BSNC 6000 MODULES 1 & 2: CHF, COPD,
ARRHYTHMIAS QUESTIONS WITH VERIFIED
ACCURATE ANSWERS
Beta-blockers can be an effective part of the HF treatment regimen, but can also pose
risks. Which of the following are contraindications to beta-blocker use for HF?
A) HR < 45 bpm
B) Severe AV block
C) Compensated HF
D) Cardiogenic shock - Answers - A) HR < 45 bpm
B) Severe AV block
C) Compensated HF (contraindicated in DEcompensated HF)
D) Cardiogenic shock
A nurse is providing education about metoprolol to a client with diabetes. Which of the
following should the nurse emphasize?
A) This medication may mask the symptoms of hypoglycemia. Make sure to monitor
your blood sugars closely.
B) This medication may increase your metabolic needs.
C) Low blood pressure and high blood sugars are known side effects of this medication.
D) You may experience a headache when you take metoprolol. - Answers - A) This
medication may mask the symptoms of hypoglycemia. Make sure to monitor your blood
sugars closely.
B) This medication may increase your metabolic needs. (decreases cardiac demands)
C) Low blood pressure and high blood sugars are known side effects of this medication.
(true but hypoglycemia is greater risk)
D) You may experience a headache when you take metoprolol. (true but for any patient)
Which of the following are selective beta-blockers (i.e. only activate beta-1 receptors)?
A) Propanolol
B) Metoprolol
C) Carvedilol
D) Sotalol - Answers - A) Propanolol
B) Metoprolol
C) Carvedilol
D) Sotalol
Angiotensin II Receptor Blockers (ARBs) usually end in "_________" - Answers -
Angiotensin II Receptor Blockers (ARBs) usually end in
"-sartan"
, e.g. candesartan, losartan
Describe the ARB mechanism of action - Answers - ARBs prevent angiotensin II from
binding to angiotensin II receptors on vascular smooth muscle and the adrenal glands of
the kidneys.
Effect:
-blood vessels cannot constrict
-aldosterone release is stopped (less Na+ and H2O reabsorption)
Which of the following education should the nurse provide to a patient taking ARBs to
manage blood pressure?
A) Avoid potassium supplements and salt substitutes.
B) Be cautious getting up from lying down or going upstairs as ARBs lower your blood
pressure.
C) Your blood sugar and heart rate may increase.
D) Most people only experience mild side effects, like dizziness, headache, drowsiness.
E) If you notice new swelling in your face, go to the ED immediately. - Answers - A)
Avoid potassium supplements and salt substitutes. ARBs can cause hyperkalemia (via
natriuresis -> reduced K+ excretion)
B) Be cautious getting up from lying down or going upstairs as ARBs lower your blood
pressure.
C) Your blood sugar and heart rate may increase.
D) Most people only experience mild side effects, like dizziness, headache, drowsiness.
E) If you notice new swelling in your face, go to the ED immediately. angioedema -- rare
but very serious side effect
List signs & symptoms of right-sided HF - Answers - -Bipedal edema (systemic edema)
-Ascites
-RUQ pain (hepatomegaly) -> initially blood backs up into liver (vena cava)
-Weight gain
-Splenomegaly
-GI discomfort, anorexia
-JVD
List signs & symptoms of LEFT-sided HF - Answers - o Dyspnea
o Orthopnea
o Cough
o Fine crackles (bilat)
o Low SpO2
o Cough
o Increased RR (compensatory due to increased diffusion distance)
Non-invasive assisted ventilation can be used to manage COPD exacerbations. What is
the target of this intervention?
ARRHYTHMIAS QUESTIONS WITH VERIFIED
ACCURATE ANSWERS
Beta-blockers can be an effective part of the HF treatment regimen, but can also pose
risks. Which of the following are contraindications to beta-blocker use for HF?
A) HR < 45 bpm
B) Severe AV block
C) Compensated HF
D) Cardiogenic shock - Answers - A) HR < 45 bpm
B) Severe AV block
C) Compensated HF (contraindicated in DEcompensated HF)
D) Cardiogenic shock
A nurse is providing education about metoprolol to a client with diabetes. Which of the
following should the nurse emphasize?
A) This medication may mask the symptoms of hypoglycemia. Make sure to monitor
your blood sugars closely.
B) This medication may increase your metabolic needs.
C) Low blood pressure and high blood sugars are known side effects of this medication.
D) You may experience a headache when you take metoprolol. - Answers - A) This
medication may mask the symptoms of hypoglycemia. Make sure to monitor your blood
sugars closely.
B) This medication may increase your metabolic needs. (decreases cardiac demands)
C) Low blood pressure and high blood sugars are known side effects of this medication.
(true but hypoglycemia is greater risk)
D) You may experience a headache when you take metoprolol. (true but for any patient)
Which of the following are selective beta-blockers (i.e. only activate beta-1 receptors)?
A) Propanolol
B) Metoprolol
C) Carvedilol
D) Sotalol - Answers - A) Propanolol
B) Metoprolol
C) Carvedilol
D) Sotalol
Angiotensin II Receptor Blockers (ARBs) usually end in "_________" - Answers -
Angiotensin II Receptor Blockers (ARBs) usually end in
"-sartan"
, e.g. candesartan, losartan
Describe the ARB mechanism of action - Answers - ARBs prevent angiotensin II from
binding to angiotensin II receptors on vascular smooth muscle and the adrenal glands of
the kidneys.
Effect:
-blood vessels cannot constrict
-aldosterone release is stopped (less Na+ and H2O reabsorption)
Which of the following education should the nurse provide to a patient taking ARBs to
manage blood pressure?
A) Avoid potassium supplements and salt substitutes.
B) Be cautious getting up from lying down or going upstairs as ARBs lower your blood
pressure.
C) Your blood sugar and heart rate may increase.
D) Most people only experience mild side effects, like dizziness, headache, drowsiness.
E) If you notice new swelling in your face, go to the ED immediately. - Answers - A)
Avoid potassium supplements and salt substitutes. ARBs can cause hyperkalemia (via
natriuresis -> reduced K+ excretion)
B) Be cautious getting up from lying down or going upstairs as ARBs lower your blood
pressure.
C) Your blood sugar and heart rate may increase.
D) Most people only experience mild side effects, like dizziness, headache, drowsiness.
E) If you notice new swelling in your face, go to the ED immediately. angioedema -- rare
but very serious side effect
List signs & symptoms of right-sided HF - Answers - -Bipedal edema (systemic edema)
-Ascites
-RUQ pain (hepatomegaly) -> initially blood backs up into liver (vena cava)
-Weight gain
-Splenomegaly
-GI discomfort, anorexia
-JVD
List signs & symptoms of LEFT-sided HF - Answers - o Dyspnea
o Orthopnea
o Cough
o Fine crackles (bilat)
o Low SpO2
o Cough
o Increased RR (compensatory due to increased diffusion distance)
Non-invasive assisted ventilation can be used to manage COPD exacerbations. What is
the target of this intervention?
