NR 508 WEEK 4 EXAM 2026/2027 | 150 HIGH-
YIELD QUESTIONS & VERIFIED ANSWERS |
LATEST TEST PREP | RECENT & MOST
TESTED TOPICS | A+ PREPARATION
Cost of antianginal drug therapy should be considered in drug selection because of all of
the following EXCEPT:
1. Patients often require multiple drugs
2. A large number of angina patients are older adults on fixed incomes
3. Generic formulations may be cheaper but are rarely bioequivalent
4. Lack of drug selectivity may result in increased adverse reactions - correct answer-3. Generic
formulations may be cheaper but are rarely bioequivalent
Situations that suggest referral to a specialist is appropriate include:
1. When chronic stable angina becomes unpredictable in its characteristics and precipitating factors
2. When a post-myocardial infarction patient develops new-onset angina
3. When standard therapy is not successful in improving exercise tolerance or reducing the incidence
of angina
4. All of the above - correct answer-4. All of the above
The rationale for prescribing calcium blockers for angina can be based on the need for:
1. Increased inotropic effect in the heart
2. Increasing peripheral perfusion
3. Keeping heart rates high enough to ensure perfusion of coronary arteries 4. Help with rate control
- correct answer-4. Help with rate control
Medications are typically started for angina patients when:
,1. The first permanent EKG changes occur
2. The start of class I or II symptoms
3. The events trigger a trip to the emergency department
4. When troponin levels become altered - correct answer-2. The start of class I or II symptoms
The most common cause of angina is:
1. Vasospasm of the coronary arteries
2. Atherosclerosis
3. Platelet aggregation
4. Low systemic oxygen - correct answer-2. Atherosclerosis
Ranolazine is used in angina patients to:
1. Dilate plaque-filled arteries
2. Inhibit platelet aggregation
3. Restrict late sodium flow in the myocytes
4. Induce vasoconstriction in the periphery to open coronary vessels - correct answer-3. Restrict late
sodium flow in the myocytes
When is aspirin (ASA) used in angina patients?
1. All angina patients should be taking ASA unless it is contraindicated for allergy or other medical
reasons.
2. ASA should only be used in men.
3. ASA has no role in angina, but is useful in MI prevention.
4. The impact of ASA is best at the time of an angina attack. - correct answer-1. All angina patients
should be taking ASA unless it is contraindicated for allergy or other medical reasons
,Because primary hypertension has no identifiable cause, treatment is based on interfering with the
physiological mechanisms that regulate blood pressure. Thiazide diuretics treat hypertension
because they:
1. Increase renin secretion
2. Decrease the production of aldosterone
3. Deplete body sodium and reduce fluid volume
4. Decrease blood viscosity - correct answer-3. Deplete body sodium and reduce fluid volume
Because of its action on various body systems, the patient taking a thiazide or loop diuretic may also
need to receive the following supplement:
1. Potassium
2. Calcium
3. Magnesium
4. Phosphates - correct answer-1. Potassium
All patients with hypertension benefit from diuretic therapy, but those who benefit the most are:
1. Those with orthostatic hypertension
2. African Americans
3. Those with stable angina
4. Diabetics - correct answer-2. African Americans
Beta blockers treat hypertension because they:
1. Reduce peripheral resistance
2. Vasoconstrict coronary arteries
3. Reduce norepinephrine
4. Reduce angiotensin II production - correct answer-1. Reduce peripheral resistance
, Which of the following disease processes could be made worse by taking a nonselective beta
blocker?
1. Asthma
2. Diabetes
3. Both might worsen
4. Beta blockade does not affect these disorders - correct answer-3. Both might worsen
Disease states in addition to hypertension in which beta blockade is a compelling indication for the
use of beta blockers include:
1. Heart failure
2. Angina
3. Myocardial infarction
4. Dyslipidemia - correct answer-3. Myocardial infarction
Angiotensin-converting enzyme (ACE) inhibitors treat hypertension because they:
1. Reduce sodium and water retention
2. Decrease vasoconstriction
3. Increase vasodilation
4. All of the above - correct answer-4. All of the above
Compelling indications for an ACE inhibitor as treatment for hypertension based on clinical trials
includes:
1. Pregnancy
2. Renal parenchymal disease
3. Stable angina
4. Dyslipidemia - correct answer-2. Renal parenchymal disease
YIELD QUESTIONS & VERIFIED ANSWERS |
LATEST TEST PREP | RECENT & MOST
TESTED TOPICS | A+ PREPARATION
Cost of antianginal drug therapy should be considered in drug selection because of all of
the following EXCEPT:
1. Patients often require multiple drugs
2. A large number of angina patients are older adults on fixed incomes
3. Generic formulations may be cheaper but are rarely bioequivalent
4. Lack of drug selectivity may result in increased adverse reactions - correct answer-3. Generic
formulations may be cheaper but are rarely bioequivalent
Situations that suggest referral to a specialist is appropriate include:
1. When chronic stable angina becomes unpredictable in its characteristics and precipitating factors
2. When a post-myocardial infarction patient develops new-onset angina
3. When standard therapy is not successful in improving exercise tolerance or reducing the incidence
of angina
4. All of the above - correct answer-4. All of the above
The rationale for prescribing calcium blockers for angina can be based on the need for:
1. Increased inotropic effect in the heart
2. Increasing peripheral perfusion
3. Keeping heart rates high enough to ensure perfusion of coronary arteries 4. Help with rate control
- correct answer-4. Help with rate control
Medications are typically started for angina patients when:
,1. The first permanent EKG changes occur
2. The start of class I or II symptoms
3. The events trigger a trip to the emergency department
4. When troponin levels become altered - correct answer-2. The start of class I or II symptoms
The most common cause of angina is:
1. Vasospasm of the coronary arteries
2. Atherosclerosis
3. Platelet aggregation
4. Low systemic oxygen - correct answer-2. Atherosclerosis
Ranolazine is used in angina patients to:
1. Dilate plaque-filled arteries
2. Inhibit platelet aggregation
3. Restrict late sodium flow in the myocytes
4. Induce vasoconstriction in the periphery to open coronary vessels - correct answer-3. Restrict late
sodium flow in the myocytes
When is aspirin (ASA) used in angina patients?
1. All angina patients should be taking ASA unless it is contraindicated for allergy or other medical
reasons.
2. ASA should only be used in men.
3. ASA has no role in angina, but is useful in MI prevention.
4. The impact of ASA is best at the time of an angina attack. - correct answer-1. All angina patients
should be taking ASA unless it is contraindicated for allergy or other medical reasons
,Because primary hypertension has no identifiable cause, treatment is based on interfering with the
physiological mechanisms that regulate blood pressure. Thiazide diuretics treat hypertension
because they:
1. Increase renin secretion
2. Decrease the production of aldosterone
3. Deplete body sodium and reduce fluid volume
4. Decrease blood viscosity - correct answer-3. Deplete body sodium and reduce fluid volume
Because of its action on various body systems, the patient taking a thiazide or loop diuretic may also
need to receive the following supplement:
1. Potassium
2. Calcium
3. Magnesium
4. Phosphates - correct answer-1. Potassium
All patients with hypertension benefit from diuretic therapy, but those who benefit the most are:
1. Those with orthostatic hypertension
2. African Americans
3. Those with stable angina
4. Diabetics - correct answer-2. African Americans
Beta blockers treat hypertension because they:
1. Reduce peripheral resistance
2. Vasoconstrict coronary arteries
3. Reduce norepinephrine
4. Reduce angiotensin II production - correct answer-1. Reduce peripheral resistance
, Which of the following disease processes could be made worse by taking a nonselective beta
blocker?
1. Asthma
2. Diabetes
3. Both might worsen
4. Beta blockade does not affect these disorders - correct answer-3. Both might worsen
Disease states in addition to hypertension in which beta blockade is a compelling indication for the
use of beta blockers include:
1. Heart failure
2. Angina
3. Myocardial infarction
4. Dyslipidemia - correct answer-3. Myocardial infarction
Angiotensin-converting enzyme (ACE) inhibitors treat hypertension because they:
1. Reduce sodium and water retention
2. Decrease vasoconstriction
3. Increase vasodilation
4. All of the above - correct answer-4. All of the above
Compelling indications for an ACE inhibitor as treatment for hypertension based on clinical trials
includes:
1. Pregnancy
2. Renal parenchymal disease
3. Stable angina
4. Dyslipidemia - correct answer-2. Renal parenchymal disease
