blockers, sartan's B B B




No Cough, same effects and side effects as Ace's-just not as potent
B B B B B B B B B B B