NSG 233 MED SURG 2 EXAM 4
COMPREHENSIVE TEST 2026 QUESTIONS
WITH SOLUTIONS GRADED A+
◉ What life-threatening condition can Captopril cause? Answer:
Angioedema.
◉ What is amlodipine? What are some patient teaching points?
Answer: Calcium Channel blocker!
MOA: inhibits influx of calcium across cardiac and smooth muscles
during depolarization. this results in relaxation and vasodilation.
This lowers BP!
Pt Teaching
- take without regard to food.
-NO GRAPEFRUIT JUICE.
- NO ST. JOHNS WORT (herbal supplement).
◉ What is Enalapril? What are some patient teaching points?
Answer: ACE inhibitor!
,MOA: same as captopril. (Lowers BP).
Pt teaching
- move slowly when Changin positions (sitting to standing) due to
orthostatic HoTN.
- regularly check BP.
- avoid high K foods, hyperkalemia is a risk.
◉ What is Propranolol? What are some patient teaching points?
Answer: Beta-Adrenergic Blocker.
MOA: lowers BP.
Pt teaching
- do NOT stop taking abruptly.
- must be gradually tapered over TWO weeks with pt monitoring.
◉ What the most important pt teaching point for a patient taking a
Zosin medication? Answer: Take at bedtime to prevent dizziness and
syncope.
◉ What is the most important pt teaching point for a pregnant
woman who is taking Losartan? Answer: STOP!
, Losartan can cause severe injury and death to the fetus.
◉ What is Sotalol? What are the major contraindications for this
medication? Answer: Beta-adrenergic blocker.
Primary contraindication: ASTHMA.
Other contraindications:
- sinus bradycardia.
- heart block.
- prolonged QT syndrome.
- cardiogenic shock.
- heart failure.
- hypersensitivity.
◉ Why and when is epinephrine given in a cardiac emergency?
Answer: It is given after initial unsuccessful defibrillation to make it
easier to convert the arrhythmia to a normal rhythm with the next
defibrillation.
Real world practice fun fact: usually no more than 7 rounds of epi
are ever given.
COMPREHENSIVE TEST 2026 QUESTIONS
WITH SOLUTIONS GRADED A+
◉ What life-threatening condition can Captopril cause? Answer:
Angioedema.
◉ What is amlodipine? What are some patient teaching points?
Answer: Calcium Channel blocker!
MOA: inhibits influx of calcium across cardiac and smooth muscles
during depolarization. this results in relaxation and vasodilation.
This lowers BP!
Pt Teaching
- take without regard to food.
-NO GRAPEFRUIT JUICE.
- NO ST. JOHNS WORT (herbal supplement).
◉ What is Enalapril? What are some patient teaching points?
Answer: ACE inhibitor!
,MOA: same as captopril. (Lowers BP).
Pt teaching
- move slowly when Changin positions (sitting to standing) due to
orthostatic HoTN.
- regularly check BP.
- avoid high K foods, hyperkalemia is a risk.
◉ What is Propranolol? What are some patient teaching points?
Answer: Beta-Adrenergic Blocker.
MOA: lowers BP.
Pt teaching
- do NOT stop taking abruptly.
- must be gradually tapered over TWO weeks with pt monitoring.
◉ What the most important pt teaching point for a patient taking a
Zosin medication? Answer: Take at bedtime to prevent dizziness and
syncope.
◉ What is the most important pt teaching point for a pregnant
woman who is taking Losartan? Answer: STOP!
, Losartan can cause severe injury and death to the fetus.
◉ What is Sotalol? What are the major contraindications for this
medication? Answer: Beta-adrenergic blocker.
Primary contraindication: ASTHMA.
Other contraindications:
- sinus bradycardia.
- heart block.
- prolonged QT syndrome.
- cardiogenic shock.
- heart failure.
- hypersensitivity.
◉ Why and when is epinephrine given in a cardiac emergency?
Answer: It is given after initial unsuccessful defibrillation to make it
easier to convert the arrhythmia to a normal rhythm with the next
defibrillation.
Real world practice fun fact: usually no more than 7 rounds of epi
are ever given.
